Building a Health History Details: Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks. For this Discussion, you will take on the role of a clinician who is building a health history for one of the following new patients: 76-year-old Black/African-American male with disabilities living in an urban setting Adolescent Hispanic/Latino boy living in a middle-class suburb 55-year-old Asian female living in a high-density poverty housing complex Pre-school aged white female living in a rural community 16-year-old white pregnant teenager living in an inner-city neighborhood To prepare: With the information presented in Chapter 1 in mind, consider the following: 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 age, gender, ethnicity, or environment? What risk assessment instruments would be appropriate to use with each patient? What questions would you ask each patient to assess his or her health risks? Select one patient from the list above on which to focus for this Discussion. Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration. Select one of the risk assessment instruments presented in Chapter 1 or Chapter 26 of the course text, or another tool with which you are familiar, related to your selected patient. Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history. Post on or before Day 3 a description of the interview and communication techniques you would use with your selected 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. Building a Health History Building a history is one of the crucial steps towards provision of good healthcare. Effective communication is therefore key to the success of this process. This paper focuses on a 76-year-old Black/African-American male with disabilities living in an urban setting. The health related risk that will be focused on is age and the environmental setting. These factors play a role in the health of an individual and are also important in enhancing understanding of the health complication during the interview. In this interview, various communication techniques will be used in soliciting information about the patient. The first thing is to get ready by taking time to self-reflect and reviewing the clinical behavior and appearance then learn about the patience (Stanford, 2013). One has to first welcome the patient by greeting him and establishing a rapport, and then invite the patient’s story. As the negotiations go on, it is the time to create a shared understanding of the patients concerns. One should have a negotiation plan and also understand the situation of the patient. In this case, the patient is an old man and therefore, will require systematic conversion in a low tone (National Patient Safety Agency, 2014). During the interview, I will also listen actively, have guided questions, be receptive to non-verbal communication and will empower the patient. The questions will be open-ended questions. The information provided will be recorded in a notebook for follow up. The importance of this technique is that it will allow the patient to relax and provide information concerning the symptoms that will help enhance delivery of healthcare. Examples of questions that will be asked include: What are your names? How old are you? When did the signs and symptoms begin Have you seen any medical practitioner before? Are you on any medication? How long have you lived at your current location? Various risk assessment tools are available to assess different complications. In this case, I will use an instrument that will help me to understand the condition of the old man. The instrument has five steps that require systematic following (Levinson & Pizzo, 2011). The first thing is to identify the hazards, decide the person that is exposed, then I will evaluate the risks and decide on the precautions; I will record the findings and find proposed action. The date of implementation will be recorded after which the assessment will be reviewed and updated. The importance of this instrument is that it is easy to use and to follow on the health of the patients. References Accreditation Council for Graduate Medical Education. Common program requirements: general competencies. Chicago (IL): ACGME; 2007. Available at: http://www.acgme.org/outcome/comp/GeneralCompetenciesStandards21307.pdf. Retrieved January 18, 2011. Levinson,W., & Pizzo, P. (2011).Patient-physician communication: it’s about time. JAMA, 4(17):1802-3. National Patient Safety Agency. (2014). Healthcare risk assessment made easy. Retrieved from http://www.nrls.npsa.nhs.uk/EasySiteWeb/getresource.axd?AssetID=60138&type=full&s ervicetype=Attachment Stanford, (2013). Interviewing and health history. Retrieved from: http://culturalmeded.stanford.edu/pdf%20docs/Bates_Chapter_2.pdf