Building a Health History Ball, Dains, Flynn, Solomon & Stewart (2015), stated that the primary objective in building a reliable health history for a patient is to determine what the patient views as problems, either verbalized or otherwise. The interviewer must, therefore, take the patients age, race, socioeconomic status and presence of disabilities, physical or emotional into consideration when conducting the interview (Ball, Dains, Flynn, Solomon & Stewart, 2015). For this discussion, I will be focusing on the adolescent Hispanic/Latino boy living in a middle-class suburb. Interview and Communication Techniques The key to building a reliable health history with the above-named patient is to establish a provider-patient relationship that ensures effective communication and facilitates accurate and comprehensive health history for the diagnostic process. Some components of effective communication as described by Ball, Dains, Flynn, Solomon, and Stewart (2015), are courtesy, comfort, connection, and confirmation. When dealing with adolescents, it is important to present as an adult that they can trust and confide in, and not just their friend or ‘buddy.’ An important approach as cited by Ball, Dains, Flynn, Solomon, and Stewart (2015), is the use of written pre-interview questionnaires, in which the adolescent can identify concerns prior to the interview. Concerns listed will provide a framework for the interviewer to ask appropriate questions and expand on concerns during the interview. During the interview, the interviewer should assume a non-threatening stance, sitting at eye level with the patient. If the adolescent is accompanied by an adult, or a parent is present, the interviewer should acknowledge the adolescent first, and direct questions to the patient to foster
autonomy and build rapport (Ball, Dains, Flynn, Solomon & Stewart, 2015). Ball, Dains, Flynn,
You've reached the end of your free preview.
Want to read all 5 pages?
- Summer '15
- Educational Psychology, The Adolescents