Krystle Gonzales
College of Nursing NR 305
Health Assessment
Professor Sherer
Summer II 2014
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Journal Article Review
Introduction
“A guide to taking a patient’s history” is an article published in Nursing Standard in the December, 2007 issue, written by Hilary Lloyd and Stephen Craig. In this article, Lloyd and Craig outline the process of taking a complete health history from a patient. The reasoning for gathering a comprehensive history is also described. There are also tables and boxes of examples that can be used as examples, while obtaining health information. This article also provides an outline in which to take a full and comprehensive history from a patient and the order and structure to …show more content…
It is stated in many books that they patient history should be conducted in a set order, but it is not necessary to follow it so strictly. It is important to know when to utilize open and closed questions. Open questions ensure that all information is sought out and nothing is left out. Closed questions are used to clarify and focus on getting specific answers. Always clarify responses to summarize your understanding of the information provided to you. Encouraging participation and agreement allows the patient to feel comfortable and more willing to comply with …show more content…
The more detailed and comprehensive an assessment is, the better understanding we have of our patient’s and the plan of care that we will follow to ensure they are taken care of. After reading this article, I have a deeper insight into understanding the need for a structure when performing a health history. The detailed descriptions that were provided will enable one to use the specific examples when questioning a patient, ones on which I plan on implementing in my practice. I found this article very well written and explained thoroughly, as it is a great representation of a well-completed history. In my daily practice as a nurse, I follow a specific format for completing a patient history and assessment; it very closely resembles this model. I find that when initiating a patient’s history, I begin with asking all pertinent questions in relation to presenting problems, and all historical information. I then follow with a hands-on assessment, I listen to breath sounds and heart rhythms while asking questions related to those particular body system. Listen for intestinal sounds when asking questions about dietary habits. I engage the patient in their assessment so they feel a sense of trust and willingness to cooperate in their care. I believe that more articles could be written about performing a