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Scenario: 21-year-old Filpino college student living in a dorm wanting to know what birth control is.
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
• How would your communication and interview techniques for building a health history differ with each patient?
• How might you target your questions for building a health history based on the patient’s social determinants of health?
• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
• Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
• Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
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.
When interviewing a 21-year old Filipino college student living in a dorm, the communication and interview techniques for building a health history should focus on creating an open and nonjudgmental environment where the patient is comfortable discussing sensitive topics. The conversation should be done in a respectful manner, allowing the patient to have control over how much information they are willing to disclose. Additionally, it is important to verify any risk factors that may not be clear immediately such as family medical history or specific lifestyle behaviors that could influence their health.
In order to target questions related to social determinants of health, I would ask about financial resources, access to healthcare services and insurance coverage (if applicable), housing arrangements, family support systems (if present), educational attainment level, and occupation/employment status. These questions can help paint an accurate picture of the type of social environment this individual lives in which could affect their ability to get medical care or follow through with treatments plans if necessary.
To assess health risks associated with this individual’s age/gender/ethnicity/environmental setting I selected the Adolescent Health Risk Screening Tool from Chapter 5 of Seidel’s Guide to Physical Examination text due its comprehensive list of age-appropriate risk assessments for young adults ranging from general physical activity levels down mental health concerns like depression or drug use. Five targeted questions I would ask this patient include:
1) Are you currently sexually active?
2) If yes are you using any form birth control? If no what methods do you know about?
3) Do you feel safe in your current living situation?
4) What type of physical activities do you participate in on average per week?
5) Have you ever been diagnosed with any mental illness like depression or anxiety?