Building a comprehensive health history

With the information presented in chapter 1 of Ball et al. 2015) do the following:
1) How would your communication and interview techniques for building a health history
differ with each patient?
2) How might you target your questions for building a health history based on the patient’s
age, gender, ethnicity, or environment?
3) What risk assessment instruments would be appropriate to use with each patient?
4) What questions would you ask each patient to assess his or her health risks?

5) focus your discussion on patient above (pre-school aged white female in rural
6) Identify any potential health-related risks based upon the patient’s age, gender,
ethnicity, or environmental setting that should be taken into consideration.
7) Select one to the risk assessment instruments presented in chapter one or 26 of the
course text, or another tool with which you are familiar, related to selected patient.
8) Develop at least 5 targeted questions you would ask your selected patient to assess his or
her health risks and begin building a health history.

Building a comprehensive health history 
The interview technique and communication will be selected cautiously because the patient is a
child and from rural community. The interview technique applied is oral interview skills using
open-ended communication. Additionally, purposeful silence, and active listening will be
applied. This will help building a trustful patient-physician relation, thereby improving
communication. The target questions will be assessed to avoid misinterpretation and
miscommunication especially when dealing with concepts such as the patient age, gender, ethnic
background and the environment. These include patient’s age, gender, medical history and their
environment (Ball et al., 2015).
The risk assessment instruments that is appropriate for this patient is the AHRQ clinical care
tools, particularly the Put Prevention into Practice (PPIP). This tool is chosen because it captures
patient’s experiences as well as their lifestyles. This facilitates the assessment of the patient’s
health condition. The five-targeted questions for this patient (pre-school aged white woman from

Building a comprehensive health history 
a rural community) will mainly be addressed to the parent, as the child cannot express herself
appropriately (Keeton, Soleimanpour, & Brindis, 2012). These include;
a) What are the child’s name, age, and ethnic background?
b) What are your child’s basic meals?
c) Is the child exposed to smoking?
d) Has the parent noticed any lost of interest to things that the child enjoyed in the recent
e) Has the child been hospitalized for any health reasons in the last three months? Explain
the reason.
From the analysis, the following potential health related risk factors are identified; the first risk
factor is obesity. The child is lives a sedentary life, and her diet is mainly fast food with high fat
content. The child is also likely to suffer from respiratory disorders and cardiovascular disorders
such as asthma and hypertension respectively.

Building a comprehensive health history 
Ball, J.W., Dains, J.E., Flynn, J.A., Solomon,B.S., & Stewart, R.W. (2015). Seidel’s gude to
physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Keeton, V., Soleimanpour, S., & Brindis, C. (2012). School-Based Health Centers in an Era of
Health Care Reform: Building on History. Current Problems In Pediatric And Adolescent
Health Care, 42(6), 132-156.

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