NURS 6512: Advanced Health Assessment Discussion Post One-Week One: Building a Health History Interview and Communication Techniques In the case of an adolescent Hispanic/Latino boy living in a middle-class suburb, ethnicity, developmental stage, and culture should all be considered towards developing rapport. Well established rapport aids clinicians in accurately identifying patient’s health concerns and facilitates the development of a client-centered plan or care. An open-ended approach establishes a sense of alliance and partnership between provider and patient (Ball et al., 2015). Upon entering the room, I greet, shake hands, and introduce myself first to the adolescent patient, then extend the same welcoming greeting to the parent. During my greeting I would quickly assess the presence of any language barrier warranting the need for language interpretation support for the parent, and or adolescent client to prevent either person from feeling alienated during the interview, plan of care review, or health education portion. I would start by allowing the adolescent patient to provide a recap day-to-day experiences before conducting a comprehensive health history and physical assessment. Day-to-day experiences in adolescent clients provide insight into potentially risky behaviors, circumstances and lifestyle limits due to undiscovered health disorders. Through the meeting remaining courteous, smiling, attentive listening, minimal note-taking, eyes contact and refraining from interrupting or rushing responses, all contribute to building comfortable environment and experience for client and parent (Sulivan, 2012). Technique Rationale As a minor I would conduct my initial interview with both parent and patient, then with parent’s permission conduct a separate interview with the patient after. Adolescents are often
reluctant to share information with healthcare providers, fearing the information will be communicated to their parents (Ball et al., 2015). This format presents an opportunity for the adolescent client to discuss their concerns privately and a safe space to discuss sensitive issues.
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- Summer '15