Question

essay on the complete health history, interviews and cultural confidence.

Answer 1

A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical assessment after taking a health history.

Definition of Health history

Health history is the collection of data regarding clients health in a chronological manner.

Purpose of Health history

To collect data about physical, mental and social well being of client

To get clear picture of the client’s health status and health related problems.

To determine the cause and extent of disease.

To determine the nature of treatment required for client.

To collect data systematically.

To get a holistic (complete) view of the client.

To formulate appropriate nursing care plan.

COMPONENTS OF HEALTH HISTORY

1. Biographic data: It includes information regarding client’s name, age, gender, marital status, occupation, education, I.P no, treating doctor & diagnosis.

2. Chief complaints: Brief statement of client’s problem for which client needs e.g complain of chest pain for 2 days.

3. Present health history: Present health history is the expansion of chief complaints. It should include location, quality, quantity, exaggerating and relieving factors. E.g.: Client is admitted to the hospital with the complains of chest pain for 2 consecutive days

4. past health history: Past medical and surgical history of patient.

5. Family history: This is the information about the client’s family members and their health status. 6. Personal history: It includes client’s personal details such as dietary pattern, sleep pattern, activity level, elimination pattern, alcoholism, smoking habits etc.

7. Socio economic history: Collecting data regarding client’s life style, working environment, personal relationship with other human beings, monthly or annual income, and housing facilities.

Patient Interviews

The patient interview is the primary way of obtaining comprehensive information about the patient in order to provide effective patient-cantered care and the medication history

The skills required for interviewing technique includes:

· Active listening

· Empathy

· Building rapport

· Closed ended questions

Cultural confidence is based on the cultural needs and creations of the people that stand for inheriting an excellent traditional culture and developing innovation to step onto the world stage.