Is there any health issue that you would like to discuss? References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Phillips, S. M., Glasgow, R. E., Bello, G., Ory, M. G., Glenn, B. A., Sheinfeld-Gorin, S. N., & ... Krist, A. H. (2014). Frequency and prioritization of patient health risks from a structured health risk assessment. Annals Of Family Medicine, 12(6), 505-513. doi:10.1370/afm.1717 Wu, R. R. & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: barriers and benefits. Post Grad Medical Journal, 91(1079),508-513. doi: 10.1136/postgradmedj-2014- 133195. Retrieved from Response #2 Patricia, Great post on health assessment interview this week. It is crucial for Nurse Practitioners to develop and build a relationship with their patients as you indicated. Making patients feel comfortable physically and emotionally without being judgemental especially when interviewing an elderly patient is highly significant (Ball, Dains, Flynn, Solomon, & Stewart, 2015). Considering factors such as age, gender, functional abilities, culture, and environment that may have a significant impact on patients wellbeing is crucial as well. (Ball et al., 2015). Fall is a leading cause of death among the elderly and performing a comprehensive assessment will guide the practitioner in individualizing a plan of care for the patient. Other tools that can be utilized is Berge Balance Scale; the screening tool is used to measure patients mobility, balance, transfer, and gait (Landers, Oscar, Sasaoka, & Vaughn, 2016). As people advance in age, various factors that can impact their health include a decline in cognition, life stressors, illness, and physical limitations (Ball et al., 2015. It is therefore significant that clinicians have a sound knowledge of health assessment and be able to use different screening tools that would guide diagnosis, treatment, and plan of care (Wu & Orlando, 2015). References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Landers, M. R., Oscar, S., Sasaoka, J., & Vaughn, K. (2016, April). Balance confidence and fear of falling. Avoidance behavior is most predictive of falling in older adults: Prospective Analysis. Academic Journal, 433-442. Retrieved from Walden University library. Wu, R., & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: barriers and benefits. Postgraduate Medical Journal, 91(1079), 508-513. Retrieved from Patricia,
Thanks for your post! I agree that elderly patients are at great risk for falls due to functional disabilities that could be physical or cognitive. Fall can lead to serious injuries or even death . So it is essential to assess a patient's risk for fall. In addition to functional disabilities, polypharmacy and adverse events from commonly prescribed drugs like cardiovascular, psychotropic, oral hypoglycemic and nonsteroidal anti-inflammatory drugs (NSAIDs) can be common reasons for fall (Sabzwari, Qidwai & Bhanji, n.d). So it
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