Clinical Interview

Although EMR’s may be taking over the medical world, paper medical charts remain the most well recognized form for keeping medical records. There are however some things within paper charts that some medical personnel might argue make it a primitive aspect of the medical field. One argument in itself is that the abundance of paper that is utilized in paper charting doesn’t stand up to the “green” society we aspire to live in today. “Paper charting used to take so long, the papers would always get unorganized, they took up so much room in the nurses’ station and the worst was waiting for a doctor to finish with a chart so I could chart what I needed to” (Brittney Guggino LPN, 2012). Another acknowledged concern with paper medical charts is the illegible handwriting of clinicians, which is a common, longstanding problem. Being unable to read orders clearly creates an added risk when dealing with patients treatments, medications etc. Paper charts may be familiar but they come with many downfalls and it’s these downfalls which may sway a person’s decision in the opposite direction in regards to the

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

During our lives, serval blissful, traumatic, culture event that established the transformations during cognitive, social, physical, and characteristic changes in our lives from the time of birth through our death. A person’s existence is shaped and molded by the experiences that have set us physically and mentality. The interview conducted for this project for an understanding of, Mrs. Candi Jones, is a mother, daughter, and sister. She was the middle child of in a physically disable household where father and sister hearing-impaired; a mother who is deaf. They are a mixture of a sibling through birth, adoption, and foster. During the interview with Ms. Jones, she discusses experienced numerous events in her life that play a major influenced

Dez' Janani Mangram is currently a freshman enrolled at Clayton State University working hard on her BA degree in Biology to become a surgeon. She has never been a huge fan of writing, but coming to college has helped her gain more knowledge on how essays should be organized and constructed. She has written many essays and reports since coming to Clayton State, she plans on writing many more reports as she further her medical career. In the future she plans on using writing as way to distribute out patients medicine, and write down signs and symptoms of a patient. She feels that writing is important in the medical field because just one little mistake you make writing down someone prescription can cause epic problems in their

To begin with the types of writings I will do in college, they will include essays, research reports, group presentations, as well as discussion boards. Throughout my college the main goal is for you to be able to produce writing that is clear and organized in every class. This will help to improve our written communication skills in every subject area. This is important for when I enter the work field to be better prepared to perform certain tasks. Furthermore, the types of writing I will be responsible for as a Medical Assistant on the job are based on the medical classes and training that I took part in college (Roberts, 2018). That was planned to prepare me for when I entered the work field. As a medical assistant I will be accountable for recording patient’s history and personal information on the daily basis (Bureau of labor statistics, 2018). Another task that will include writing is medical assistants must learn to code both paper and electronic health records (EHRs) (MedAssistantEDU.org, 2018). Ultimately, in this position I often will fill out insurance forms and will be required to handle a number of administrative duties, such as appointment scheduling, medical billing and coding, as well as medical transcriptions. I will also take part in assessing and interviewing patients as they come in for their daily

Dr. Acosta’s presentation presented the Kleinman’s questions as a tool nurses and physicians can utilize to improve their cultural sensitivity. These open-ended questions attempt to address the patients’ explanatory model of illness. This model provides health care professionals with culturally sensitive information vital to designing a care plan tailored to patients’ unique beliefs and traditions. This model is a new interviewing tool I can utilize in my practice to further my understanding of my patients cultural beliefs related to their health condition.

