Discussion: Building a Health History
Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.
For this Discussion, you will take on the role of a clinician who is building a health history for one of the following new patients: Chosen topic in red
· 76-year-old Black/African-American male with disabilities living in an urban setting
To prepare:
With the information presented in Chapter 1 in mind, consider the following:
· How would your communication and interview techniques for building a health history differ with each patient?
· How might you target your questions for building a health history based on the patient’s age, gender, ethnicity, or environment?
· What risk assessment instruments would be appropriate to use with each patient?
· What questions would you ask each patient to assess his or her health risks?
· Select one patient from the list above on which to focus for this Discussion.
· Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
· Select one of the risk assessment instruments presented in Chapter 1 or Chapter 26 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
· Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
· Include sub headings please
Write: a description of the interview and communication techniques you would use with your selected patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient
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Discussion Board Response 19447913
/in Uncategorized /by developerProvide a minimum of a two to three paragraph response that directly addresses your thoughts on their post.
Describe how the results of the measures can be used for quality improvement in one of the following medical settings: physician office (ambulatory care),community health center and hospital
Post listed for response to:
CMS
Centers for Medicare & Medicaid Services is an organization that, “Ensures the voices and needs of the populations we represent are present as the agency is developing, implementing, and evaluating its programs and policies” (Mission, Vision & Our Work). This organization is governmental as it assists individuals of all ages in the United States. The information gathered is for External Stakeholders. This is due to changes being readily available for those who are impacted by the updates. The quality improvement measures found on the CMS website are patient engagements, care coordination, health outcomes, patient safety, and clinical processes. (Mission, Vision & Our Work)
JC
The Joint Commission mission statement is, “To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value” (The Joint Commission). The Joint Commission is not working for profit so it can be accounted as an accreditation. In comparison with CMS, the Joint Commission also has external stakeholders so that changes can be available for all that may be impacted with such updates. The five quality improvement measures found on the JC website are data knows best, invest upfront, communication, proper planning prevents poor performance, and don’t be a dinosaur. (The Joint Commission)
1 reference and no plagiarism
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Discussion Board Response 2 19447935
/in Uncategorized /by developerProvide a minimum of a two to three paragraph response that directly addresses your thoughts on their post. Describe how the results of the measures can be used for quality improvement in one of the following medical settings, physician office (ambulatory care),community health center and hospital
Post listed below:
JC (Joint Commission)
The mission statement that I have gathered about this organization is that of continuously improving healthcare for the public (The Joint Commission (n.d.). They take into consideration of that of the stakeholders, they evaluate the healthcare organization and inspire them to provide a safe and effectively high quality of care and value to all patients. The joint commission organization can be considered as an accreditation since it is an organization that is not for profit. I would say that the information that is collected and placed on the organizations websites is placed there for the external stakeholders so they can view all the changes that might happen to the organization on a regular basis. When it came to finding the quality improvement measures for this organization they were easy to find on the website just by using the search bar. The list of five improvement measures are data knows best, proper planning prevents poor performance, communicate, invest upfront, and don’t be a dinosaur (The Joint Commission (n.d.). To describe some of the improvement tools a little better than their titles like don’t be a dinosaur means be open to changes as that’s one of the main ways to make changes, data knows best means that data helps organizations make decisions when it comes to changes. Those were just a couple ways in which the joint commission sees fit for quality improvement tools.
CMS (Centers for Medicare & Medicaid Services)
The mission statement for the CMS is to ensure that the voices and needs of the populations are present as the agency continues to develop, implement, and evaluate programs and policies (Mission-vision-our-work. (2019, June 19). The vision of the CMS organization is for all beneficiaries to receive the highest level of healthcare. The Centers for Medicare and Medicaid services organization can be considered or listed as being a governmental agency as it helps people all over the Unites States whether they have disabilities as a young person or they are getting ready to retire and start drawing social security. The information listed on the CMS website is like that of the joint commission it is on there so the external stakeholders can see all the information right when it changes. The quality measures for CMS are a little different than that of the joint commission organization. The list of quality improvements measures can be listed as clinical processes, patient safety, care coordination, health outcomes, patient engagement and clinical guidelines just to name some of them off.
1 reference and no plagiarism
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Discussion Board Unit 2
/in Uncategorized /by developerwrite 300 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.
Discuss the following questions:
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Discussion Board Week 3
/in Uncategorized /by developerOnline learning is considered a virtual learning environment (VLE); however there are other types of VLE that you may have used or heard about. Please discuss one of the following VLE’s and your experience with using it:
Then discuss how you, as the advanced practice nurse, would use this in your practice.
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Discussion Board4 19258583
/in Uncategorized /by developerPrimary Task Response: Within the Discussion Board area, write 400 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.
Personalized medicine or individualized medicine is a growing trend in the delivery of healthcare that is specific to the individual patient. For this discussion, your response should include:
Include 2 reference sources, besides the textbook, and be sure to document your references using APA format.
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Discussion Board5 19221979
/in Uncategorized /by developerAs a student entering the health care field, it is important to know about other members of the team who work with electronic health record systems and manage and analyze health information. In Unit 1 you identified a health information/health informatics profession to describe or a person who works in health information/health informatics to interview. This could be a health care information technician, health information manager (HIM), health information analyst or health informatics director or manager.
Prepare a 2-paragraph summary of the health information position that you have researched.
Include the following:
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Discussion Board5 19263957
/in Uncategorized /by developerSummative Discussion Board
Review and reflect on the knowledge you have gained from this course. Based on your review and reflection, write at least 100 words on the following:
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Discussion Brittany Maynard Case
/in Uncategorized /by developerAfter reading the Brittany Maynard case, create an original post that compares your professional and personal positions on the case. What are the code of ethics, professional regulations, and policies that support your professional position? Explain how to work through ideas when your professional and personal positions come into conflict.
In your responses to at least two peers, suggest codes of ethics, professional regulations, or policies that contradict the position proposed in their post.
Brittany Manyard Case Link
https://time.com/3678199/brittany-maynard-death-with-dignity-legislation-california/
This video contains a news story about 29-year-old Brittany Maynard and physician-assisted suicide.
https://www.youtube.com/watch?v=KcuRh-zQB6o
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Discussion Building A Health History 19443125
/in Uncategorized /by developerTo prepare:
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
CASE STUDY/ a new patient profile:
JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.”
Write a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.
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Discussion Building A Health History
/in Uncategorized /by developerDiscussion: Building a Health History
Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.
For this Discussion, you will take on the role of a clinician who is building a health history for one of the following new patients: Chosen topic in red
· 76-year-old Black/African-American male with disabilities living in an urban setting
To prepare:
With the information presented in Chapter 1 in mind, consider the following:
· How would your communication and interview techniques for building a health history differ with each patient?
· How might you target your questions for building a health history based on the patient’s age, gender, ethnicity, or environment?
· What risk assessment instruments would be appropriate to use with each patient?
· What questions would you ask each patient to assess his or her health risks?
· Select one patient from the list above on which to focus for this Discussion.
· Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
· Select one of the risk assessment instruments presented in Chapter 1 or Chapter 26 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
· Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
· Include sub headings please
Write: a description of the interview and communication techniques you would use with your selected patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient
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