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Exploring the Challenges of Gathering Health History from Challenging Patients

 

Recall some of your most challenging patients for gathering a health history. If you include a crying young child with a distracted parent, a moody adolescent, or an older adult with perhaps something to hideor maybe all threeget ready to revisit those patients for this Assignment. You will return to Neighborhood Clinic, the community health center where you will engage with the following avatar patients:

Archie, age 7, and Gabriel Moore, his father, who are making a first visit to the clinic because a very miserable Archie is sick.
Jasmine Walker, age 14, at the clinic for a high school physical but without her mother, who has previously accompanied her to appointments.
Colleen Hart, age 76, whose stepson may join the appointment, much to her resistance.
Each asynchronous scenario presents a challenging situation for the professional nurse and involves applying emotional intelligence, best practice in communication techniques, and knowledge of required information for gathering the patient health history. Notice a previous resource on implicit bias is repeated for review this week. With the emphasis on self-awareness, consider how heightened emotional intelligence can help bring implicit bias to light.

To prepare:

Access the Health History Challenge template document in the Learning Resources and review the requirements of this Assignment. You will complete this one template document for all three interactive experiences. The Learning Resources also contain the PDF document of tips on how the Mursion simulation works for guidance with the Assignment.
Review the following questions and keep them in mind as you prepare to view each scenario in the Required Media:
What health history information is needed in each scenario?
What questions would you ask to obtain it?
How would you demonstrate emotional intelligence to win trust?
How would you work to understand the specific problem or need?
When you are ready, view each asynchronous scenario. The clinic director, Asha Gill, will introduce and conclude each scenario. You are encouraged to take notes for details to support your analysis of each scenario.
Compete the Assignment based on the simulations, Learning Resources, and any additional resources you identify.

 

 

 

Sample Answer

 

 

 

Exploring the Challenges of Gathering Health History from Challenging Patients

In the realm of healthcare, gathering accurate health history is crucial for providing effective care. However, this task can become particularly challenging when dealing with patients who present unique difficulties. In this assignment, we will delve into the scenarios of Archie, a crying young child with a distracted parent; Jasmine, a moody adolescent without her mother; and Colleen, an older adult with potential hidden information. Through these encounters, we will explore the importance of emotional intelligence, effective communication techniques, and the awareness of implicit bias in healthcare interactions.

Thesis Statement

Navigating the complexities of gathering health history from challenging patients requires a combination of emotional intelligence, adept communication skills, and a commitment to self-awareness to address implicit biases effectively.

Archie and Gabriel Moore

Archie, a 7-year-old accompanied by his distracted father, presents a scenario where emotional intelligence plays a pivotal role. To extract necessary health history information from Archie, it is vital to approach him with empathy and understanding. Using age-appropriate language and non-threatening gestures can help build trust and cooperation. Engaging with Gabriel Moore, the father, requires active listening and clear communication to ensure important details are not overlooked due to distractions.

Jasmine Walker

Jasmine, a 14-year-old adolescent attending a clinic visit without her mother, poses a different set of challenges. Demonstrating emotional intelligence here involves respecting Jasmine’s autonomy while also establishing a supportive environment. Building rapport through open-ended questions and active listening can encourage Jasmine to share relevant health history information willingly. Acknowledging her emotions and validating her concerns are key strategies in gaining her trust.

Colleen Hart

In the case of Colleen, a 76-year-old patient resistant to the presence of her stepson during the appointment, understanding her perspective is crucial. Employing emotional intelligence entails recognizing Colleen’s feelings of discomfort and addressing them with sensitivity. By fostering a safe space for communication and actively involving Colleen in decision-making, valuable health history information can be obtained. Handling the potential hidden information requires delicacy and respect for Colleen’s autonomy while ensuring comprehensive care.

Conclusion

In conclusion, navigating challenging patient scenarios in gathering health history demands a multifaceted approach that integrates emotional intelligence, effective communication techniques, and self-awareness. By recognizing the unique needs and circumstances of each patient, healthcare providers can foster trust, gather essential information, and provide holistic care. As we engage with patients like Archie, Jasmine, and Colleen, we are reminded of the profound impact of empathetic and mindful interactions in healthcare settings.

 

 

 

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