My interviewee’s father died of a massive heart attack at the age of _______. She stated that she has never felt as safe in this world since her father passed. Her mother died of breast cancer at the age of ________. She said that she did not have a great relationship with her mother but they were fine at the time of her death. Her mother had remarried and her stepfather was the primary caretaker for her mother during her illness. Her second oldest sister, the one she was closest to, was the first of her siblings to die. She died at the age of _______ from ovarian cancer. The youngest sister died a couple of years later from complications of Type I diabetes at the age of ______. My interviewee described her sister as a “brittle diabetic” with

The topic for the proposal letter will be about ways to improve the quality of healthcare in nursing home facilities by making changes in laws and policies. My interview subject was my wife Brandee Jackson who is a Registered Nurse in a long term care facility. She has several years as a Registered Nurse in addition to many more years as a certified nursing assistant in both a long term care facility as well as home health care. The advantage of her perspective is having the firsthand knowledge of what really happens with care at the personal level. Many times, Doctors do not connect on a personal level with their patients to understand their needs and complaints. Thus, interviewing someone who forges a bond

Followed doctors while conducting daily rounds, talked to patients, observed and reported their daily progress.

I watched all the videos and chose to comment on video # 1 nurse-patient interview (leaton25). When Linda Davis (the nurse) started the interview she appeared professional, she was dressed well, introduced herself, made eye contact with Mrs. Eaton (the patient), shook Mrs. Eaton’s hand, and explained what she was there to do. Linda provided information and showed a knowledge of professionalism and effective communication techniques; however, Linda was not therapeutic, nor did she act in a professional manner for the remainder of the interview. Linda did not maintain eye contact with Mrs. Eaton, she was rushed with her closed-ended questioning method, looked at her watch, purposely ignored Mrs. Eaton’s complaints of pain, did not acknowledge Mrs. Eaton’s social issues, and she offered false reassurance for Mrs. Eaton’s verbalization that

I interviewed a patient using a template by Fruth (2014). The patient was a 66 year old male Mike Hughes a Christian Baptist by religion. He preferred English as the primary language for communication. Mike is Right hand as his dominant hand. He is a retired veteran by profession who worked for every 6 months while in military and was also a construction worker. On observation, the patient entered the room with a standard cane. The speech was not affected, but there was evident drooping of the lips on the left side.

After today’s role-playing activity and based on the feedback I received from my group I was able to become aware of my strengths and weaknesses in my clinical interviewing skills. I struggled a lot with shortening my questions last semester. I am now aware that I have a habit of asking a question and then explaining it, which makes the listener loose track of what the question initially was. I received good feedback and great ways in which I can work on that. Thus, a suggested skill from the checklist in which I need to continue developing is being concise and having clear communication. Being able to be concise and have clear communication will enable me to fully understand my client or caregivers needs. As for my strength, I believe I am

Thank you very much for the hospitality on my interview day. It was such a great pleasure meeting you!

Throughout the Freshman Inquiry Writing Seminar (FIQWS) in Narrative Medicine, I learned about the various ways in which we can become better healers to society, doctors who establish a personal connection with their patient. In addition, I obtained ways to improve my overall writing so that it sounds more mature, but at the same time interesting. Throughout this course, there were various course learning outcomes such as developing strategies for reading, drafting, collaborating, revising and editing, locating research sources in the library’s databases or archives and on the Internet and evaluate them for credibility, accuracy, timeliness, and bias, and composing texts that integrate your stance with appropriate sources using strategies such as summary, critical analysis, interpretation, synthesis, and argumentation. Throughout the written assignments in this course, I believe I was able to improve my writing process as a whole; however, I believe that I could have done a better job utilizing the library sources present at CCNY, which would have ultimately strengthened my paper, especially the research paper I wrote.

As nurses, one of the most important parts of our job includes our documentation. Documentation must be clear, concise, timely, and able to show the care provided for each patient with a few small clicks. After reading the different articles on professional and scholarly writing these experiences nurses deal with need to be shared. These stories are meant to educate, whether that be on a positive or negative outcome. Writing within nursing never seemed like an important staple of the career. When reflecting on myself as a writer professionally emailing superiors and co-workers is a strong skill. Charting on the job is rigorous—being young and growing up with technology makes this fast and time efficient. Furthermore, when writing papers the famous “writers block” tends to get in the way. Writing becomes frustrating after several attempts to continue a paper. Stepping away from the assignment for longer period of time helps to clear my head.