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Posted: November 9th, 2022
Building a Health History
Building a Health History
The patient is a 38-year old American Native pregnant female living in the reservation. The patient has been experiencing an imbalance in blood pressure and feeling sickly for the last month. The patient is six months pregnant and is currently taking no medication.
Communication Techniques
The communication will involve active listen to help me listen to the issues the patient is going through. I will also watch out for non-verbal cues such as facial expressions. Active listening will involve focusing on the patient and deriving information from them (Doyle, 2018). It helps to derive information according to the perspective of a patient. I will structure the conversations using OARS (open questions, affirmations, reflections, and summary). The technique will help a patient to provide honest opinion while summarizing help in understanding the patient clearly (Gluyas, 2015). I will also apply motivational interviewing techniques. The technique shows acceptance and empathy and encourages a patient to continue sharing their experience.
The selected nursing assessment tool is the early warning score. The tool is used to assess the level of wellness of a patient by checking the critical aspects of health including respiratory rate, temperature, blood pressure, urine output and heart rate (Jensen et al., 2015). The risk assessment tool is effective since it will give a comprehensive report about the patient. It will identify if the patient is facing any health issues during pregnancy.
The five targeted questions for the patient include; how long have you been feeling unwell, what is the level of your appetite, is the blood pressure within the normal range, do you feel dizzy and have you been treated of any illness in the recent past. The medical history of the patient will enhance diagnosis and treatment.
References
Doyle, D. J. (2018). Clinical early warning scores: new clinical tools in evolution. The Open Anesthesia Journal, 12(1).
Gluyas, H. (2015). Effective communication and teamwork promote patient safety. Nursing Standard, 29(49), 50.
Jensen, L. R., Løvholt, A. P., Sørensen, I. R., Blüdnikow, A. M., Iversen, H. K., Hougaard, A., … & Forchhammer, H. B. (2015). Implementation of supported conversation for communication between nursing staff and in-hospital patients with aphasia. Aphasiology, 29(1), 57-80.
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