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For this first Assignment, you will take on the role of an APRN who is building a health history for a particular patient assigned by your instructor. You will consider how social determinants of health and specific cultural considerations will influence your interview and communication techniques as you work in partnership with the patient to gather data for an accurate health history.  

Case Study

SD is a 37 y/o healthy Hispanic female seen in the Emergency Department with bruises and an
arm laceration after a fall. Her husband is at the bedside. This is her second time in the last 6
months coming to the Emergency Department for care. She is undocumented and waiting for
residency to come through after marrying her current husband
.

Assignment: Building a Health History With Cultural and Diversity Awareness  

Include the following: 

· Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific. 

· Explain the issues that you would need to be sensitive to when interacting with the patient, and why.  

· Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques. 

· Summarize the health history interview you would conduct with this patient. Provide at least 
five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient. 

· Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific. 

Rubic. Please follow strictly making sure all topic point is mentioned. Very critical

Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific.

15 to >12.0 pts

Excellent

The response clearly, accurately, and in detail explains the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.

Explain the issues that you would need to be sensitive to when interacting with the patient, and why.

15 to >12.0 pts

Excellent

The response clearly, accurately, and in detail explains the issues to be sensitive to when interacting with the patient; explanations why are clear, accurate, and detailed.

Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques

15 to >12.0 pts

Excellent

The response clearly and accurately identifies and describes in detail communication techniques to use with the patient, including specific strategies to demonstrate sensitivity with this patient, and a detailed explanation of why to use these techniques.

Summarize the health history interview you would conduct with this patient. Provide at least five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient.

25 to >22.0 pts

Excellent

The response clearly, accurately, and in detail summarizes the health history interview to conduct with this patient, including at least five targeted questions to ask to build the health history and assess health risks, with detailed explanations for the wording of each question and why it is asked.

Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific.

15 to >12.0 pts

Excellent

The response clearly and accurately identifies the selected risk assessment instrument, and provides detailed and specific justification for why it is applicable to the assigned patient.

Written Expression and Formatting: Paragraph Development and Organization — Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused and neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria

Written Expression and Formatting: APA The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.

5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

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