Discussion Post: Building a Health History
40-year-old black recent immigrant from Africa without health insurance
Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.
Immigrating from one continent to another is a difficult task. A lot of people migrate for various reasons. People immigrate because of political, social, and economic reasons. As people move along, they encounter new problems and opportunities. It is essential for a person who has immigrated to another country to assimilate with the culture and the ways of doing things in their new environment. There are a lot of differences between countries in Africa and the United States when it comes to healthcare. A good example is that most African countries do not use health insurance systems; they all use pay as you go billing system. This means their entire healthcare bills are paid out of pocket.
To have a 40-year-old black man from Africa come for consultation without health insurance is difficult. I will like to ask the patient the following questions.
• I will start by introducing myself to the patient.'
• When was the last time he visited a doctor? The rationale is to know if we can get his medical history from his primary healthcare doctor
• What is your family's medical history? The rationale is to know what the patient is at risk for.
• What is your medical history? This will enable the nurse practitioner to know what kind of sickness the patient has had in the past
• The next conversation will be centered on how reliable is the patient's mode of transportation. The rationale for this question is to see if the patient will be able to go for his medical appointment without any difficulties
• I will also ask the patient what medication they are currently taking
• I will also ask about their insurance situation and what method they will like to use for payment. The idea behind this question is to know if the patient will be able to pay his healthcare bill. Also, it is an opportunity to inform the patient about social services that can help the patients get health insurance. The patient will also be informed to contact social work for additional information.
The response must include a reference list. Using one-inch margins, double-space, Times New Roman 12 pnt font and APA style of writing and citations.