Posted: February 23rd, 2022

Discussion Post. Advanced Health Assessment

 three citations with 7TH Version APA Format

Studying Assets

Required Readings (click to expand/reduce) 

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s information to bodily examination: An interprofessional method (ninth ed.). St. Louis, MO: Elsevier Mosby.

· Chapter 1, “The Historical past and Interviewing Course of”

This chapter explains the method of creating relationships with sufferers so as to construct an efficient well being historical past. The authors supply options for adapting the creation of a well being historical past in keeping with age, gender, and incapacity.

· Chapter 5, “Recording Data”

This chapter supplies rationale and strategies for sustaining clear and correct data. The authors additionally discover the authorized points of affected person data.

Sullivan, D. D. (2019). Information to medical documentation (third ed.). Philadelphia, PA: F. A. Davis.

· Chapter 2, “The Complete Historical past and Bodily Examination” (pp. 19–29)

Deckx, L., van den Akker, M., Daniels, L., De Jonge, E. T., Bulens, P., Tjan-Heijnen, V. C. G., … Buntinx, F. (2015). Geriatric screening tools are of limited value to predict decline in functional status and quality of life: Results of a cohort study. BMC Family Practice, 16, 1–12.  https://doi-org.ezp.waldenulibrary.org/10.1186/s12875-015-0241- x 

Wu, R. R., & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: Barriers and benefits. Postgraduate Medical Journal, (1079), 508–513. 

Lushniak, B. D. (2015). Surgeon general’s perspectives: Family health history: Using the past to improve future health. Public Health Reports, (1), 3. 

Jardim, T. V., Sousa, A. L. L., Povoa, T. I. R., Barroso, W. K. S., Chinem, B., Jardim, L., … Jardim, P. C. B. V. (2015). The natural history of cardiovascular risk factors in health professionals: 20-year follow-up. BMC Public Health, 15(1111), 1–7. https://doi-org.ezp.waldenulibrary.org/10.1186/s12889-015-2477-8 

Shadow Health Help and Orientation Assets

Use the next sources to information you thru your Shadow Health orientation in addition to different Help sources:

Frey, C. [Chris Frey]. (2015, September 4). Student orientation [Video file]. Retrieved from https://www.youtube.com/watch?v=Rfd_8pTJBkY

Shadow Health. (n.d.). Shadow Health help desk. Retrieved from https://support.shadowhealth.com/hc/en-us 

Document: Shadow Health. (2014). Useful tips and tricks (Version 2) (PDF)

Document: Shadow Health Nursing Documentation Tutorial (Word document)

Non-obligatory Useful resource

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw- Hill Medical.

· Chapter 2, “Historical past Taking and the Medical Document” (pp. 15–33)

Required Media (click to expand/reduce) 

Discussion: Constructing a Health Historical past

Efficient communication is significant to setting up an correct and detailed affected person historical past. A affected person’s well being or sickness is influenced by many components, together with age, gender, ethnicity, and environmental setting. As a complicated observe nurse, you need to pay attention to these components and tailor your communication strategies accordingly. Doing so won’t solely enable you to set up rapport along with your sufferers, however it is going to additionally allow you to extra successfully collect the knowledge wanted to evaluate your sufferers’ well being dangers.

For this Discussion, you’ll tackle the function of a clinician who’s constructing a well being historical past for a selected new affected person assigned by your Teacher.

Picture Credit score: Getty Photographs/Caiaimage

To organize:

With the knowledge introduced in Chapter 1 of Ball et al. in thoughts, take into account the next:

• By Day 1 of this week, you may be assigned      a brand new affected person profile by your Teacher for this Discussion. Word:      Please see the “Course Bulletins” part of the classroom in your      new affected person profile project. 
• How would your communication and interview      strategies for constructing a well being historical past differ with every affected person?
• How would possibly you goal your questions for      constructing a well being historical past based mostly on the affected person’s social determinants of      well being?
• What danger Assessment devices could be applicable      to make use of with every affected person, or what questions would you ask every affected person to      assess his or her well being dangers?
• Determine any potential health-related dangers      based mostly upon the affected person’s age, gender, ethnicity, or environmental setting      that must be considered.
• Choose one of the chance      Assessment devices introduced in Chapter 1 or Chapter 5 of the Seidel’s      Information to Bodily Examination textual content, or one other instrument with which you might be      acquainted, associated to your chosen affected person.
• Develop at the very least 5 focused      questions you’ll ask your chosen affected person to evaluate his or her well being      dangers and start constructing a well being historical past.

Publish a abstract of the interview and an outline of the communication strategies you’ll use along with your assigned affected person. Clarify why you’ll use these strategies. Determine the chance Assessment instrument you chose, and justify why it could be relevant to the chosen affected person. Present at the very least 5 focused questions you’ll ask the affected person.

Case research three  

1. 16-year-old white pregnant feminine residing in an inner-city neighborhood

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