NURS 6512 - Discussion Week 1
ligiarivera
Replie1Instructions-Week1.docxInstructions:
Respond your colleague 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.
**minimum of three (3) scholarly references are required for each reply cited within the body of the reply & at the end**
Reply # 1
semira Anbessie
Initial post, 76 year old African American patient
Top of Form
Interview and Communication Techniques
Obtaining a medical history from a patient involves gathering subjective and objective data to provide proper medical care and address potential health issues. The patient assigned for this discussion is a 76-year-old black African American male with disabilities living in urban area. The first step for this patient is to identify the type of disability and how it affects the interviewing process. If it is physical disability, it is crucial to utilize accessible room with proper lighting that is free of obstacles such as furniture to ensure safety and efficiency.
Some of the interview techniques that can be utilized for this patient includes sitting in front of the patient with proper lighting while conducting the interview and minimizing interferences by avoiding interruptions while the patient is talking. According to Falkenberg et al. (2019), proper lighting is a significant environmental attribute that promotes physical and mental health of the aging society. The other techniques that can be applied for this patient includes using short sentences and open-ended questions, making eye contact, and avoiding medical terms to prevent confusion. Additionally, allowing more time for the patient to answer questions and providing assurance with empathy will promote good rapport.
If the patient exhibits confusion or becomes forgetful, gathering more data from family members will be beneficial to fill the gaps and prevent discrepancies. According to Walji et al. (2021), clear and respectful communication among healthcare provider will promote trust and medication compliance by patients. Giving more time for the patient to respond is essential due to a decline in sensory and cognitive functions.
Risk Assessment
The risk assessment that would benefit this patient includes functional assessment such as mobility, activities of daily living, access to transportations and economic status. In addition, it is crucial to assess for thoughts of suicide, alcohol dependence and medication compliance. According to Seematter-Bagnoud and Bulla (2018), factors associated with the occurrence of disability include functional, cognitive, affective, and social problems along with lifestyle habit and sensory impairments. The risk assessment will help identify potential issues that prevent the overall wellbeing of the patient. In addition, it can be used as a tool to detect warning signs of decline in patient’s health or behaviors that can harm the patient.
Five questions asked for the patient includes:
1. How do you get around in your apartment?
Rationale: To identify physical functionality and to assess for potential risk of fall and injury. This will also help identify activities the patient can do without assistance and the one’s that needs assistance.
2. Does your disability prevent you from receiving healthcare?
Rationale: This question will assess if patient has adequate access to transportation to receive healthcare on a timely manner if not arrangement can be made to facilitate telehealth or to provide resources available for disabled adults. According to Ahlqvist et al. (2015), healthcare professionals need to evaluate older patient’s situations to support functional capacity, resources, personal attributes and living circumstances and environment
3. Do you consume alcohol?
Rationale: This question is used to assess for alcohol dependence and the reasoning since aging increases the effect of alcohol used alone or combined with medications due to change in metabolism among the aging society.
4. Have you thought about harming yourself?
Rationale: elderly patients with disability are highly susceptible to suicide therefore it is very important to assess and identify behaviors that can lead to suicidal actions. Physical disability preventing a disabled person from performing activities of daily leaving with medical care promotes risk factors for suicidal attempts among elderly patients (Zhang et al., 2016).
5. Can you financially afford to refill your medications monthly?
Rationale: This question will assess medication compliance as well as address any financial constraints that prevent patient from refilling his prescriptions because Medication noncompliance increases among geriatric patient due to financial strain (Osborn et al., 2017).
References
Ahlqvist, A., Nyfors, H., & Suhonen, R. (2015). Factors associated with older people's
independent living from the viewpoint of health and functional capacity: a register-based study. Nursing open, 3(2), 79–89. https://doi.org/10.1002/nop2.39
Falkenberg, H. K., Kvikstad, T. M., & Eilertsen, G. (2019). Improved indoor lighting improved
healthy aging at home - an intervention study in 77-year-old Norwegians. Journal of multidisciplinary healthcare, 12, 315–324. https://doi.org/10.2147/JMDH.S198763
Osborn, C. Y., Kripalani, S., Goggins, K. M., & Wallston, K. A. (2017). Financial strain is
associated with medication nonadherence and worse self-rated health among cardiovascular patients. Journal of health care for the poor and underserved, 28(1), 499–513. https://doi.org/10.1353/hpu.2017.0036
Seematter-Bagnoud, L., & Büla, C. (2018). Brief assessments and screening for geriatric
conditions in older primary care patients: a pragmatic approach. Public health reviews, 39, 8. https://doi.org/10.1186/s40985-018-0086-7
Walji, S., Carroll, J. C., & Haber, C. (2021). Experiences of patients with a disability in receiving
primary health care: Using experience-based design for quality improvement. Canadian family physician Medecin de famille canadien, 67(7), 517–524. https://doi.org/10.46747/cfp.6707517
Zhang, W., Ding, H., Su, P., Duan, G., Chen, R., Long, J., Du, L., Xie, C., Jin, C., Hu, C., Sun,
Z., Gong, L., & Tian, W. (2016). Does disability predict attempted suicide in the elderly? A community-based study of elderly residents in Shanghai, China. Aging & mental health, 20(1), 81–87. https://doi.org/10.1080/13607863.2015.1031641
Bottom of Form
Instructions:
Respond your
colleague
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 a
dditional health
-
related risks that might be considered.
