NRS 420 Health History Assessment Paper

NRS-420: Health Assessment imparts the student with critical knowledge on the methods of health history taking, physical examination skills, and documentation of findings. Students integrate assessment skills and clinical judgment/reasoning in identifying actual or potential health problems and needs across the life span. Health promotion strategies are incorporated to provide for the unique needs of the individual, ensuring person-centered care. The course emphasizes the importance of providing compassionate care dealing with diversity, equity, and inclusion. Students design plans of care based on evidence-based research and practice.

Building a Health History Example Paper

When conducting an interview with a 22-year-old LGBTQIA female Hispanic immigrant living in a middle-class suburb, it is essential to employ communication techniques tailored to her unique experiences and background. These communication techniques are not mere formalities but integral to ensuring that the patient feels understood, respected, and valued. In a healthcare setting, where vulnerability often accompanies patients, the way a practitioner communicates can significantly impact the effectiveness of care and the patient’s willingness to engage in the treatment process.

The first cornerstone of effective communication is empathetic listening (Ball et al., 2023). This goes beyond merely hearing the words the patient says, it involves understanding the emotions and experiences behind those words. For a young LGBTQIA woman who is also an immigrant, there may be layers of complexity in her experiences that necessitate a particularly sensitive and non-judgmental approach. She may have faced challenges related to her sexual orientation, gender identity, cultural adaptation, and possibly discrimination or social exclusion. Understanding these layers through empathetic listening helps build trust and a therapeutic relationship (Sullivan, 2019).

Cultural competence plays a critical role in this interaction. It involves an understanding and respect for the patient’s Hispanic heritage. Each culture has its own set of health beliefs, practices, and values, which can significantly influence a patient’s approach to healthcare (Ball et al., 2023). By acknowledging and respecting these cultural nuances, a healthcare provider can create a more welcoming and comfortable environment for the patient. This might involve understanding specific health beliefs prevalent in the Hispanic community or being aware of the cultural norms that might influence her health behaviors.

Inclusive language is particularly important considering the patient’s LGBTQIA identity (Bingham & Heavey, 2023). This involves using language that respects and affirms her gender identity and sexual orientation. Inclusivity in language is not just about political correctness; it is about creating a safe space where the patient feels seen and respected as her whole self. This includes avoiding assumptions about her relationships, preferences, or experiences based on her sexual orientation or gender identity.

Given her status as an immigrant, there might be language barriers or differences in understanding healthcare terminologies. Therefore, communication should be in clear, simple language. Using visual aids or translation services might be necessary to ensure that she fully understands the information being shared. This clarity in communication is not just about overcoming language barriers; it is about ensuring that the patient is fully informed and can actively participate in her healthcare decisions (Sullivan, 2019).

Targeted Questions:

1. Health history and present concerns: “Can you share any health concerns you are currently experiencing or any significant past medical history?”
2. Support system: What kind of support system do you have? This can include friends, family, or community groups.
3. Experience as an immigrant: How has your experience been as an immigrant in this community? Are there any specific challenges or positive experiences you would like to share?
4. LGBTQIA-specific concerns: As a member of the LGBTQIA community, have you faced any challenges related to this aspect of your identity, either personally or in accessing healthcare?
5. Cultural and personal values: How do your cultural background and personal values influence your approach to health and healthcare?

Conclusion

The interview with a 22-year-old LGBTQIA female Hispanic immigrant in a middle-class suburb requires a communication approach that i