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Respond to the attached

Response 1

Summary of the interview communication techniques : 19-year-old black male athlete on scholarship with muscle pain.

For me, meaningful interaction between a healthcare provider and a patient requires effective communication. Establishing a positive patient relationship depends on communication built on courtesy, comfort, connection, and confirmation (Ball et al., 2019). While assessing this patient, I will ensure that my patient is as comfortable as possible by providing a suitable environment well-lit exam room with a comfortable room temperature. According to Ball et al. (2019), during the interview, one must be courteous; ensure comfort, both physical and emotional; be sure that you have connected with the patient with trust and honesty and confirm that all that has happened during the interaction is clearly understood and your patient can articulate the agreed-on plan. That is effective communication, which will get an adequate amount of pertinent information required for treatment.

Another additional communication technique to use during this interview would be to check on the history of the present illness or problem. The patient’s age, gender, marital status, previous hospital admissions, and occupation should be noted for the record (Ball et al., 2019). Other concerns may surface as the interview continues and the patient reveals more. Ball et al. (2019) found out that a seemingly secondary issue may have greater significance than the initial concern because the driving force for the chief concern may be found in it. I will be sure to inquire what made the patient seek care, and was it a possibly unexpressed fear or anxiety? I will also ensure that each hint of a care-seeking reason should be thoroughly explored.

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?As advanced nurse practitioners, it is often easiest to question the patient on the details of the current problem immediately after hearing the chief concern. Sometimes it may be of value to take the patient’s past and family history before returning to the present (Ball et al. 2019).

Explain why you would use these techniques.?

Having clear and agreed-upon goals for each interaction leads to successful communication. You must be a skilled listener and observer with a polished sense of timing and a kind of repose that is at once alert and reassuring (Ball et al., 2019). These techniques, including nonverbal behavior, complement listening and ensure adequate information is obtained.?

Identify the risk assessment instrument.?

I was assigned a 19-year-old black male athlete on scholarship with muscle pain in this week’s discussion. I identified PACES as the tool to use to assess this patient. Family dynamics become evident during history taking and may even lead to clues that a parent requires help (Ball et al. 2019).

PACES

????????????Parents, peers?

????????????Accidents, alcohol/drugs?

????????????Cigarettes?

????????????Emotional issues?

????????????School, sexuality

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Justification of risk assessment applies to this patient.??

I identified?PACES?as the assessment instrument for this patient because teens and young adults are unlikely to bring up risky behaviors on their own, especially if they think the information might not be kept confidential. Also, conversations about risky behaviors can be difficult for providers to navigate with adolescents and parents, and providers may not believe adolescent patients will be honest with them. Therapeutic communication during the assessment is essential in achieving the treatment plan for young adults. It is undeniable that therapeutic communication is complex; however, several constructs and consultation frameworks have been proposed over the decades to aid the clinician/practitioner in working with patients as partners (Diamond-Fox, 2021). This assessment tool will help me identify if the source of the pain is due to athletics or other causes.

Five targeted questions.

1.?????Athletics/Activities: What activities are you involved in other than athletics and is the pain related to the activities?

2.?????Home and College Environment: What can you tell me about your home or college environment and whether there are any safety concerns.?

3.?????Education: What feelings do you have about college? What about school that interests you? How would you rate your performance in school??

4.?????Drugs/Suicide:??Do you smoke or drink? Have you ever had thoughts of killing or harming yourself? Can you describe your current or past emotional state??

5.?????On the issue of Sex: Can you describe your relationship status? Are you currently sexually active? How many sexual partners do you have?

The goal of this assessment was to use effective communication to gather enough information to help in the management and treatment of this 19-year old?s muscle pain. Effective communication between advanced nurse practitioners and patients has proven to yield better results with pain control and improved psychological status of patients?(Tetteh et al., 2021). 2 APA References

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Response 2

Interview and Communication Techniques

The scenario received is on an 80-year-old, white male with angina that lives on a farm 80 miles away from a healthcare center. As the health provider, it is important to start by creating a safe and comforting environment for the patient to freely discuss their thoughts and concerns. This can be done by providing the patient the opportunity at the beginning of the interview to share any concerns they have using open-ended questions that way it allows the patient to set the motion of care plan. Communication will play a key role in building a rapport and obtaining the health history. When providing information to elderly patients, it should be delivered at a slower pace as they may require some time to process the information (National Institute on Aging, 2017). As a nurse, empathy is a common technique used with patients. Using empathetic terms like ?I?m sorry you are experiencing with that? or ?It is understandable what you experienced can be frustrating? displays understanding and validation of the patient?s emotions, which can promote a stronger provider-patient relationship. Communication techniques like these can encourage patient satisfaction and treatment adherence.

Risk Assessment Tools

In regards to this patient, there should be an assessment that focuses on his overall lifestyle and is related to his primary health concern as they can be major indicators of his reported angina. An appropriate risk assessment screening tool that would be used is a cardiovascular disease (CVD) risk assessment tool. An example of a CVD risk assessment is the Framingham Risk Score, which incorporates variables like total cholesterol, HDL, smoke history, and more (Blumenthal, 2019). Another assessment tool is the Geriatric Health Questionnaire as it relates to the patient?s age group. This tool specifically focuses on geriatric patient factors like socioenvironmental, functional ability, and mental and physical health (Sullivan, 2019).

Five Targeted Questions:

? What concerns do you have that you would like to discuss today?

? Do you have knowledge of any cardiovascular (heart) concerns in your past and/or any in your family?

? When did you start experiencing this pain (angina)?How long has it lasted?

? Does anything make the pain (angina) better or worse?

? What medications do you currently take?

2 APA references

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