Year-Old Asian Female Living In A High Density Public Housin ✓ Solved

55 Year Old Asian Female Living In A High Density Public Housing Compl

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

Paper For Above Instructions

Introduction

The healthcare management of a 55-year-old Asian female residing in a high-density public housing complex necessitates a comprehensive approach that encompasses effective communication, thorough risk assessment, and culturally sensitive care. This paper will summarize an interview with the patient, describe appropriate communication techniques, justify their selection, identify a suitable risk assessment instrument, and propose targeted questions to facilitate effective clinical evaluation.

Summary of the Interview

The interview with the patient revealed her primary concerns, health history, lifestyle, and social determinants impacting her health. She expressed experiencing occasional shortness of breath and fatigue, which she attributes to her busy living environment. She indicated limited access to transportation and social support, which occasionally affects her mental health. The patient described her diet as predominantly traditional Asian cuisine, with limited physical activity due to her busy schedule and limited outdoor spaces within her housing complex. She expressed concerns about managing chronic conditions such as hypertension and diabetes, which are prevalent in her community.

Communication Techniques and Justification

To establish rapport and ensure effective communication, I would employ culturally sensitive techniques, including the use of an interpreter if necessary, active listening, and empathetic responses. Communicating in a manner that respects her cultural background and language preferences enhances trust and openness. Utilizing open-ended questions encourages the patient to share her experiences and concerns freely, while using plain language minimizes misunderstandings. Demonstrating cultural competence involves acknowledging traditional health beliefs and practices, which can influence her health behaviors and receptiveness to medical advice.

Additionally, visual aids or culturally relevant educational materials can assist in conveying health information effectively. Maintaining a respectful demeanor, demonstrating patience, and avoiding jargon are critical in fostering a collaborative relationship with the patient. These techniques help in gathering accurate information, empowering the patient in her care, and fostering adherence to health recommendations.

Risk Assessment Instrument and Justification

The Framingham Risk Score (FRS) is an appropriate instrument for this patient, as it assesses her 10-year cardiovascular risk based on factors such as age, cholesterol levels, blood pressure, smoking status, and diabetes. Given her age and potential risk factors like hypertension and diet, using the FRS allows for an evidence-based evaluation of her cardiovascular health. It facilitates personalized health counseling and preventive strategies, crucial for patients in communities with high cardiovascular disease prevalence.

Alternatively, the AUDIT (Alcohol Use Disorders Identification Test) or PHQ-9 (Patient Health Questionnaire-9) could be incorporated for broader mental health and substance use screening, considering her social stressors and mental health concerns. The selection of the FRS aligns with her health profile and risk factors, providing actionable data that can guide interventions.

Targeted Questions

1. Can you tell me about your daily diet and any traditional foods you consume regularly?
2. How do you manage your blood pressure and diabetes medications, and do you face any challenges doing so?
3. Do you engage in any physical activities or exercises, and what barriers do you experience to staying active?
4. What support systems do you have within your community or family to help manage your health?
5. Have you experienced any symptoms like chest pain, dizziness, or shortness of breath recently?

These questions are designed to elicit detailed information about her lifestyle, health management, social support, and symptoms, enabling targeted care planning.

Conclusion

Effective healthcare delivery for this patient involves culturally sensitive communication, comprehensive risk assessment, and targeted questioning. Employing techniques like active listening, use of interpreters, and culturally relevant materials fosters trust and enhances health outcomes. The application of tools such as the Framingham Risk Score allows for informed clinical decision-making, ultimately improving cardiovascular risk management and overall well-being within her community.

References

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