Taking a Health History: Building a Health History: Asking Difficult Questions
Much of an archeologist’s work is done under the mantra “proceed with caution.” Archeologists must dutifully secure permissions to access sites. They also must exercise extreme caution when excavating or analyzing in a lab to avoid potential damage to historical artifacts.
Likewise, nurse practitioners must proceed with caution when building a patient’s health history. Important questions can be difficult for both nurse and patient. Care must be taken to approach such questions with dignity, tact, and respect to create an environment conducive to productive conversations.
For this Assignment, you will develop a script to be used to interview a volunteer serving in the role of patient.
· Review the Ewing (2004) questionnaire found in the Week 1 Learning Resources and consider the difficult questions you might have to ask when you take a patient’s complete health history.
· Review the screening tools found in the Learning Resources and consider how you might use an app or tool to assist in screening.
· Review the media programs related to a vaginal exam, pap test, and breast exam.
· Review the health history guide presented in Chapter 7 of the Schuiling & Likis (2022) text and consider how you would create your own script for building a complete health history. (Note: You will also find the Health History Form in Chapter 7)
· Include considerations for special populations such as LGBTQ+ individuals.
· What health maintenance guidelines should be included for initial and follow-up might be needed for follow-up assessments? (i.e., bone density test, Gardasil vaccine, shingles, etc.)?
· Create your own script for building a health history and use the Health History Template for guidance (consider the type of language you would use to help your patient be more comfortable). As you create your script, consider the difficult questions you want to include in your script. There is no sample template to provide to you. You are the one to develop the script. Think of it as you are writing a movie and you need to write the script for the movie. What lines would you provide for the actor to utilize when sitting down with a patient to perform a COMPLETE Medical History which also entails those DIFFICULT GYN questions. You do not need to provide the answers to the questions however, if you find that beneficial, you may do so.
Assignment: (1- to 2-page reflection)
· In addition to your script for building a health history for this assignment, include a separate section called “Reflection” that includes the following:
· A brief summary of your experiences in developing and implementing your script during your health history.
· Explanations of what you might find difficult when asking these questions. What you found insightful and what would you say or do differently.
· Describe the components of a comprehensive gynecologic complete health history. Include considerations for special populations such as LGBTQ+ individuals.
· What health maintenance guidelines should be included during the initial and follow-up assessments. (i.e., bone density test, Gardasil vaccine, shingles, etc.)?
Building a Health History: Asking Difficult Questions
· Create your own script for building a health history. Consider the type of language you would use to help your patient be more comfortable).
· Ensure you include the difficult questions required to complete a thorough health history.
· In addition to your script for building a health history for this assignment, include a separate section called “Reflection”
· Briefly reflect and provide a summary of your experiences in developing your script during your health history.
American Society for Colposcopy and Cervical Pathology (ASCCP). (2020). New guidelines. New App. www.asccp.org/mobile-app Note: This app will become available in 2020 and may require a fee for purchase. Please be mindful that you are not required to purchase the app for this course. However, it may be an app that will be useful for your professional practice.