Case: Adolescent white male without health insurance seeking medical care for STI
- How would your communication and interview techniques for building a health history differ with each patient?
- How might you target your questions for building a health history based on the patient’s social determinants of health?
- What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
- Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
- Select oneof the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
- Develop at least fivetargeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
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.
Apa and at least 3 resources must be scholar resources
Introduction
This paper examines a case of an adolescent white male who does not have health insurance and is seeking medical care for a sexually transmitted infection (STI). The paper will explore various communication and interview techniques that would be employed to build a health history for this patient. The paper will also highlight the social determinants of health that would be targeted while building a health history. Additionally, potential health-related risks based on the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration will be identified. Furthermore, a risk assessment instrument will be selected and justified, and at least five targeted questions will be developed to assess the patient’s health risks.
Communication and Interview Techniques
The communication and interview techniques used in building a health history depend on the patient’s age, gender, cultural background, and health status. For the adolescent white male patient without health insurance seeking medical care for an STI, it is essential to establish trust and make the patient feel comfortable during the interview. The provider can do this by creating a friendly and non-judgmental environment that encourages open communication. Additionally, using clear and concise language that the patient can understand, avoiding medical jargon, and actively listening to the patient’s concerns and questions are key elements to successful communication with the patient.
Targeted Questions for Building a Health History
Building a health history is critical in identifying potential health risks and developing a comprehensive care plan. For the adolescent white male patient seeking medical care for an STI, some of the social determinants of health that should be targeted during the interview include sexual orientation, family history, social and economic status, and education level. These determinants can influence the patient’s access to care, health-seeking behaviors, and overall health status.
Risk Assessment Instruments
The risk assessment instrument that would be appropriate for the adolescent white male patient without health insurance seeking medical care for an STI is the Sexual Health History Questionnaire. This tool is specifically designed to assess the patient’s sexual behavior, history of STIs, contraceptive use, and other factors that can affect sexual health. It is relevant for this patient as he is seeking medical care for an STI and would be asked questions about his sexual history.
Targeted Questions for Assessing Health Risks
The following are five targeted questions that could be asked during the interview to assess the adolescent white male patient’s health risks:
- Have you had unprotected sex with multiple partners, including same-sex partners?
- Have you had any symptoms such as discharge, itching, or pain during urination?
- Have you ever had an STI before? If yes, what kind of STI and how was it treated?
- Are you currently using any form of contraception? If yes, what type?
- Have you ever been tested for STIs? If yes, when was your last test?
Conclusion
In conclusion, building a health history is an essential aspect of healthcare, and communication and interview techniques play a vital role in establishing a rapport with the patient. For the adolescent white male patient without health insurance seeking medical care for an STI, the use of the Sexual Health History Questionnaire is a relevant risk assessment instrument, and the questions asked during the interview should be targeted towards identifying potential health risks. By using appropriate communication techniques and asking targeted questions, healthcare providers can develop a comprehensive care plan that addresses the patient’s health needs.