Verified Document

Patient's History The Expanding Roles That Nurses Essay

¶ … Patient's History The expanding roles that nurses play in the healthcare field include taking the health history of patients. There are many important components to the task of taking patient histories, and this paper reviews those important aspects and components that are published in the Nursing Standard article by Lloyd H. Craig.

Craig says taking the history of patients is "…arguably the most important aspect of patient assessment" (Craig, 2007, p. 42). The reason it is so vital to the practitioner (or doctor) is that every healthcare issue or concern that the patient has encountered in his or her past -- recent or not -- may have implications for how the patient is to be treated.

Nurses do not always see the patient in a doctor's office or a hospital patient room. The nurse might encounter patients in the following environments, according to Craig: a) in an accident scene or an emergency room; b) in a general hospital ward; c) in "department areas"; d) in "primary care centres"; e) in healthcare clinics; and f) in the patient's home (Craig, 42).

No matter when the contact is made between nurse or patient, there must always be "…respect for the patient as an individual" which includes being open-minded (that is, "non-judgmental and professional") about the "beliefs and values" of the patient (Craig, 42). Part of the respect the nurse must show to patients at the time of taking histories has to do with the privacy that is provided during the process. It should be a quiet, dignified place, and the nurse must be given ample time to conduct the interview, Craig continues on page 42. Clearly the nurse already has good communication skills or he/she wouldn't be an RN in the first place, but Craig asserts that the patient must be given time to tell their story and the RN must be a good listener, to allow the story fully and without interruptions.

On page 43 Craig mentions an important part of the process which might have been alluded to earlier -- that is getting...

Part of that process is making sure that the patient is acting under his or own free will, and that they have a full understanding of what they are involved with.
The interview starts with an "open-ended" question, such as, "Tell me about your health problems," and perhaps follow up with this: "How does this affect you?" Once those questions have been answered, and the nurse has allowed the patient to tell his or her story, then it is time for closed questions. By this time the nurse has heard about the patient's health issues, and asking questions like, "When did this begin?" And "How long have you had it?" is appropriate as follow-ups to the initial verbal response of the patient (Craig, 43).

A good rule of thumb for the nurse is to take notes and then repeat back to the patient the salient points that the patient had made. This summary will check to see if the nurse got it correctly, and also it will give the patient an opportunity to expand on anything that was said earlier, Craig continues on page 43. Craig (p. 44) references the Calgary Cambridge Observation Guide (CCOG), a framework for the interview with patients. In that model (five stages) it is expected that at the conclusion of the initial interview there will be a kind of fact checking by the nurse to see that everything is correct.

The second stage is "making information easier for the patient using reflection"; the third is to achieve "…a shared understanding" of the patient's perspective so as to continue a two-way communication dynamic; the fourth stage from the CCOG is working with the patient "…to assist understanding" in the process (Craig, 44). And finally, the last phase of the CCOG is to offer the patient a good plan in order to meet the needs and the expectations of the patient. As he continues on page 44, Craig runs through the history-taking process again, with slightly different points and questions to be asked.

What is important for the nurse taking the…

Sources used in this document:
Works Cited

Craig, Lloyd H. (2007). A guide to taking a patient's history. Nursing Standard, 22(13), 43-48.
Cite this Document:
Copy Bibliography Citation

Related Documents

Role of Diet in Weight
Words: 2900 Length: 10 Document Type: Term Paper

By educating patients on early warning signs of hepatotoxicity, this rare but potentially fatal consequence could be detected early to allow appropriate intervention." (Wright and Vandenberg, 2007) it is extremely critical to understand the nature of psychiatric nursing in today's clinical environment. IV. ROLE of NURSE PRACTITIONER in TRANSITION Specifically stated in the work of Kathryn R. Puskar entitled; "The Nurse Practitioner Role in Psychiatric Nursing" published in the Online Journal

Role of Nursing in Patient Safety
Words: 2619 Length: 7 Document Type: Term Paper

Nursing Role in Patient Safety The nursing workforce is the biggest workforce in the health care industry. The nursing staff in hospitals is primarily tasked with patient surveillance in both ambulatory settings and care facilities (seldom termed as patient monitoring / evaluation / assessment). Patient surveillance is important for recognition of errors and evading adverse incidents. Most patient safety experts believe in cultivating an impartial system which acknowledges a system's and

Patient's History the Medical History of a
Words: 1281 Length: 4 Document Type: Essay

Patient's History The medical history of a patient is a crucial first step for the appropriate evaluation of the patient. It is a list of questions given to the patient or people who known the patient well with the intent of obtaining data that is useful in formulating a diagnosis and providing quality and appropriate medical care to the individual. Within this crucial step, one must be diligent about following

Patient Safety at Risk: Tissue Tracking Problems
Words: 1943 Length: 6 Document Type: Research Paper

Tissue Tracking and Patient Safety Tissue Tracking Systemic Tissue Tracking Deficiencies Remain a Serious Threat to Patient Safety Systemic Tissue Tracking Deficiencies Remain a Serious Threat to Patient Safety The Joint Commission established standards for the handling of tissues for allograft procedures in 2005 (Meeting JCAHO's new tissues standards, 2005). The three main areas of concern were creating a standardized process for handling tissues, investigating adverse events, and tracking the tissue from donor to

Role of an Advanced Practice
Words: 3411 Length: 10 Document Type: Research Paper

In other words, physicians authorize the nurse practitioner to prescribe certain medications -- perhaps not all but those medications that are most often required by patients -- without getting approval from a physician. It saves time and is primarily designed to make the patient more comfortable, not just to hand additional authority to the nurse practitioner. Is prescriptive authority appropriate? This question, according to Patricia Berry, a faculty member at

Nurses Role in Mental Health
Words: 1457 Length: 5 Document Type: Essay

Making available recovery program treatment besides collaborating with partnership to leverage resources and knowledge is a role that I perform in efforts of helping clients access care. I am also involved in continual community-based quality improvement programs that are designed to support care access and quality. B. Veteran Centered Care With respect to centered care, I normally assist with provision of alternatives to inpatient care for mental health linked problems. Additionally,

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now