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Health & Physical Assessment in Nursing First Edition Chapter 10 Health History Donita D’Amico and Colleen Barbarito
Health History - Definition ,[object Object],[object Object],[object Object],[object Object],[object Object]
Effective Communications
Effective Communications ,[object Object]
Effective Communications ,[object Object]
Effective Communications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effective Communications ,[object Object],I’m all ears!
Effective Communications ,[object Object]
Effective Communications ,[object Object],“ So what you’re saying Dad is that you and Mom are drug dealers?”
Effective Communications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effective Communications ,[object Object],So you’re saying you feel like you were adopted and it’s been difficult for you.
Effective Communications ,[object Object],[object Object]
Effective Communications ,[object Object]
Barriers to Effective Communications
Communication Barriers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Communication Barriers ,[object Object],You’re Not Going To Die!
Communication Barriers ,[object Object],[object Object]
Communication Barriers ,[object Object]
Communication Barriers ,[object Object]
Communication Barriers ,[object Object],[object Object]
Communication Barriers ,[object Object]
Diverse Communications ,[object Object],The Most difficult part of the job: “ Leave your judgment at the door and open your mind to the diversity of your community”
Box 10.1   Guidelines for Interviewing Clients Who Do Not Speak English
Figure 10.3   Differences in cultural or regional background may become barriers to effective communication.
Diverse Communications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diverse Communications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diverse Communications ,[object Object]
Diverse Communications ,[object Object]
Diverse Communications ,[object Object]
Diverse Communications ,[object Object]
Diverse Communications ,[object Object]
Diverse Communications ,[object Object],Things have changed and continue to change “ We must learn to live together as brothers or perish together as fools” (MLK)
Diverse Communications ,[object Object]
Figure 10.4   A Interpreter may help facilitate interaction with a client who does not speak English.   Interpreter vs Translator
Establishing the Medic - Client Relationship
Establishing the Relationship ,[object Object],[object Object],[object Object],[object Object],[object Object],Starts With a Simple Hand Shake
Establishing the Relationship ,[object Object]
Establishing the Relationship ,[object Object]
Establishing the Relationship ,[object Object]
 
LEARNING OBJECTIVE FIVE ,[object Object],I need this for my report I need this so I can document all of your medical history What happened here? When did you 1 st  notice the swelling in your ankles?
Health History Interview Phases
Health History Interview Phases ,[object Object],[object Object],[object Object],[object Object]
Health History Interview Phases ,[object Object]
Health History Interview Phases ,[object Object]
Health History Interview Phases ,[object Object]
Health History Interview
Health History Interview ,[object Object]
Health History Interview ,[object Object]
Table 10.2   Health History Format
Health History Interview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health History Interview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Box 10.2   Cultural Assessment
Box 10.2 (continued)   Cultural Assessment
Health History Interview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health History Interview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health History Interview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health History Interview ,[object Object]
Health History Interview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health History Interview ,[object Object],[object Object],[object Object]
Box 10.3   Review of Body Systems This is systems based vs the traditional EMS “Head to Toe” review/assessment
Health History Interview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Box 10.4   Narrative Recording of the Health History SAMPLE
Box 10.4 (continued)   Narrative Recording of the Health History SAMPLE
You Now Have the Power

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Health History Assessment Nursing Chapter