Respond to at least two of your colleagues on 2 different days who selected a different patient than you, using one or more of the following approaches:
Share additional interview and communication techniques that could be effective with your colleague’s selected patient.
Suggest additional health-related risks that might be considered.
Validate an idea with your own experience and additional research
***Below is the post to create a response. Response to a Discussion Post on Black Male with Muscle Pain Essay Paper
This discussion post is about a 19-year-old black male client on scholarship who presented with a chief complaint of muscle pain. As the clinician, the communication techniques used in building a health history and physical assessments with their rationale are specified in this post. In addition, the risk assessment instrument used for a 19-year-old is identified below. And finally, five targeted questions for this patient will also be enumerated.
In communicating with a 19-year-old patient, they need time alone with the clinician. Most patients in this age group do not want to talk and fear that they will be judged or questioned once they talk. The situation is very actual once these patients in this age group come to the clinic with their parents or guardians. Therefore, it is an excellent practice for the clinician to educate the parents or guardians that they need to step out during the interview session. By doing this, the patient’s reluctance to talk will be diminished and, therefore, will be assured that it is all right for them to share information with the clinician (Ball et al., 2019, p. 17).
Another communication technique applicable in dealing with a 19-year-old clients is making them feel that they are the center of the interaction. One example is ensuring they are greeted first before others and then asking them open-ended questions. This technique will give confidence and assurance to the client that his concerns will be listened to and addressed (White & Viner, 2012).
A 19-year-old undergoes a biological, social, and psychological development, affecting his everyday life. A tool to assess areas for concern for an adolescent like our patient is the Home, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicidal Ideation and Safety (HEEADSSS) screening tool. This tool is a recognized instrument in understanding the adolescent’s situation and what their needs may be. In utilizing the tools, the clinician can have an overall impression of the adolescent’s life and any risky behaviors (Doukrou & Segal, 2018). Response to a Discussion Post on Black Male with Muscle Pain Essay Paper
ORDER NOW A PLAGIARISM-FREE PAPER HERE
To assess the patient’s health risks and begin building a health history, here are five targeted questions the clinician can ask:
How is school?
Tell me how painful it is from a score of 1 to 10, with ten as severe pain. How will you rate your pain?
Where is the pain specifically, and what aggravates it?
Since when does the pain start, and what do you do to relieve the pain when you are at home or school?
If the pain won’t go away, how will it affect you?
Discussion Response to a Discussion Post on a 19 Year-Old Black Male with Muscle Pain
I agree totally that clients and patients in the age group of this teenager are very sensitive when it comes to divulging information about themselves to other parties like the clinician. For this reason, there is need for confidentiality and interviewing in a private environment with the clinician alone. Indeed, asking the parents or guardians to step out for the interview to proceed is one of the steps and techniques used to encourage the teenage patient to talk freely (Ball et al., 2019; Bickley, 2017). Other techniques for communicating and interviewing that will work with this client include – as you have stated – making them feel that they are the significant person in the whole interaction. This can be achieved by asking them open-ended questions and listening to them more than talking.
Your choice of the assessment and screening tool referred to as the HEEDSSS is indeed apt and befitting. The mnemonic stands for Home, Education/ Employment, Eating, Activities, Drugs, Sexuality, Suicidal Ideation, and Safety (Ball et al., 2019). It is correct when you state that this is a unique tool for assessing and screening adolescents for issues that affect them at home, in their interpersonal interactions, and social lives (Doukrou & Segal, 2017). Indeed by using this tool, the advanced practice nurse will gain invaluable insight into any risky behaviors the teenager may be having and also their health risks.
On the targeted questions, you befittingly asked about what the patient feels about academic work, their rating of the pain they are experiencing, the exact location of the pain, date of onset, relieving factors, and how they are coping with the pain. I endorse these questions because they are important in shedding light on the history of this present illness that the patient is presenting with.
Ball, J., Dains, J.E., Flynn, J.A., Solomon, B.S., & Stewart, R.W. (2019). Seidel’s guide to physical examination: An interprofessional approach, 9th ed. Elsevier.
Bickley, L.S. (2017). Bates’ guide to physical examination and history taking, 12th ed. Wolters Kluwer.
Doukrou, M., & Segal, T.Y. (2017). Fifteen-minute consultation: Communicating with young people—how to use HEEADSSS, a psychosocial interview for adolescents. Archives of Disease in Childhood – Education & Practice Edition, 103(1), 15–19. https://doi.org/10.1136/archdischild-2016-311553
Response to a Discussion Post on Black Male with Muscle Pain Essay Paper