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NURS612 Advanced Health Assessment Exam 1-with 100% verified solutions | Latest Update
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What are the effective communication strategies when obtaining a health history? o Seeking connection o Professional Dress and Grooming o Enhancing Patient Responses What is a patient-centered question? Give examples.
back to a topic with gentle questioning. You might say, “I think that you may be more concerned than you are saying” or I think you’re worried about what we might find out.” Financial considerations. Provide resources (social worker or financial counselor). Otherwise, an appropriate care plan acceptable to the patient cannot be devised or implemented. What is the structure and the components of a patient history? What kind of patient information is obtained in each section? Structure of the History. First, the identifiers: name, date, time, age, gender, identity, race, source of information, and referral source. Chief concern (CC). The chief concern is a brief statement about why the patient is seeking care. Direct quotes are helpful. It is important, however, to go beyond the given reason and to probe for underlying concerns that cause the patient to seek care rather than just getting up and going to work. If the patient has a sore throat, why is help sought? Is it the pain and fever, or is it the concern caused by experience with a relative who developed rheumatic heart disease? Many interviewers include the duration of the problem as part of the chief concern. History of present illness. Past medical history Family history Personal and social history Review of systems Understanding the present illness or problem requires a step-by-step evaluation of the circumstances that surround the primary reason for the patient’s visit. The full history goes beyond this to an exploration of the patient’s overall health before the chief concern, including past medical and surgical experiences. The spiritual, psychosocial, and cultural contexts of the patient’s life are essential to an understanding of these events. The patient’s family also requires attention to their health, past medical history, illnesses, deaths and the genetic, social, and environmental influences. One question should underlie all of your inquiry: why is this happening to this particular patient at this particular time? In other words, if many people are exposed to a potential problem and only some of them become ill after the exposure, what are the unique factors in this individual that led to that outcome? Careful inquiry about the personal and social experiences of the patient should include work habits and the variety of relationships in the family, school, and workplace. Finally, the ROS includes a detailed inquiry of possible concerns in each of the body’s systems, looking for complementary or seemingly unrelated symptoms that may not have surfaced during the rest of the history. Flexibility, the appreciation of subtlety, and the opportunity for the patient to ask questions and to explore feelings are explicit needs in the process. What is the difference between objective and subjective data? What components of the health history are objective and subjective? How do you approach sensitive issues when interviewing a patient?
Describe how you would inspect and palpate the external nose. How do you evaluate nasal patency? What are normal and abnormal findings?