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NURS 6512: Advanced Health Assessment And Diagnostic Reasoning
By Day 3 Of Week 1
Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.
Summary: Patient A.G is a 38-year-old female, who is pregnant and lives on an Indian reservation. The patient came in for a prenatal visit. Pt is 28 weeks into her third pregnancy. Vital signs are stable, patient AAOX3, and mood is stable. The patient is not in acute distress, has normal heart sounds, lungs WNL, and no respiratory distress noted. A full review of systems was performed and was otherwise unremarkable. The patient has NKDAs.
The Communication style I would use is open-ended dialogue and teach back method. There could be a communication barrier. Therefore, asking the patient to summarize what they have learned, creates the opportunity to correct any misinformation and reinforces the correct information. Asking open-ended questions is a communication technique that forces the patient to explain in more detail how they may be feeling and what they are experiencing, which allows for follow-up questions for further evaluation and to create a more personalized plan of care (Shepard, 2018).NURS 6512: Advanced Health Assessment And Diagnostic Reasoning
I would use the PRAMS risk assessment tool. PRAMS stands for Pregnancy Risk Assessment Monitoring System. It was created by influencing maternal behaviors before, during, and after the pregnancy to reduce infant morbidity and mortality. Questions include: Attitudes and feelings about the most recent pregnancy, Preconception care, Content of prenatal care, Medicaid and WIC participation, Breastfeeding, Cigarette smoking, and alcohol use, Health insurance coverage, Physical abuse, I