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Running head: TINA JONES PATIENT ANALYSIS1Tina Jones Patient Analysis and Teaching ToolEmily C. EatonSouthern New Hampshire UniversityNUR-325-X2889
TINA JONES PATIENT ANALYSIS2Tina Jones Patient Analysis and Teaching ToolIntroductionWhen a patient comes to the doctor’s office for a comprehensive head to toe assessment, they have confidence that the nurse can take the provided information and use it to determine theunique health needs of the patient. Nurses create plans of care for their patients that address the needs associated with their current illness or medical concerns and educate them to achieve optimal health. Using the information obtained in the comprehensive head to toe assessment of Tina Jones, a patient analysis will be created that will promote the proposal of a health promotionteaching tool. A complete patient analysis is obtained by interviewing the patient with body system specific and appropriate questions to collect data. The data is then compared to established norms to identify health risks and healthy behaviors. Using these risks and behaviors the nurse can recommend interventions that will be included in an overall plan for the patient’s health. Once a plan is established the nurse should identify teaching tools for the patient that relate to their health risks and behaviors. The nurse will create goals with the patient and identifycritical information and interventions to help the patient reach these goals. The teaching tool should be presented to the patient in a clear format that takes into consideration the patients literacy needs. In this scenario, the patient Tina Jones has come in to the doctor’s office after her hospital stay for a mandatory pre-employment physical. Patient AnalysisInterviewingThe process of interviewing the patient to obtain the complete health history of the patient and their family is one of the most important things we do as nurses. The best way to
TINA JONES PATIENT ANALYSIS3obtain an honest and complete health history from the patient is by using therapeutic communication. “Therapeutic communication is defined as the face to face process of interactingthat focuses on advancing the physical and emotional well-being of a patient” (Laffan, 2011). Fora nurse to truly exhibit therapeutic communication they must be both caring and empathetic to what the patient is say (Jensen, 2015, p. 21). As a nurse, it is easy to show a patient you cause about them. However, being able to empathize with a patient and really understand how they feelabout something takes a special highly skilled nurse. If the nurse can make the patient feel comfortable and can show them they care, the patient may open up to the nurse and confide in them about symptoms and experiences they may not feel comfortable telling just anyone. When interviewing the patient about their health history it is important to ask questions in an order that establishes trust so the patient feels comfortable.