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  • Essay / Taking a Patient's History - 881

    "A Guide to Taking a Patient's History" is an article published in an August 24, 2007 issue of Nursing Standard. Written by H. Lloyd and S. Craig, the process of taking a patient's medical history is described. Many aspects relevant to obtaining a sufficient medical history are discussed. In addition to providing a framework for completing a complete medical history, interview guidelines and techniques are explored.Article SummaryObtaining a complete medical history is an important component. of the evaluation of a patient. Failure to obtain a complete medical history results in a lack of information that can negatively impact the patient. Interview skills develop through experience and practice. A comprehensive health assessment has several elements and is a systematic process that involves respect and professionalism. and communication skills. The first part of the history-taking process is creating an appropriate environment. Ideally, the interview takes place in a safe, accessible location free of distractions and interruptions. During this initial process, the interviewer introduces themselves, states their purpose, and obtains consent to proceed with the medical history interview. Additionally, the first part of the interview is the time to establish the patient's identity, age, and preferred way of being approached. A relationship based on trust and respect for patient privacy is necessary to develop good relationships. It is important to remain impartial and professional and, moreover, to treat the client with dignity. After introductions have been made, the patient should be given time to tell their story in their own words. Active listening is essential during this interaction and involves both verbal analysis...... middle of paper...... or in-depth analysis of symptoms. Key words such as closed and open questions are very well explained. Differentiating when to use each type of question is described and useful for facilitating an interactive dialogue. It is important to understand how to help the patient convey important details and to ensure that what they have expressed is understood. Conclusion “The history interview should be of high quality and should be recorded accurately” (Craig & Lloyd, p. .48). It is important that, while obtaining a complete medical history, the patient is treated with dignity and their privacy is respected. A comprehensive history involves collecting physical and psychosocial aspects of a person's health. Works Cited Craig, S. and Lloyd, S. (2007). A guide to considering a patient's history...clinical skills. Nursing Standard, 22(13), 42-48.