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Building A Comprehensive Health Historybuild A Health History For A 55

Build a health history for a 55-year-old Asian female living in a high-density public housing complex. The assignment includes an introduction, an explanation of how communication and interview techniques would differ with each patient, how to target questions based on social determinants of health, appropriate risk assessment instruments and questions, identification of potential health risks based on age, gender, ethnicity, or environment, selection and development of targeted questions from a specific risk assessment instrument, and the use of credible references to support the process.

Sample Paper For Above instruction

Introduction: Creating a comprehensive health history requires a thorough understanding of the patient's background, lifestyle, cultural context, and environmental influences. For a 55-year-old Asian female living in a high-density public housing complex, it is essential to tailor communication, assessment tools, and questions to effectively gather relevant health information while respecting cultural nuances and environmental factors.

Communication and Interview Techniques: When interviewing a patient from a different cultural background such as an Asian female, I would employ culturally sensitive communication strategies. Building rapport through respectful dialogue, understanding language preferences, and utilizing interpreters if necessary are crucial. Active listening, empathetic responses, and non-judgmental attitudes help foster trust. Adjusting my tone, avoiding medical jargon, and being attentive to cultural norms surrounding modesty and eye contact are also important to facilitate open communication and accurate data collection.

Targeting Questions Based on Social Determinants of Health: Recognizing the impact of social determinants such as housing, education, socioeconomic status, and access to healthcare is vital. For instance, questions about housing conditions, safety, and access to nutritious food can reveal barriers affecting health. Inquiring about social support networks and cultural practices can guide personalized care planning. Understanding language barriers or health literacy levels ensures questions are framed appropriately, avoiding medical jargon that may hinder understanding.

Appropriate Risk Assessment Instruments and Questions: Tools such as the Framingham Risk Score or the CDC-Health Risks Assessment can be utilized to evaluate cardiovascular risk and other health concerns. Questions should focus on lifestyle behaviors (smoking, alcohol use, diet, physical activity), family history of chronic diseases, and environmental exposures. Additionally, screening for depression, osteoporosis, and diabetes is relevant given the patient's age and ethnicity.

Potential Health-Related Risks Based on Demographics and Environment: Given the patient's age and gender, risks include cardiovascular disease, osteoporosis, type 2 diabetes, hypertension, and certain cancers. Ethnicity influences risk for conditions such as hypertension and gestational diabetes. Living in a high-density public housing complex may increase exposure to environmental hazards like pollution, overcrowding, or limited access to healthcare services, which can exacerbate existing health issues or contribute to new health risks.

Selected Risk Assessment Instrument and Targeted Questions: From Chapter 1 of Seidel's Guide to Physical Examination, I choose the Framingham Risk Score for cardiovascular assessment. Relevant targeted questions include:

  1. Do you experience chest pain or discomfort during exertion?
  2. How often do you engage in physical activity each week?
  3. Is there a family history of heart disease or stroke?
  4. Do you smoke, and if so, how much?
  5. What is your typical diet concerning fruits, vegetables, and salt intake?
  6. Have you ever been diagnosed with high blood pressure or high cholesterol?
  7. Do you feel stressed or overwhelmed in your daily life?
  8. Have you experienced any recent episodes of dizziness or fainting?

References

  • Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel's guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
  • Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
  • Ryanne, W., & Lori A, O. (2015). Implementation of health risk assessments with family health history: barriers and benefits. Postgraduate Medical Journal, 1079, 508.
  • 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., Bernardes, R., Coca, A., & 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.
  • Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J., Solomon, B., & Stewart, R. W. (2019). Seidel's guide to physical examination: An interprofessional approach. 9th ed. Elsevier.
  • World Health Organization. (2020). Social determinants of health overview. WHO publications.
  • Centers for Disease Control and Prevention. (2018). Social determinants of health. CDC Guidelines.
  • Graham, T. (2017). Cultural competence in healthcare. Journal of Health Disparities Research and Practice.
  • American Heart Association. (2019). Risk assessment in cardiovascular health. AHA Scientific Statement.

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