Reference

Ashley, K., & Liu, F. (2021). Physiology, nerve. Treasure Islanda (FL): StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK551652/

Jamwal, S., & Kumar, P. (2019). Insight Into the Emerging Role of Striatal Neurotransmitters in the Pathophysiology of Parkinson’s Disease and Huntington’s Disease: A Review. Curr Nueropharmacol., 17(2), 165-175. https://dx.doi.org/10.2174%2F1570159X16666180302115032

Lumen. (2021). Glial cells. https://courses.lumenlearning.com/wm-biology2/chapter/glial-cells/#:~:text=Glia%20guide%20developing%20neurons%20to,modulating%20communication%20between%20nerve%20cells.

Puderbaugh, M., & Emmady, P. D. (2020). Neuroplasticity. Treasure Island (FL): StatPearls Publishin. https://www.ncbi.nlm.nih.gov/books/NBK557811/

Vaskovic, J. (2021). Subcortical structures. https://www.kenhub.com/en/library/anatomy/subcortical-structures-anatomy

24.QUESTION

-BUILDING A COMPREHENSIVE HEALTH HISTORYHENSIVE HEALTH HISTORY   

N652-Wk1-RESPs 2-BUILDING A COMPREHENSIVE HEALTH HISTORY

The initial health history interview can be an excellent opportunity to develop supportive relationships between patients and nurses. Nurses may employ a variety of communication skills and interview techniques to foster strong bonds with patients and to effectively facilitate the diagnostic process.
You identified various communication techniques used to obtain important patient health histories. In addition, you applied patient interviewing concepts, theories, and principles to retrieving and recording patient information.

For this paper, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor below.

(Scenario: A 40-year-old black recent immigrant from Africa without health insurance)

• In 2 pages, summarize your interview with patient and a description of the communication techniques you would use with your assigned patient.
• Explain why you would use these techniques. How might you target your questions for building a health history based on the patient’s social determinants of health?
• Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient.
• Validate an idea with your own experience and additional research.

ANSWER

Building a Comprehensive Health History

This paper describes an interview process with a 40-year old black man who recently moved from Africa but lacks health insurance. One of the communication techniques appropriate for this scenario entails building a good relationship with the patient and establishing how fluent he speaks English since it may be her second language. Effective communication is important to any situation, particularly when physicians are conversing with patients who speak different languages. Karliner (2019) posited that cultural competency of health care providers entails understanding a person’s values and committed to offering patient centered communication that consequently can result in a trusting rapport between the patient and the health care provider. Therefore, this interview will be devoid cultural beliefs and findings. However, it will comprise of open ended questions that accurately depict various needs of the client in the case scenario. Walker, Barnett, Stauffer, & CTropMed (2020) noted that health care providers should accord patients special attention and time, particularly when dealing with patients from different countries. This helps address any challenge and allow patients to feel that healthcare providers are genuinely concerned about their health issues. After determining the language fluency of the patient, I would use simple words that can be understood by the patient. I would also keep the interview questions relatively short by using simple terminologies as possible.

Assessment of Health Related Risk

 Given that the patient is a newly immigrant to the United States, I would provide him with the necessary health resources that are in the US to enable him receive appropriate medication as he lacks health insurance.  I would also screen him for any disease that require immediate immunization. Components of health assessment for refugees and immigrants encompass handling patient health concerns, screening for diseases linked to migration history and country of origin, commencing age appropriate immunization, as well as, regular health care maintenance (MacMillan, Wathen, Jamieson, Boyle, McNutt, Worster & McMaster Violence Against Women Research Group, 2006). Moreover, due to the age, ethnicity and gender, I would perform screening for any hypertension, cardiac issue, cancer and diabetes. Acquiring risk factors for deadly diseases including hypertension, artery disease, cancer and diabetes is poor conceptualized among the African immigrants. As such, additional information should be collected in the wider aspects of health attitudes, chronic diseases and health access to improve the health conditions of African immigrants (Walker, Barnett, Stauffer, & CTropMed, 2020).

Due to the patient’s origin, I would begin by screening for infectious diseases by focusing on water and food exposure for various bacteria, turn to the lungs and screen for tuberculosis among others. These screenings would require urine, blood, and fecal samples, as well as a chest X-ray given that most foreigners get Bacille Calmette Guerin immunization and may yield an inaccurate result when skin test is administered.

Target Questions                     

1. Have you experienced any sickness, disease or hospitalizations that needed any form of medications?
2. Which country or region in Africa were you staying before migrating here?
3. Have you had any immunization?
4. Have you experienced any infections in your body or outbreaks on your skin?
5. Are you sexually active or do you many sexual partners?

References

Karliner, L. (2019). When patients and providers speak different languages. PSNet. Retrieved March 6, 2021, from https://psnet.ahrq.gov/webmm/case/440/when-patients-and-providers-speak-different-languages

Walker, P. F., Barnett, E. D., Stauffer, W., & CTropMed, F. A. S. T. M. H. (2020). Medical screening of adult immigrants and refugees.

MacMillan, H. L., Wathen, C. N., Jamieson, E., Boyle, M., McNutt, L. A., Worster, A., … & McMaster Violence Against Women Research Group. (2006). Approaches to screening for intimate partner violence in health care settings: a randomized trial. Jama, 296(5), 530-536.