NURS 6512 - Discussion Week 1
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Replie2Instructions-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 # 2
Freda Ezeokonkwo
(16-year-old white pregnant female)
Top of Form
Week 1 Discussion Post: Building a Health History
Summary of interview & description of communication techniques
My patient is a 16-year-old white pregnant female living in an inner- city neighborhood. In my interview with this patient, I gathered information about this patient’s medical history, living conditions, social history, and information about the pregnancy. Furthermore, in the interview I sought to discover potential healthcare barriers this patient may face. In addition, I asked the patient questions about intimate partner violence. The communication techniques that I would use for this patient include asking open ended questions and active listening. Open ended questions versus yes or no questions allow patients to express their thoughts and feelings (Slade & Sergent, 2021). An example of an opened question would be, “What are your concerns regarding your pregnancy?”. Furthermore, active listening involves paying close attention to what the other person is saying, asking clarifying questions and rephrasing what the person says to ensure understanding (Doyle, 2017). An example of rephrasing a possible statement of concern of my patient could be “So you feel as though you will not have enough resources to take care of yourself and your baby, is that right?
Explanation of communication technique use
I would use open ended questions during my interview with this patient because it would allow this patient to fully express her concerns to me. Yes or no questions do not allow the patients to go in depth with their concerns. Furthermore, open ended questions will give this patient the impression that I care about what she has to say. In addition, I would practice active listening with my assigned patient because active listening will allow me to be nonjudgmental and to understand what my patients needs are. I can effectively assist my patient when I understand what my patient’s needs are.
Risk Assessment Instrument Selected
The risk assessment instrument I selected is the HITS (Hurt-Insult-Threaten-Scream) screening tool for domestic violence. The HITS screening tool assesses for physical abuse, verbal abuse, and threats with intimate partners (Ball et al.,2019, p.10). The HITS screening tool would be justifiable to use in my assigned patient because adolescent women are at a higher risk for intimate partner violence. Nearly 70% of adolescent female victims experience their first intimate partner violence before age 25 (Thomas et al., 2019). Pregnant adolescents have significantly higher rates of intimate partner violence than older mothers and their non pregnant peers (Thomas et al., 2019).
Five Targeted Questions
The five target questions I would ask this patient comes from the HITS screening tool.
For example,
1.) In the past year how often did your partner physically hurt you?
2.) In the past year how often did your partner insult or talk down to you?
3.) In the past year how often did your partner threaten you with harm?
4.) In the past year how often did your partner scream or curse at you?
5.) In the past year how often did your partner force you to do sexual acts that you are not comfortable with?
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 edition). St. Louis, Missouri. Elsevier
Doyle, A. (2017, November 28th). Communication Skills for Workplace Success. Communication-Skills-for-Workplace-Success.pdf (ramapo.edu)
Slade, S., & Sergent, S.R. (2021, May 4th). Interview Techniques. Interview Techniques - StatPearls - NCBI Bookshelf (nih.gov)
Thomas, J.L., Lewis, J.B., Martinez, I., Cunningham, S.D., Siddique, M., Tobin, J.N., & Ickovics, J.R. (2019). Associations between intimate partner violence profiles and mental health among low-income, urban pregnant adolescents. BMC Pregnancy and Childbirth, Article number: 120. Doi: https://doi.org/10.1186/s12884-019-2256-0
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
#
2
Freda
Ezeokonkwo
(16
-
year
-
old
white
pregnant
female
)
Week 1 Discussion Post: Building a Health History
Summary of interview & description of communication techniques
My patient is a 16
-
year
-
old white pregnant female living in an inner
-
city neighborhood. In my interview wi
th this patient, I
gathered information about this patient’s medical history, living conditions, social history, and information about the pregn
ancy.
Furthermore, in the interview I sought to discover potential healthcare barriers this patient may face. In
addition, I asked the patient
questions about intimate partner violence. The communication techniques that I would use for this patient include asking open
ended
questions and active listening. Open ended questions versus yes or no questions allow patient
s to express their thoughts and feelings
(Slade & Sergent, 2021). An example of an opened question would be, “What are your concerns regarding your pregnancy?”.
