Interview Techniques A complete health history requires the utilization of interviewing techniques that can be beneficial to elicit a patient response. First, the practitioner needs adequate preparation. Ideally, a review of the patient’s medical record for pertinent information prior to entering the room is acceptable. The information gleaned from the medical record can include but not limited to the patient’s primary language, clinical record and overall goals for the interview. An appropriate introduction, after which environmental comfort for the patient assessed.
A1. Nightingale Community hospital is preparing for audit with joint commission, and it’s going to prepare an action plan to recent finding in the tracer patient. This tracer patient is one kind of method where by you select one patient care and track from the admission to discharge, the organization is able to review the system and determine whether the care provided to the patient is meeting the joint commission standard quality of care. There are several error identified by the tracer patient during the survey conducted at Nightingale Community Hospital. The tracer method will allow is to go through the flow of the system and evaluate the effectiveness of the process flow.
To conclude, reflection is a skill necessary to the efficient function of a nurse in order to identify risk factors, which can be reduced by better preparation. To summarize, there is a constant need for health frameworks to govern nursing procedures. Nursing assessments require frameworks to reduce risks of wrong treatment, effective communication is required between colleagues and patients to avoid confusion. A standard of professionalism is required to ensure nurses aren’t over involved with their patients, education is important in promoting individual health, clinical reasoning is vital for the immediate treatment of a patient. Lastly reflection is ideal to analyse the positives and negatives, it is best to follow the Gibbs reflective cycle when evaluating methods.
Patients make the opportunities for themselves to succeed when it comes to a chronic illness. Whether or not they choose to take that step is entirely up to them. A patient’s primary care provided may end up sending their patient a Coumadin clinic to help the patient manage their condition. It is especially important for there to be a strong health relationship between the PCP and the clinic. Patients who are taking Coumadin usually need to be monitored and have their blood tested regularly to see if their medications need to be adjusted in any way.
INTRODUCTION: A health history is a collection of information about a patient that can be used to better understand the chief complaint. Learn about information gathering tools, such as the patient interview, history of present illness and the review of systems. A health history is a collection of information from a patient that provides a picture of his or her current state of health. When a patient's health history is elicited properly, it supplies the medical professional with important facts that will assist in making a proper diagnosis and creating a beneficial treatment plan. In this lesson, we will learn about the elements needed to elicit a thorough patient health history.
o Maintaining reports of patients’ medical histories, and monitoring changes in their condition. o Carrying out the requisite treatments and
1. Health pattern assessment, health perception and health management focuses on the patient’s perceived level of health and well being, and on practices for maintaining health. In this assessment, actual and potential problems related to safety and health management can be identified as well the need of modifications for continued
This scenario presents the various challenges that a typical nurse at the bedside of a client would be required to resolve by assessing, referring and co-ordinate the necessary resources pulled from the various health disciplines from the doctor, paramedic and social etc. to sustain vital functioning, decrease discomfort and improve health over the long term. Thus, it would be necessary to carefully evaluate the situation to determine the next course of action since time is of the essence in acute situations like this as a gatekeeper to client’s health. I would begin helping my client by first asking for his or her name, current location and situation in which he or she is in at the moment of calling. This would be necessary to ascertain whether the client is in a safe environment and also know the exact location so as to dispatch emergency services to a safe location be it necessary during the course of my tele- health intervention as client’s symptoms worsens.
This data helps the physician to understand the physiological, psychological and sociological problems of the patient and gives a clue to the physicians for their treatment (Desmond & Copeland, 2000). Components of Effective Health History The complete medical history, with slight variations, may consists of: • Biographical data: it consists of information regarding patient’s personal life. It helps to determine the cultural background of the patient through which the physician can identify any specific need and belief that may affect the health of the patient. The information regarding patient’s education and status helps to determine his strengths and weaknesses and the factors which may affect his / her health. For example if a patient holds a high profile position, maybe the stress of the job is the major cause of the disease etc.
In addition to this, the essay will evaluate how a health assessment would be conducted in two different settings. The two settings include; the assessment of a child in a general practice setting and the assessment of an elderly person in an aged care setting. First, health assessment must be defined. Health assessment can be defined as an interactive process between nurse and patient to gain information