Posted: July 17th, 2022

In APA format, respond to the two-discussion post with intext citations.
3 scholarly citations within the last 5 years
Turnitin report reveals no plagiarism.
Minimum word count of 250-300
Share any additional interview and communication techniques that you think might be useful with your colleague’s chosen patient.
Please suggest any additional health-related risks that should be considered.
Use your own experience and additional research to validate an idea.

First discussion

A Synopsis of the Interview
This interview featured an 85-year-old white female who was lonely and in poor health. The woman had gone to the hospital to have her health, which was deteriorating, checked. The interview revealed that the woman had never married and had given birth to one child via cesarean section in her early forties. However, the child died three months later, and she resolved not to conceive again because of the conditions she developed in the future. When asked about her previous medical conditions, she stated that she had previously suffered from chronic conditions and appeared depressed at the time of the interview. When asked about her financial situation, she revealed that her income was 90% higher than the federal poverty line. She is a retired librarian who worked in state libraries for many years. The interview revealed that she had no history of blood transfusions and had never had tuberculosis. It was discovered, however, that she is extremely allergic to the penicillin medication.
Communication Methods to Be Employed
As the first technique, I would offer my client a genuine smile. A genuine smile, according to Valt and Stürmer (2018), indicates concern and openness. My smile will allow the patient to open up and speak freely about their medical conditions. Furthermore, my client will provide critical information about her condition. I will also use open-ended questions to allow the patient to express herself freely and without limitations. According to Semyonov-Tal and Lewin-Epstein (2021), open-ended questions foster an environment in which people can express their opinions about a condition. Finally, I will use active listening with my client to fully comprehend what she is saying and her intentions. According to Isabayeva (2022), active listening indicates that the person communicating is empathetic. It will help me gain a better understanding of my client’s emotions.

Second discussion

A full and thorough medical history must be obtained, including the patients’ concerns, what they expect from the visit, allergies, medical history for them and their families, and more. This is critical for my patient because they have no family and their health is deteriorating. According to one study, “obtaining a comprehensive patient history through open-ended questioning and active listening will ultimately save time while providing critical clues to the diagnosis” (Muhrer, 2014). A thorough history and physical examination will also aid in the patient’s future treatment. I was assigned the 85-year-old female with no family and who lives alone for this position. Her health is also deteriorating as she ages.
I believe that introductions are the best way to begin any interaction. “Giving your patient the opportunity to express concerns to an interested person can be therapeutic and can build trust,” according to Obtaining an Older Patient’s Medical History (n.d.). As a result, it is critical to establish a strong rapport with the patient as her caregiver. If possible, I would seek out a comfortable and private setting to speak with her. I’d look for a place with a comfortable seat for her that isn’t too low to the ground, as she may struggle to sit and stand. At this point, the provider must establish trust with the patient in order for them to be open to discussing their issues and concerns. The questions must be concise and clear. It is critical not to rush the patient because this comes across as uncaring. I would consider the possibility that the patient has some hearing loss that she is unaware of. As a result, any information I share or provide about community resources or treatments will be presented in writing so that it is easy to understand. I know from personal experience that many people will not admit to having a hearing loss and will simply nod their heads, missing out on all of the information presented.
I believe this patient requires not only a full history and physical, but also a safety assessment. Declining health can mean a variety of things, including decreased mobility. She may need to improve her surroundings to help her with ADLs or simply make her home safer against falls, among other things. The following are the five questions I would like to include: What brought you here today? How do you feel at home?, what is your medical history, family history, current medications, and over-the-counter medications?, Do you have any spiritual needs that you want us to be aware of? What do you want to see happen as a result of this visit? I chose these five because I believe they will provide me with a comprehensive picture of medical issues and concerns. They also explain why she came to see me. They address any potential safety concerns. The spiritual practice question will tell me if I need to follow any special procedures out of respect for the patient. The last question is my favorite because it will tell me what she wants to accomplish and what is most important to her. That effectively makes her a participant in her own treatment and care. Patients must be involved in their own care, which takes time. Listening and understanding what they are saying through verbal and nonverbal cues takes time. “In the end, improving patient-physician communication takes time – time to listen to patients in the office or at the bedside, time to teach and train professionals at all levels in the fundamentals of patient-centered, empathetic communication skills, and time to study the impact of improved communication on quality improvement.”

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