Answer

N652-WeeK 1: Building a Comprehensive Health History

The key strategy to be used in interviewing and building a health history from the 38-year-old Native American male is to be culturally and linguistically competent. The patient’s cultural values need to be respected in order to gain a good rapport with the patient (Gault et al., 2016). For example the interviewer should seek to know whether maintenance of eye contact might be found disrespectful and offensive by the patient (Bello, 2017).  On the other hand, a language in which the patient finds most appropriate should be used to reduce the risk of a language. A professional language translator may be used in need be. On the other hand, the interviewer should be able to listen actively, explain effectively, question, counsel, and motivate the patient during the interview session in order to get a comprehensive and accurate history (Gault et al., 2016).

On the other hand, since the interviewer is of another cultural background as opposed to that of the patient, the interviewer should be keep to listen and understand the patient’s accent, and use appropriate tone, gestures and attitude when interacting with the patient. Other non-verbal communication strategies to be used include smiling graciously, maintaining a state of friendliness, listening thoughtfully, leaning forward, and sitting at the same height as the patient. This can make the patient feel comfortable and be at ease; thus, enhancing the interaction (Bello, 2017). Besides, the interaction will be guided by Peplau’s Interpersonal Relations Theory that stresses the need to respect the patient and to treat him as a person in order to have successful interaction (Bello, 2017).

Potential health-related risks that should be taken into consideration in this scenario include low level of health literacy, low English proficiency, and cultural barriers since the may pose a threat to effective communication (Gault et al., 2016). Other issues that may hinder the interaction and communication between the interviewer and the patient include lack of privacy, noise, and time constraints. The patient’s poor self-esteem/self-image, anxiety, fear, lack of trust on the healthcare system, cultural taboos, psychological status, and cultural taboos may hinder the patient from providing comprehensive and meaningful personal social, family, and health history (Bello, 2017).

The risk assessment tool to be used in this case is the EQ-5D model that is a non-standardized as well as a non-disease-specific tool for evaluation and describing health-related quality-of-life. The tool measures the quality of the patient’s life in five dimensions. These dimensions include usual activities, mobility, self-care, discomfort/pain, usual activities, and depression/anxiety. The patient’s quality of life and various risk factors can be identified using the EQ-5D risk assessment tool (EuroQol Research Foundation, 2021). The tool was introduced by a group of European researchers known as the EuroQol Group as a health-related quality life assessment instrument; hence, it can be used to assess the patient’s health-related risks. The patient can complete the questionnaire in 5 minutes. The adult version (ages 16 and older) of the assessment instrument will be used. In addition, the instrument is available in a many languages and can be worldwide (EuroQol Research Foundation, 2021).

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