Interview Appraisal . Conducting A Successful Health History

The client weight is 70 kg and has maintain same weight for past 10 years and is 5 years

Throughout the conversation, the nurse only used one open ended question which was “how are you dealing with that”. The rest of her questions were closed ended.

The interview was not extraordinary. One thing I struggled with was not knowing how in depth I was supposed to go in the interview. In IPE it was always that we were meeting the patient for the first time so we needed to try to get a full history, but the patient today was a follow up so I didn’t know what was appropriate to ask . I decided it was easier (and better practice anyway) to stick to what I knew and go through as if I needed to get a full history.

Standing near the door instead of coming closer to her patient, she immediately began the interview. Without making any eye contact, she dived into a task-oriented approach by reading questions right off the chart in her hands. Throughout the

29 face to face interviews were administered at the Clinic and one interview was conducted via conference call.

Patient Presentation: Benjamin Fowler arrived 15 minutes late for his appointment today. He was accompanied by his sister, Paula Fowler. She joined us in the interview to assist Benjamin and to answer some questions concerning Benjamin's behavior. Benjamin is a 27-year-olds African American male. He wore a t-shirt with dress pants and tennis shoes to his interview. Benjamin looked like he had not showered recently. Benjamin had issues focusing on the questions during the interview. He also was distracted by objects in the office during the interview. Benjamin also spoke in a quick manner. Benjamin was not able to tell me what day it was or where he was.

According to the provided family health history given, diabetes was common in Mrs. Johnson’s family. I observed Mrs.’s psychosocial health, environment and age health consideration. I asked Mrs. Johnson of her current medications, pain and allergies. Open ended questions were used to provide the participant a chance to further explain what the information that was conducted. The participant answered all questions thoroughly to her best of her ability. She did not know some of the answers about her grandfather on the paternal side. The participant maintained any eye contact during the health history assessment and looked comfortable. The participant communicated very well and there were no barriers and the participant made me feel comfortable during the interview and she was very engaged. The interview went very well and was very similar to what I have learned and the participant was willing to answer all

That event is the one that seem to trigger the response and is connected with negative memories. She was never left alone with the nurse, and only routine temperature check and blood pressure check was performed. The nurse had to do it on her leg. Since pt came home she cannot sleep alone. She has nightmares, describes also some pictures in her mind. The patient is not verbal. Most of the interview is from the patient confirming or denying or drawing pictures or showing on her interactive device, and also communicating with her mother. So most of the information is by her mother who takes care of her.

I said the work OK and nodded my head a lot. I stumbled on my words and misspoke at times. During some parts of the interview I nervously laughed. I also was fidgety with my hands. I feel like I skipped over opportunities to go deeper into certain topics. I thought I made good eye contact and explained everything to her, I answered her questions. I displayed empathy, and warmth. I used clarification and reflecting content and meaning. I offered a plan for action but did not ask Ashley how she felt about the plan. I tend to mother people- I just want to fix their problems and need to focus more on self-determination. I did explain my role as a generalist social work. I offered her encouragement and

Therefore it is vital to ask the patient how they would like to disclose the information and can prompt the physician to the most ideal approach to arrange the dialog from there on out. He inquired as to whether she would like him to give her all the information on the results or gave her the choice of outlining the outcomes and investing more energy in the talking about and treatment arrangement. She requested that he told her like it is and she did not want to wait any longer. This represents instrumental support and she felt as if she was an active participant and involved in decision making.

Unfortunately, a full medical history was not obtained because client was not oriented and also exhibited lack of awareness. Client identified being a parent, a friend, wife, and horse owner as her main life roles. In the middle of the interview process, the client showed frustrations of her inability to recall. Interview was stopped since client could not answer further questions as she became verbally disorganized and was unable to control her

Social History: Marital status? What does she do for a living? Does the patient drink alcohol or smoke? Does the patient do illicit drugs? Is the patient have any type of stress? How does the patient cope with

Ms. Lewis was on time for her evaluation. Ms. Lewis appeared neat and appropriately dressed for the interview. Ms. Lewis had no noticeable tattoos. Ms. Lewis was able to establish good eye contact throughout the interview. Ms. Lewis’ posture appeared to be tense when she first sat down for the interview. Ms. Lewis appeared calm but concerned. She appeared to have normal and steady psychomotor activity throughout. Ms. Lewis’ general attitude and behavior appeared positive and cooperative. By the end of the interview, Ms. Lewis appeared to become more relaxed in his posture.

After Mr. Daniels was finished with the mock interview, Evaluator gave a brief interviewing class and discussed better answers he could provide to some of the questions. Evaluator and Mr. Daniels discussed appropriate body language during the interview such as maintaining good eye contact and good posture while sitting during the interview. He was also encouraged to show more confidence and enthusiasm.

One personal assumption that could occur would be assuming the patient can’t answer any of the questions, since he can’t talk. This might hinder the interview by offending the patient because I would be directing questions to his wife, instead of him. However, this could also affect the interview by the wife not giving accurate information about her husband.