please respond toveleka mayfield wk 1 initial discussioncollapse H e a l t h M e d i c a l

please respond toveleka mayfield wk 1 initial discussioncollapse H e a l t h M e d i c a l

Please respond to

Veleka Mayfield

wk 1 initial discussion

COLLAPSE

A 38- year old Native American pregnant female living on a reservation is the patient I will be interviewing today. The approach to a patient would depend on the age of the patient and the mentality of the patient. “The goal of such efforts is to maximize benefit and minimize harm for each individual and also, when taken as a whole, for the population as well” (Wu & Orlando, 2015). It is important to understand the culture of the patient that you are seeing to understand how to approach the patient to ensure that you do not offend the patient in any way. It is important to build a rapport with the patient so the patient will feel comfortable confiding in you. “The first meeting with the patient sets the tone for a successful partnership as you inform the patient that you really want to know all that is needed and that you will be open, flexible, and eager to deal with questions and explanations” (Ball et al, 2019).

Building Healthy History

I would start the conversation by introducing myself to the patient and asking confirming her name. I would then ask her how she is feeling today. I would ask her what brings her in today. I would ask her about her pregnancy and which number pregnancy would this be for her. If this is not her first pregnancy I would ask about her previous deliveries and any miscarriages or stillbirths. I would ask about past medical history and surgeries. I would ask about the last day of the menstrual period. I would ask about diet and medications. I would ask about bowel movements and urination. I would ask about drug allergies. I would allow the patient to ask any questions she may have. I would ask about culture and religion for the patient. I would gather information on patient demographics, lifestyle behaviors, emotional and physical health. “One way to document problem-focused visits is with a SOAP note” (Sullivan, 2019). The patient has some potential health-related risks due to age and cultural beliefs. She needs to be assessed for gestational diabetes, preterm labor, etc. One tool that would be used to collect data from the patient would be her gynecologic history and SOAP note.

5 Questions

-Is this your first pregnancy? If not, the 1st pregnancy I would ask about past pregnancies?

-I would ask about diet?

-I would ask about past medical history?

-I would ask about any current concerns or issues?

-I would ask about religious and culture beliefs?

References

Ball, J. W., Drains, 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.

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

Wu, R. R., & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: Barriers and benefits. Postgraduate Medical Journal, 91(1079), 508. doi: http://dx.doi.org.ezp.waldenulibrary.org/10.1136/p…