Advanced Health Assessment-NURS 6512
This week, you will consider how social determinants of health such as age, gender, ethnicity, and environmental situation impact the health and risk assessment of the patients you serve. You will also consider how social determinants of health influence your interview and communication techniques as you work in partnership with a patient to gather data to build an accurate health history. For this Discussion, you will take on the role of a clinician who is building a health history.
With the information presented in Chapter 2 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.
*Assigned patient profile:
85-year-old white female living alone in declining health.
*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 on 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 2 or Chapter 5 of 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.
*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.
Please use the following resources for all references and citations:
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 2, “The History and Interviewing Proce
This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.
Chapter 5, “Recording Information”
This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
Chapter 2, "The Comprehensive History and Physical Exam" (pp. 19–29)
Adly, N. N., Abd-El-Gawad, W. M., & Abou-Hashem, R. M. (2019). Relationship between malnutrition and different fall risk assessment tools in a geriatric in-patient unitLinks to an external site.. Aging Clinical and Experimental Research, 32(7), 1279–1287. https://doi.org/10.1007/s40520-019-01309-0
Chow, R. B., Lee, A., Kane, B. G., Jacoby, J. L., Barraco, R. D., Dusza, S. W., Meyers, M. C., & Greenberg, M. R. (2019). Effectiveness of the “Timed Up and Go” (TUG) and the Chair test as screening tools for geriatric fall risk assessment in the EDLinks to an external site.. The American Journal of Emergency Medicine, 37(3), 457–460. https://doi.org/10.1016/j.ajem.2018.06.015
Diamond-Fox, S. (2021). Undertaking consultations and clinical assessments at advanced levelLinks to an external site.. British Journal of Nursing, 30(4), 238–243. https://doi.org/10.12968/bjon.2021.30.4.238
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