final project.docx - Running head FINAL PROJECT 1 Final Project Rachel Holland Southern New Hampshire University FINAL PROJECT 2 Patient Analysis

final project.docx - Running head FINAL PROJECT 1 Final...

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Running head: FINAL PROJECT1Final ProjectRachel HollandSouthern New Hampshire University
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FINAL PROJECT2Patient AnalysisInterviewingWhen discussing health with a patient, it is important for the provider to establish a good,professional relationship with the patient. This includes having a good attitude and being friendly and approachable. The healthcare professional must listen to the patient and respond without judgment. The healthcare professional should be able to interview that patient in a way that promotes their contribution to the discussion. Patient interviews are discussions that should be led by the patient. This allows the patient to provide valuable input on their health to the discussion. The healthcare professional should be comfortable enough in their interviewing skills to ask follow-up questions about what the patient says during the interview. These questions should be open-ended so that the patient can describe scenarios to the nurse. When appropriate, closed-ended questions may be asked to clarify information that the patient has given. The most essential skill to have during an interview is the ability to show the patient that they are being listened to. The professional nurse can do this by keeping eye contact and good body language. The provider should remain focused and provide valid responses when indicated. Data Collection & AppropriatenessDuring the patient examination, both subjective and objective data was obtained through interview and then physical assessment. A general survey of patient information was first gathered to learn about general appearance and orientation. Gathering this data first helps the healthcare professional determine general patient health and reliability. The reason for this healthcare visit was then determined to see if there are any acute illnesses that need to be addressed. Ms. Jones was also asked about her recent healthcare visits to determine her health
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FINAL PROJECT3status and participation in self-care. An interview was then conducted to assess the health of each body system. Specific questions were asked about each body system to determine any issues with health. These questions were to see if Ms. Jones has noticed any health issues on her own. It also helps to identify any issues of health that may not be present during the time of assessment. Some issues, such as headaches come and go, and patients may not remember to discuss them during the visit unless asked. After the interview was completed, a physical assessment of each system was conducted. This examination was conducted from head to toe. The head was visualized and palpated for normalcy. It is best to visualize first in order to see anyissues before palpating them. This avoids any painful stimuli to potential injuries. It also allows to provider to view them before disturbing them. The eyes were then assessed including eyelids and eyebrows. A light was utilized to view the pupils and their response to it. Visual acuity was assessed for each eye while the patient was wearing her glasses.
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