Furthermore, active listening involves paying close attention to what the other person is sayin
g, asking clarifying questions and
rephrasing what the person says to ensure understanding (Doyle, 2017). An example of rephrasing a possible statement of conce
rn of
my patient could be “So you feel as though you will not have enough resources to take care
of yourself and your baby, is that right?
Explanation of communication technique use
I would use open ended questions during my interview with this patient because it would allow this patient to fully express
her concerns to me. Yes or no questions do not allow the patients to go in depth with their concerns. Furthermore, open ended
questi
ons will give this patient the impression that I care about what she has to say. In addition, I would practice active listeni
ng with
my assigned patient because active listening will allow me to be nonjudgmental and to understand what my patients needs are
.
I can
effectively assist my patient when I understand what my patient’s needs are.
Risk Assessment Instrument Selected
The risk assessment instrument I selected is the HITS (Hurt
-
Insult
-
Threaten
-
Scream) screening tool for domestic violence.
The HITS scr
eening tool assesses for physical abuse, verbal abuse, and threats with intimate partners (Ball et al.,2019, p.10). The
HITS screening tool would be justifiable to use in my assigned patient because adolescent women are at a higher risk for inti
mate
partne
r violence. Nearly 70% of adolescent female victims experience their first intimate partner violence before age 25 (Thomas et
al., 2019). Pregnant adolescents have significantly higher rates of intimate partner violence than older mothers and their no
n pre
gnant
peers (Thomas et al., 2019).
Five Targeted Questions
The five target questions I would ask this patient comes from the HITS screening tool.
For example,
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 # 2
Freda Ezeokonkwo
(16-year-old white pregnant female)
Week 1 Discussion Post: Building a Health History
Summary of interview & description of communication techniques
My patient is a 16-year-old white pregnant female living in an inner- city neighborhood. In my interview with this patient, I
gathered information about this patient’s medical history, living conditions, social history, and information about the pregnancy.
Furthermore, in the interview I sought to discover potential healthcare barriers this patient may face. In addition, I asked the patient
questions about intimate partner violence. The communication techniques that I would use for this patient include asking open ended
questions and active listening. Open ended questions versus yes or no questions allow patients to express their thoughts and feelings
(Slade & Sergent, 2021). An example of an opened question would be, “What are your concerns regarding your pregnancy?”.
Furthermore, active listening involves paying close attention to what the other person is saying, asking clarifying questions and
rephrasing what the person says to ensure understanding (Doyle, 2017). An example of rephrasing a possible statement of concern of
my patient could be “So you feel as though you will not have enough resources to take care of yourself and your baby, is that right?
Explanation of communication technique use
I would use open ended questions during my interview with this patient because it would allow this patient to fully express
her concerns to me. Yes or no questions do not allow the patients to go in depth with their concerns. Furthermore, open ended
questions will give this patient the impression that I care about what she has to say. In addition, I would practice active listening with
my assigned patient because active listening will allow me to be nonjudgmental and to understand what my patients needs are. I can
effectively assist my patient when I understand what my patient’s needs are.
Risk Assessment Instrument Selected
The risk assessment instrument I selected is the HITS (Hurt-Insult-Threaten-Scream) screening tool for domestic violence.
The HITS screening tool assesses for physical abuse, verbal abuse, and threats with intimate partners (Ball et al.,2019, p.10). The
HITS screening tool would be justifiable to use in my assigned patient because adolescent women are at a higher risk for intimate
partner violence. Nearly 70% of adolescent female victims experience their first intimate partner violence before age 25 (Thomas et
al., 2019). Pregnant adolescents have significantly higher rates of intimate partner violence than older mothers and their non pregnant
peers (Thomas et al., 2019).
Five Targeted Questions
The five target questions I would ask this patient comes from the HITS screening tool.
For example,
