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Conduct a health history on a family member or friend.
Using the interviewing techniques learned in Module two, gather the following information. Use your textbook as your resource.
- Present Health
- Past Health
- Family History
- Review of Systems
Summarize all collected data in four page Word doc, and include your answers to the following questions in the summary.
- Was the person willing to share the information? If they were not, what did you do to encourage them?
- Was there any part of the interview that was more challenging? If so, what part and how did you deal with it?
- How comfortable were you taking a health history?
- What interviewing techniques did you use? Were there any that were difficult and if so, how did you overcome the difficulty?
- Now that you have taken a health history discuss how this information can assist the nurse in determining the health status of a client.
Professor Ceaira Moore
Professor Gen-Gen Gutierrez
October 17th, 2022
The case is about the health history of a family member who has had a history of arthritis
from a very young age. When he was 35 years who got his first joint pain, and since then, his pain
has gotten severe, and he is suffering from joint pain in the knees, ankles, and wrist. He has a
family background with this disease. His mother and father were both patients of arthritis.
Although he is getting medical treatment, now, at the age of 60, he cannot walk comfortably, so he
is reluctant to share his condition and review the system he is living in. The interview was
conducted with the patient, and the summary is given below.
1. Willingness Of a Person to Share Information and Ways Adopted Convince
The person was not willing to share his arthritis information. He has been a patient of this
disease for about 25 years. Initially, he did take this seriously and didn’t use any proper medication.
He relied on OTC and took any medicine he thought that good for his arthritis. He was a bit
aggressive as he saw both his parents in that situation, and through medicine, he never helped in
curing. So, he didn’t take his condition severe and didn’t consult a doctor at the start of the disease.
He used to prefer Panadol, diclofenac sodium, and piroxicam. He was on self-therapy. With the
passage of time, the disease got severity, and now his condition is bad. He is unable to walk.
Because of his negligence, he spoiled his health badly. When I asked them to share his information
about arthritis, he was reluctant to share. But he is soft-hearted and has a very good friend to me. I
asked and took permission. Told him about my project and its importance in completing it. He
always appreciated my studies and hard work. Therefore, he melted and encouraged my efforts to
be part of the health field. So, when again I asked about his medical history, he agreed to provide
all key information. I only used the emotional strategy and motivated him that if he shared his
information with me, I would surely find some solution so he could able to walk. Like I convinced
him to do joint replacement and provided examples of patients in the hospital that joint
replacement helped them walk again.
2. Was there any part of the interview that was more challenging? If so, what part and
how did you deal with it?
Common observations and research have revoked that interviewing patients suffering from
long-term disease is sometimes challenging(Hardavella, 2017). There are different cases when it’s
hard to communicate with a patient to get an appropriate answer. During my interview with my
uncle, the time was challenging when he briefed me about his self-medication and his negligence
regarding the treatment. In that case, I have inappropriate words and phrases to ask why he was so
negligent, as he had a history of arthritis in his family. He was reluctant to consult doctors and
health practitioners to take the right medicine. He was in an emotional state while describing all his
information, and I was confused about how I should ask this question. I need some proper way, as
my inappropriate style can hurt him more, or he may get aggressive in providing further
information. Instead of asking why he was negligent, I transformed my question into how he felt
that days about the symptoms of arthritis initially, so he took the disease lightly when it initiated.
My way was so polite and friendly. During that time, I also did some routine gossip so he could
provide me with the reason why he was so negligent about the disease at the start.
3. Comfort Level While Interviewing Patient
I was comfortable talking with the uncle as we have good terms, and he always enjoys our
discussion on his favorite topics. Although he showed reluctance in sharing his disease’s
background, the reason for the initiation of the disease, his negligence, and the reason for ignoring
symptoms at the start, he shared all formation. In fact, he appreciated my efforts and narrated some
important incidence and all the information regarding his visit to the hospital, interaction with
different doctors, and treatment strategies he followed. Thus, the whole interview time was
comfortable. In fact, the cooperation of my uncle to provide information made all-time comfortable
4. Interview Technique Used, Challenges to Deal and Ways to Overcome the
I adopted the “patient-centered” interview technique. The type of biopsychosocial model
includes the psychological, biological, and social dimensions. The technique is more about the
patient suffering from disease as compared to the health condition itself(Lappen, 2011). I used this
technique because the patient was already depressed about his condition. Because of so prolonged
illness, he is now suffering from depression also. So, dealing person with an inappropriate mental
state is a hard thing. Thus, initially, I motivated him that he could come out of the situation. I made
promises to spend time and help him get better, and I acted as a friend instead of a health
practitioner. Thus, the use of the patient-centered technique helped me to interview without any
hassle. As discussed, in the start, he was not willing to provide details about his health, but my soft
tone, friendly language, and hopeful sentences gave him the confidence to provide even minor
5. The assistance of nurses with health information.
Data gathering of the patient is of two types. One is subjective, and the other one is
objective(Doyle, 2015). I took the information in both a subjective and objective way. Initially, I
made a report for the signs and symptoms that my uncle described to me that were not noticeable,
but he felt and provided details about the pain in various body parts. I took all demographic
information, family information, and social history. I got all the health history that can help the
nurse to assess the health promotion practices and how to perform the procedure to educate the
patient. The main purpose of the medical history from the patient is to help understand the patient’s
state and help create the follow-up plan.
Doyle, G. R., & McCutcheon, J. A. (2015). Clinical procedures for safer patient care. BC Open Textbook
Hardavella, G., Aamli-Gaagnat, A., Frille, A., Saad, N., Niculescu, A., & Powell, P. (2017). Top tips to deal
with challenging situations: doctor-patient interactions. Breathe, 13(2), 129-135.
Lappen, J. R. (2011). History-Taking and Interview Techniques and the Physician-Patient
Relationship. Glob libr women’s med.