PEER RESPONSES WEEK 1 NURS 6512
PEER RESPONSES WEEK 1
RESPONSE TO NADIA THEARD
Discussion: Building a Health History
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Communication Interview
The first step I would take to establish a positive relationship with the 26-year-old Lebanese woman living in graduate student housing is to determine how well she speaks English, as it is likely her second language. I'd also like to know how well she comprehends English. Effective communication is essential in every scenario, but it is especially important when dealing with patients. A health care provider's cultural competency is defined as the ability to recognize an individual's values and adapt to deliver patient-centered communication, resulting in a trusting connection between the provider and the patient (Ball, J. W. et al, 2019). The cultural findings and beliefs will form the basis for the interview. With this age group, it's critical to ask open-ended inquiries. When you see patients from different nations, you must devote more time and care to them. This not only helps with difficult topics, but it also gives the patient the impression that you care about their health.
Risk Assessment
A health risk assessment consists of a questionnaire, a health status evaluation, and individualized advice on how to reduce risks, preserve health, and avoid disease (PDHI, 2019). The IPV is the risk assessment method that I would use for the 26-year-old Lebanese woman who lives in graduate student housing (intimate partner violence). She is a young woman who lives alone and is at risk of being exploited. Women should be submissive and obey their partners/husbands, according to their cultural beliefs.
Five targeted questions
1. Have you been involved with someone who makes you feel uncomfortable in the last year?
2. Have you been hit, kicked, punched, or otherwise injured in the last 12 months?
3. Do you feel threatened by somebody from a prior relationship?
4. In your current relationship, do you feel safe?
5. Do you ever feel threatened by your partner's words or actions?
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.
PDHI What Is a Health Risk Assessment? (2019, February 15). Retrieved November 27, 2019, from https://www.pdhi.com/ncqa/what-is-a-health-risk-assessment/ .
MacMillan HL, Wathen CN, Jamieson E, et al. Approaches to Screening for Intimate Partner Violence in Health Care Settings: A Randomized Trial. JAMA. 2006;296(5):530–536. doi: https://doi.org/10.1001/jama.296.5.530
RESPONSE TO Donald Freeman
Discussion Initial Post Donald Freeman
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Week 1 Discussion
Building a Health History
Initial Post
Risk Assessment Plan
A risk assessment plan is developed by using an instrument designed to cover the most important aspects of the patient's history and address the current complaints to build a care plan. The patient that is presented in this report is a 16-year-old female that is currently pregnant. The patient lives in an inner-city neighborhood. Because the patient is considered a child but is also pregnant, children and adolescents-focused exam will occur with the addition of a pregnant patient exam (Ball et al., 2019, pg. 70). Using an adolescent exam tool such as the HEEDDSSS tool (Doukou & Segal, 2018, para 1) will ensure that the particular needs of a young patient get addressed along with a thorough pregnancy exam.
Summary of Exam
The manner of questioning should be presented to allow the adolescent to freely express their feelings and concerns (Doukou & Segal, 2018, para 4). The interview topics will include home environment, history of employment and education level, nutrition, social activities, drug use, sexual activity, and suicide (Doukou & Segal, 2018, para 1). The pregnancy exam will address the risk factors associated with teen pregnancy, such as the causes of morbidity of the child and mother. Studies show that the lower the maternal age, the higher the chance of complications (González-Andrade & Saeteros-Cordero, 2020, para. 1). The instance of death in adolescent pregnancy is twice that of women between the ages of 20-30 years old. Careful examination and closely following the pregnancy can reduce the causative factors of low birth weight, trauma, respiratory issues, and preterm delivery.
Questions
1. How is your life going at home?
2. Do you have a job?
3. How is school going?
4. What kind of foods do you eat?
5. Give me some specifics of your social life/friends and how the pregnancy has affected them.
6. What kind of activities do you enjoy?
7. Are you currently, or have you ever used drugs?
8. Are you currently sexually active?
9. Have you ever been abused, either sexually, mentally, or physically?
10. Are you depressed or have any thoughts about dying?
References
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
Doukrou, M., & Segal, T. Y. (2018). Fifteen-minute consultation: Communicating with young peoplehow to use HEEADSSS, a psychosocial interview for adolescents. ARCHIVES OF DISEASE IN CHILDHOOD-EDUCATION AND PRACTICE EDITION, 103(1), 15–19. https://doi-org.ezp.waldenulibrary.org/10.1136/archdischild-2016-311553
González-Andrade, F., & Saeteros-Cordero, X. (2020). Pregnancy in adolescence and adverse neonatal outcomes in Ecuadorian mestizo newborns. Pediatrics and Neonatology, 61(2), 216–223. https://doi-org.ezp.waldenulibrary.org/10.1016/j.pedneo.2019.11.004
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