Background:
For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient in the given scenario.

Assignment:
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.

Scenario:
26-year-old Lebanese female living in graduate-student housing

Building a Comprehensive Health History

 

Student’s Name

Institutional Affiliation

Course

Instructor’s Name

Date

 

 

Building a Comprehensive Health History

The patient is a 26-year-old Lebanese lady living in graduate student housing. It is important to have a comprehensive and productive interview with the patient. A patient’s illness can be influenced by many factors including social, cultural, environmental, or personal factors. Therefore, an interview regarding these areas is useful (Ball et al., 2019). During the interviews, some techniques that would be used include self-disclosure, expressing empathy, and involving the patient in the decision-making process. These techniques would be used because they allow for open dialogue between the patient and the provider. They build a therapeutic relationship between the healthcare worker and the patient (Sullivan, 2019). As a result, the patient can talk about her condition without the fear of being judged.

A comprehensive Risk & Needs Assessment (CRN) tool could be used. This tool would be used because it has been used to classify youth and to determine risk and placement (Nwachukwu et al., 2018). The CRN is used to ensure that youth are served in the least restrictive placement appropriate to the identified risks and needs. The CRN is periodically used to reassess the youth to determine changes in risk and needs.

The 5 questions that would be asked include:

• What are your name and age?
• Do you drink, smoke, or take any hard drugs?
• Have you had thoughts of killing yourself?
• What contraceptive method are you using?
• Is there any cultural practice that you believe to interfere with your access to healthcare services?
• What can you say about the environment you stay in?
• Is there anything you would wish to share with me?

 

 

Reference

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Nwachukwu, C. R., Mudasiru, O., Million, L., Sheth, S., Qamoos, H., Onah, J. O., … & Bhatt, A. S. (2018). Evaluating barriers and opportunities in delivering high-quality oncology care in a resource-limited setting using a comprehensive needs assessment tool. Journal of global oncology, 4, 1-9. https://ascopubs.org/doi/full/10.1200/JGO.18.00125

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.