The writer is very fast, professional and responded to the review request fast also. Thank you.
Presentation/PPT
27/08/2022
Building a Health History
Thorough and accurate pediatric history is a challenging and very important to children’s wellbeing that allows nurses and patients to establish a nurse-patient therapeutic relationship. History building is also essential in the interpretation of physical examination (Ball et al., 2019). Completing a comprehensive health history and physical examination is a tool used to document patient medical history, physical examination findings, and diagnosis (Sullivan, 2019). Using good communication skills to obtain this information is very important as communication creat a positive patient relationship. In other to develop this positive patient relationship, the nurse practitioner needs to build on courtesy, connection with the patient/guardian, ensure comfort and provide an opportunity for confirmation of what has been discussed to ensure understanding (Ball et al., 2019). Performing an assessment and history taking in children can bring upon anxiety, so practitioners should try to ease the anxiety by making sure the child is in the room with the parent, especially preschoolers (Ball et al., 2019).
Interview and Communication Techniques
Children in rural areas face risk factors that are particular to their demographic features. Children living in rural areas are more at risk for health and developmental conditions. Performing an assessment and history taking in children can bring upon anxiety, so practitioners should try to ease the anxiety by making sure the child is in the room with the parent, especially preschoolers (Ball et al., 2019). Gaining confident and building practitioner-patient–caregivers relationship that is based on trust is very important as it facilitates with data collection (Mărginean et al., 2017). The practitioner should be empathetic as this will improve communication, be an active listener and observer to pick up any cues that patients might not share like grimacing, use open-ended questions. The use of questionnaire is encouraged too where the parent fills it out and by freely writing down patient concerns without having to answer the questions in person (Ball et al., 2019).
Risk Assessment Tool
According to Chung et al. (2016), 20 percent of US children live in poverty in rural, urban, and suburban, so it is critical to know the social determinant of the health of children to assess them better and provide safe and appropriate care needed (Chung et al., 2016). This social determinant includes family financial support, child maltreatment, and child education. Chung et al. (2016), also continues to explain that children who live in poverty are exposed to adverse childhood experiences like toxic stress, developmental delay, and health conditions like asthma and heart diseases. Rural people are usually poor and experience healthcare disparities. According to the center for disease control and prevention (2016), younger children are more likely to experience fatal abuse and neglect than older kids. Risk factors for victimization include child age and special needs that may be as a result of increased caregiver burden from developmental and intellectual disabilities, mental health issues, and chronic physical illnesses (Center for Disease Control and Prevention, 2016).
Targeted Questions
Does your child have any allergies?
Does your child have a good appetite to eat?
Does your family has enough food?
What is the child living situation, has there being any change in the child living situation within the past one month?
What are your family concerns or needs?
Does your child take vaccinations?
Is there anything I can do for you?
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Center for Disease Control and Prevention (2016). Preventing Child Abuse and Neglect: A Technical Package for Policy, Norm, and Programmatic Activities. Retrieved from https://www.cdc.gov/violenceprevention/pdf/can-prevention-technical-package.pdf
Chung, E. K., Siegel, B. S., Garg, A., Conroy, K., Gross, R. S., Long, D. A., Lewis, G., Osman, C. J., Jo Messito, M., Wade, R., Jr, Shonna Yin, H., Cox, J., & Fierman, A. H. (2016). Screening for Social Determinants of Health Among Children and Families Living in Poverty: A Guide for Clinicians. Current problems in pediatric and adolescent health care, 46(5), 135–153. doi:10.1016/j.cppeds.2016.02.004
Mărginean, C. O., Meliţ, L. E., Chinceşan, M., Mureşan, S., Georgescu, A. M., Suciu, N., Pop, A., & Azamfirei, L. (2017). Communication skills in pediatrics – the relationship between pediatrician and child. Medicine, 96(43), e8399. doi.10.1097/MD.0000000000008399
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
zero plagiarism
I NEED A RESPONSE TO THIS POST
The writer is very fast, professional and responded to the review request fast also. Thank you.
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.
Read moreEach paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.
Read moreThanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.
Read moreYour email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.
Read moreBy sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.
Read more