·
Validate an idea with your own experience and additional research.
*
*minimum of three
(3)
scholarly references are required for each
reply
cited
within the body of the reply & at the end
**
Reply
#
1
semira
Anbessie
Initial
post,
76
year
old
African
American
patien
t
Interview
and
Communication
Technique
s
Ob
taining
a
medical
history
from
a
patient
involves
gathering
subjective
and
objective
data
to
provide
proper
medical
care
and
address
potential
health
issues.
The
patient
assigned
for
this
discussion
is
a
76
-
year
-
old
black
African
American
male
with
disabil
ities
living
in
urban
area.
The
first
step
for
this
patient
is
to
identify
the
type
of
disability
and
how
it
affects
the
interviewing
process.
If
it
is
physical
disability,
it
is
crucial
to
utilize
accessible
room
with
proper
lighting
that
is
free
of
obst
acles
such
as
furniture
to
ensure
safety
and
efficiency
.
Some
of
the
interview
techniques
that
can
be
utilized
for
this
patient
includes
sitting
in
front
of
the
patient
with
proper
lighting
while
conducting
the
interview
and
minimizing
interferences
by
avo
iding
interruptions
while
the
patient
is
talking.
According
t
o
Falkenberg
et
al.
(2019
)
,
proper
lighting
is
a
significant
environmental
attribute
that
promotes
physical
and
mental
health
of
the
aging
society.
The
other
techniques
that
can
be
applied
for
th
is
patient
includes
using
short
sentences
and
open
-
ended
questions,
making
eye
contact,
and
avoiding
medical
terms
to
prevent
confusion.
Additionally,
allowing
more
time
for
the
patient
to
answer
questions
and
providing
assurance
with
empathy
will
promote
good
rapport
.
If
the
patient
exhibits
confusion
or
becomes
forgetful,
gathering
more
data
from
family
members
will
be
beneficial
to
fill
the
gaps
and
prevent
discrepancies.
According
to
Walj
i
et
al.
(2021),
clear
and
respectful
communication
among
healthca
re
provider
will
promote
trust
and
medication
compliance
by
patients.
Giving
more
time
for
the
patient
to
respond
is
essential
due
to
a
decline
in
sensory
and
cognitive
functions
.
Risk
Assessmen
t
The
risk
assessment
that
would
benefit
this
patient
includes
functional
assessment
such
as
mobility,
activities
of
daily
living,
access
to
transportations
and
economic
status.
In
addition,
it
is
crucial
to
assess
for
thoughts
of
suicide,
alcohol
dependence
and
medication
compliance.
According
to
Seematter
-
Bagnoud
a
nd
Bulla
(2018),
factors
associated
with
the
occurrence
of
disability
include
functional,
cognitive,
affective,
and
social
problems
along
with
lifestyle
habit
and
sensory
impairments.
The
risk
assessment
will
help
identify
potential
issues
that
prevent
the
overall
wellbeing
of
the
patient.
In
addition,
it
can
be
used
as
a
tool
to
detect
warning
signs
of
decline
in
patient’s
health
or
behaviors
that
can
harm
the
patient
.
Instructions:
Respond your colleague 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.
**minimum of three (3) scholarly references are required for each reply cited
within the body of the reply & at the end**
Reply # 1
semira Anbessie
Initial post, 76 year old African American patient
Interview and Communication Techniques
Obtaining a medical history from a patient involves gathering subjective and objective data to provide proper medical care
and address potential health issues. The patient assigned for this discussion is a 76-year-old black African American male with
disabilities living in urban area. The first step for this patient is to identify the type of disability and how it affects the interviewing
process. If it is physical disability, it is crucial to utilize accessible room with proper lighting that is free of obstacles such as furniture
to ensure safety and efficiency.
Some of the interview techniques that can be utilized for this patient includes sitting in front of the patient with proper
lighting while conducting the interview and minimizing interferences by avoiding interruptions while the patient is talking. According
to Falkenberg et al. (2019), proper lighting is a significant environmental attribute that promotes physical and mental health of the
aging society. The other techniques that can be applied for this patient includes using short sentences and open-ended questions,
making eye contact, and avoiding medical terms to prevent confusion. Additionally, allowing more time for the patient to answer
questions and providing assurance with empathy will promote good rapport.
If the patient exhibits confusion or becomes forgetful, gathering more data from family members will be beneficial to fill the
gaps and prevent discrepancies. According to Walji et al. (2021), clear and respectful communication among healthcare provider will
promote trust and medication compliance by patients. Giving more time for the patient to respond is essential due to a decline in
sensory and cognitive functions.
Risk Assessment
The risk assessment that would benefit this patient includes functional assessment such as mobility, activities of daily living,
access to transportations and economic status. In addition, it is crucial to assess for thoughts of suicide, alcohol dependence and
medication compliance. According to Seematter-Bagnoud and Bulla (2018), factors associated with the occurrence of disability
include functional, cognitive, affective, and social problems along with lifestyle habit and sensory impairments. The risk assessment
will help identify potential issues that prevent the overall wellbeing of the patient. In addition, it can be used as a tool to detect
warning signs of decline in patient’s health or behaviors that can harm the patient.
