Post a summary of the interview and a description of the communication techniques you would use with your assigned patient.
Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.
For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.
To prepare:
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
- By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
- How would your communication and interview techniques for building a health history differ with each patient?
- How might you target your questions for building a health history based on the patient’s social determinants of health?
- What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
- Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
- Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
- Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
By Day 3 of Week 1
Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Read a selection of your colleagues’ responses.
By Day 6 of Week 1
Respond to at least two of your colleagues on 2 different days who selected a different patient than you, using one or more of the following approaches:
- Share additional interview and communication techniques that could be effective with your colleague’s selected patient.
- Suggest additional health-related risks that might be considered.
- Validate an idea with your own experience and additional research.
EXPERT ANSWER AND EXPLANATION
Assessment
Communication Techniques I would Use
In the healthcare industry, communication is among the biggest elements that should never be lost. Losing the right communication channels in this field means that one of the parties (patients or healthcare givers) is not well represented (Ellingson, Bonk, & Chamberlain, 2017). Among the top communication skills I would be sure to use when assigned a 38 y.o. African American woman who is pregnant is building confidence, listening and learning.
Why I would Use the Techniques
At the time of pregnancy, a pregnant woman experiences numerous hormonal changes that could drive the direction of their feelings and emotions at large. In most of the cases, anger and dissatisfaction is a primary element in the communication of this population (Murthy et al., 2017). Using a communication technique where here is increased listening allows the woman to learn the idea of expressing herself fully even when out of the healthcare setting. In the hospital, using these techniques is a sure way of improving the results.
Justification of Why the Techniques would be Applicable for the Patient
The techniques would be applicable in that they would allow the pregnant woman to explain her needs (Nicoloro-SantaBarbara et al., 2017). The risk assessment instrument that can be used is the tools to measure the emotional changes of the communication, which could help explain the suitability of a given technique at a given time.
Targeted Questions I would ask the Patient
How do you feel since the development of the pregnancy?
Is the medication reacting? Tell me about your changes in body weight.
What is the feeling when the baby kicks?
Do you think the baby is ready to come to this world?
Please tell me why you decided to call the child name X.
References
Ellingson, M. K., Bonk, C. M., & Chamberlain, A. T. (2017). A survey-based study of Zika virus communication preferences among pregnant women in Georgia, United States. BMC pregnancy and childbirth, 17(1), 325.
Murthy, V., Sethuraman, K. R., Choudhury, S., & Shakila, R. (2017). Relevant communication skills for pregnant women-a dental perspective. Int J Pregn & Chi Birth, 2(3), 71-73.
Nicoloro-SantaBarbara, J., Rosenthal, L., Auerbach, M. V., Kocis, C., Busso, C., & Lobel, M. (2017). Patient-provider communication, maternal anxiety, and self-care in pregnancy. Social Science & Medicine, 190, 133-140.
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