Answer for NURS 6512 BUILDING A HEALTH HISTORY The case scenario for the NURS 6512 BUILDING A HEALTH HISTORY discussion concerns a 35-year-old white male with a history of morbid obesity with disabilities living in a rural setting.

Answer for NURS 6512 BUILDING A HEALTH HISTORY

The case scenario for the NURS 6512 BUILDING A HEALTH HISTORY discussion concerns a 35-year-old white male with a history of morbid obesity with disabilities living in a rural setting. In this case, I will ask the patient about his current chief complaints or the reason for seeking medical care. In this regard, I will inquire about the onset of symptoms, location, characteristics, alleviating and exacerbating factors, and severity. In addition, I will ask about symptoms related to complications of obesity, like sleep apnea, easy fatigue, exertional dyspnea, and high respiratory rate. Furthermore, I will examine the NURS 6512 BUILDING A HEALTH HISTORY discussion’s patient’s medical and surgical history, family medical history, and social/lifestyle history, including his living status, source of income, primary caregiver, hobbies, dietary habits, sleeping patterns, and physical activity patterns.

Communication Techniques 

Effective communication techniques are vital in creating a successful provider-patient relationship. Communication techniques that I would apply when interviewing the patient include addressing him in the proper form. I would ask the patient how he wishes to be addressed or call him Mr. to foster respect. Besides, I would greet the patient, introduce myself, and demonstrate that I am interested in understanding his health concerns to create a rapport (Butt, 2021). In addition, I will tailor the communication as per the patient’s disability. Thus, I will vocalize my communication and avoid high tones if he has a visual impairment. Besides, if he has a hearing impairment, I will use a sign translator and speak slowly to allow him to read my lips (Agaronnik et al., 2019). Furthermore, I would ensure the assessment room is quiet and free from human interruptions to ensure the patient is comfortable and assure him of the privacy and confidentiality of his health information. Active listening would also be employed by using frequent, brief responses and maintaining eye contact. This is crucial in maintaining the NURS 6512 BUILDING A HEALTH HISTORY discussion patient’s focus in the interview and making him aware that his concerns are being considered.

Risk Assessment Instrument for NURS 6512 BUILDING A HEALTH HISTORY

Abuse Assessment Screen–Disability (AAS-D) is the identified risk assessment instrument most suitable for this patient. AAS-D was created and tested to address the range of abuse faced by persons with physical disabilities. The patient is vulnerable to abuse due to his disability since he depends on others to carry out various activities of daily living (Meyer et al., 2020). Disability-related abuse is attributed similarly to an intimate partner, a care provider, or a healthcare provider. Besides, neglect and abandonment are specific to abuse of disabled persons since they are perceived as a burden by family members and caregivers. Therefore, AAS-D is appropriate for this patient to examine his risk of physical, emotional, financial, and sexual abuse from his family members, care providers, and strangers (Lund, 2020). The results can help in reporting abuse to the relevant authorities and put the patient in a setting free from disability-related abuse.

Targeted Questions

1. How has your history of obesity affected your overall health and functioning?

2. What limitations do you often experience in occupational and social functioning due to disability?

3. What activities of daily living do you often require assistance in performing?

4. Who is your primary caregiver at home?

5. How often do you get the help you need in performing daily living activities?

6. How has obesity affected your self-image and esteem?