Patient Case
I chose the second scenario f a 4-year-old biracial male living with his grandmother in a high-density
public housing complex.
Building a health History through Effective Communication
The situation I want to write about concerns a 4-year-old biracial male living in a large social
housing community with his grandmother. The patient's socioeconomic status in the scenario can
be a social determinant of the patient's health. The heavy-density public housing complex could
be a measure of low income.
The successful information exchange between the service provider and the patient is essential in
a patient interview (Ha & Longnecker, 2010). The interview should provide confirmation of the
patient's concern and clarification of treatment options for interactive decision-making. The
patient's concerns should be investigated. The atmosphere of the interview is relevant as well.
Providers should use the open space free of space, equipment and furniture, while keeping their
eyes in contact with a balanced voice tone (Ball et al., 2019).
Risk Assessment Tools
Risk assessment investigates changes in behavior and lifestyle and affects medical decisions.Risk
evaluation may be complex since many considerations, including risk proximity, severe
consequences, risk awareness, attitude, individual experience, nature, emotional well-being and
the social and cultural background influences (Dees, Lombard, Michelmore, & Teede (2009),
can impact risk assessment. Sullivan (2019) states that special screening tools for the
psychosocial history of patients have been developed. The commonly used assessment0factors
for consideration in my case0are;0home environment, food, peer-related activities and safety. A 4-
year-old who lives in a high-density public housing facility with his grandmother would likely be
exposed to problems addressed by the factors mentioned.
The Questions
1. Where do you live?
2. Do you like playing alone or in a group of other children?
3. Have you ever seen or been the victim of violence?
4. Are attending school?
5. Do you like your school?
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
Ha, J. F., & Longnecker, N. (2010). Doctor-Patient Communication: A Review. The Ochsner
Journal, 10(1), 38–43.
Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.
