In the older adult, the interview may take longer than another group of people who has less medical and surgical histories (Jensen, 2011, page 34). The nurse needs to give the patient more time for response to the questions or redirecting the patient to stay focus on the topic (Jensen, 2011, page 34). Prioritizing question is critical during interviewing an older adult because they may be getting tired quickly (Jensen, 2011, page 34). The nurse may use touch, good eye contact, and clear speech during communication with the elderly (Jensen, 2011, page 34). If a patient has a hearing impairment, the nurse needs to close the door to help limit background noise, and essential for the nurses to provide written information such as pictures and asking an open-ended question (Jensen, 2011, page 34). Needs hearing impairment also need to be assessed, because older adult over 70 about 50% of them had hearing loss (Jensen, 2011, page 34). Comfort measure is significant during interviewing the elderly because many older people prefer warm temperatures (Jensen, 2011, page 34). Study shows that in adult over 70 years old there is a decrease of screening tool for cancer-based on cohort study that done in the
Netherlands in a population of older cancer patients and an older primary care population without disease with a life expectancy of at least six months, and the result was it is miserable to find the ability of geriatric screening tools to identify patients at risk for functional decrease after one year (Deckx, L. et al. 2015). There is an increasing need that required for the primary care provider in the United States, and there is a lack of reward for aggressive disease treatment, and patients are getting sicker (Wu, R. R., & Orlando, L. A. 2015). Family health history helps the healthcare provider to identify which patients are at risk for a specific type of diseases such as cancer, high blood pressure, and hypercholesterolemia and also help to focus on preventive services for better health outcome for the patients at increased risk. Most people have a family health history of at least one common disease (e.g., cancer, coronary heart disease, and diabetes) or health condition (e.g., high blood pressure and hypercholesterolemia). Preventive services recommendations that incorporate family health history can improve health outcomes for those at increased risk. Finally, education is critical to assess for a risk factor for people who have cardiovascular disease, and based on twenty-year studies, and nutrition and diet has a lot impact in these study (Thiago, V. J.,2015).
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