Please respond to the reply with 2 paragraphs and 3 references,
Effective communication is a vital to gathering necessary health information that is needed to care for each patient. Many factors influence each person’s health history; including age, gender, ethnicity and environment (Ball, Dains, Flynn, Solomon & Stewart, 2015). Understanding these aspects of the individual patient allows the advanced practice nurse to tailor and individualize care and communication to build rapport and a trusting relationship with their patients. The following post will discuss the interviewing process and communication techniques that may be helpful in obtaining a health history from a 16-year-old pregnant white teenager living in an inner-city neighborhood.
Interview and Communication Techniques
During the initial visit with a patient building a trusting relationship and building rapport is an important part of developing the patients’ health history (Ball & et al, 2015). In this case when interviewing a pregnant teenager anxiety may be a source of tension and a protentional barrier to communication; pacing the conversation, avoid an overload of information and conducting the interview and assessment with a calm demeanor can help ease the patient’s uneasy feelings regarding her pregnancy (Ball & et al, 2015). Privacy is an important aspect of the interview and care process to discuss with the adolescent patient (Ball & et al, 2015). A female practitioner may make the patient in this instance more comfortable for discussions and physical examinations that will be necessary throughout her pregnancy, and postpartum periods of care (Sacks & Westwood, 2003 and Fleming, O’Driscoll, Becker, Spitzer & Canpago, 2015). Allowing her extra time to answer questions, and providing appropriate feedback can assist in fostering a trusting relationship (Ball & et al, 2015).
Many factors can affect the patients approach and feelings regarding the pregnancy including relationships with her own mother, with her significant other and her present life circumstances (Ball & et al, 2015). The initial prenatal interview should include: past medical history, assessment of overall health, identification of potential risk factors, the patient’s knowledge and expectations as they affect the pregnancy (Ball et al, 2015 and Fleming & et al, 2015). Establishing what support the patient has is also an important aspect of the initial visit, including parents, family or other relatives, and the father’s evolvement. If appropriate Fleming and colleagues recommended encouraging the father participation as much as possible with adolescent pregnancies (Fleming & et al, 2015).
Risk Assessment Tool
Regular repeated screening for alcohol and substance abuse as well as relationship violence is necessary in this high-risk population group (Fleming & et al, 2015). The TACE questionnaire is often used in identifying alcoholism in pregnant women, or CRAFFT which is utilized more often for adolescents. Both risk assessment tools can be modified to meet the needs of the individual patient including incorporating substance abuse other than alcohol (Ball & et al, 2015). Explaining the risks that substance abuse poses to the fetus or infant is an important teaching aspect with regards to the 16-year-old white teenager from the inner-city neighborhood.
5 Targeted Questions
Is this your first pregnancy?
How do you feel about this pregnancy?
How will you care for this pregnancy?
Do you have any one to support you during this pregnancy?
Will you need help outside you immediate family during and after this pregnancy?
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Fleming, N., O’Driscoll, T., Becker, G., Spitzer, R. F., & Canpago, C. O. (2015). Adolescent Pregnancy Guidelines. Retrieved from:https://www.ncbi.nlm.nih.gov/pubmed/26474231.
Sacks, D., & Westwood, M. (2003). An approach to interviewing adolescents. Retrieved from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2794315/.