Nurs 6512 Week1.docx - Discussion Week 1 55-year-old Asian female living in a high-density poverty housing complex NURS 6512 Advanced Health Assessment

Nurs 6512 Week1.docx - Discussion Week 1 55-year-old Asian...

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Discussion - Week 1 55-year-old Asian female living in a high-density poverty housing complex NURS 6512: Advanced Health Assessment and Diagnostic Reasoning Discussion: Week # 1: Building a Comprehensive Health History It is essential to gather thorough and accurate health history that would help health care providers to diagnose and make treatment plans. It starts with developing a relationship with the patient through effective communication. Appropriate interview and communication techniques should be used based on the patient’s age, gender, ethnicity or environment. I have selected the patient who is a 55-year-old Asian female living in a high-density poverty housing complex. First, I would like to build a positive and trust relationship with the patient by ensuring comfort physically and emotionally (Ball, Dains, Flynn, Solomon, & Stewart, 2015). It can be done by maintaining good eye contact and listeninAg carefully with respectable manner. Also open-ended questions would help to gather more information, and it can be narrow down and specific once the information accumulates enough (Ball et al., 2015). The purpose of health risk assessments (HRA) is to evaluate each patient’s level of risk for developing certain diseases so that health care providers are able to develop care plan to prevent disease and promote health (Wu and Orlando, 2015). There are many risk assessment instruments to evaluate the patients. I think the patient that I have selected is at risk for malnutrition, abuse, behavioral and psychosocial health risk. It could be verbal, physical or financial abuse, and the patient may be depressed due to her low socioeconomic status. HITS is a screening tool for domestic violence, and it stands for Hurt, Insult, Threaten, or Scream (Ball et al., 2015). Also I found that The My Own Health Report (MOHR) could be useful tool, and it is different from traditional HRAs (Phillips et al., 2014). It is useful tool to assess behavioral and mental health risks such as sleep, stress and anxiety, and it is known as more patient-centered which helps the patients to identify their risk factors that they need to change (Phillips el al., 2014). Targeted questions When was your last check-up with primary care physician or Ob/Gyn doctor? What medications do you take currently? How would you rate your overall health (poor, fair, good, excellent)? Do you smoke, drink or use any recreational drugs? How often do you feel anxious or depressed? What is your daily eating routine (servings of fruits/vegetables, number of fast food meals or snacks over past 7 days)?
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