The Process Of Building Patients Health History

Running head: THE PROCESS OF BUILDING PATIENTS HEALTH HISTORY 1

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The Process Of Building Patients Health History

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THE PROCESS OF BUILDING PATIENTS HEALTH HISTORY 2

The Process Of Building Patients Health History

Communication is a necessary tool for constructing an accurate and detailed history of a

patient. Different demographics are crucial facts that improve the understanding the health or

illness influence of a patient. These demographic factors may include gender, ethnicity, age, and

environmental factors. This discussion will develop an effective process for developing a health

history of a patient based on age, gender, and disability through a case study of a 14-year-old

biracial male living with his grandmother in a high-density public housing complex and he is

crippled at his left hand side (Ball et al., 2019).

performed I assessed it as a trauma. A clinician has a role to develop a health history of every

new particular patient during the intervention (Ball et al., 2019, 2015). A 14-year old boy who is

biracial will require a common language of communication that is will make the communication

easy. This aspect will offer a free and open conversation through making the answering of the

question simple. Additionally, to assess the history of the present illness or health problem, it is

important to lower the tone and develop sound judgment in potential areas of concern.

The information about personal and social history will create a positive response to me as

a clinician, so I would let his grandmother to walk out of the room. However, I would pose

inviting open questions about his social life and past health issues to gain more information. Use

THE PROCESS OF BUILDING PATIENTS HEALTH HISTORY 3

of the simple language and open question would help the patient to understand the conversation

and answer questions in an elaborate manner (Dains et al., 2016). It would be better when I ask

the question in at a time to create more space for details, due to his age that require more time for

thinking before explanation. The 14 year male patient requires questions that may relate to his

gender to allow comfort connection and confirmation of male gender concern. For the courtesy

of the disability extra care, I would also ask about the schooling activities to understand his

interaction with his fellow students. According to Berman & Chutka (2016) the physical and

psychological test of this boy was a best assessment instrument to understand him much because

4. Have you been taken to hospital by your grandma?

5. How long have been feeling this pain?

THE PROCESS OF BUILDING PATIENTS HEALTH HISTORY 4

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.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to

physical examination: An interprofessional approach (8th ed.). St. Louis, MO: Elsevier

Mosby.

Berman, A. C., & Chutka, D. S. (2016). Assessing effective physician-patient communication