Taking A Patient History : The Role Of The Nurse

1159 WordsSep 13, 20145 Pages
Journal Article Review Introduction ‘Taking a patient history: the role of the nurse’ is an article written by Tonks Fawcett and Sarah Rhynas, published in the Nursing Standard, volume 26, issue 24, pages 41-46 on February 15, 2012 . In this article, the authors write about taking a patient’s history and how this is a vital element of patient assessment. It focuses on the patient as a whole, and how the nurse can learn to elicit biographical information and personal circumstance for application to the current healthcare need. Summary of Article Obtaining a medical history is simply asking a patient, their family, or caregiver appropriate questions to elicit information that would be helpful in diagnosing them and deciding on a treatment. How comprehensive the process is will depend on the doctor’s knowledge to identify abnormal findings which could explain a patient’s present symptoms. Traditionally, what this basic method lacks is an in depth knowledge of the patient’s unique characteristics. A patient’s socio-cultural and psychological backgrounds are left out of the equation. Instead, only the physiological status is considered. More recently, the focus of history taking has shifted towards patient centered communication and establishing a rapport to incorporate these unique traits. This is a longer process that involves the nurse because they spend additional time caring for the patient to foster a more personal relationship. Frameworks have been created to allow the
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