This discussion needs to be a response to 2 different post. Different response f

GET A PROFESSIONAL PAPER DONE BY AN EXPERT

This discussion needs to be a response to 2 different post. Different response for each post please. Each response needs to be about 250 words.1. According to Rhoads & Peterson (2021), obtaining an accurate health history is crucial as it provides critical information that guides you in not only your physical assessment, but in the plan of care as well. The acquiring the health history is the initial contact between provider and patient which places great importance on this interaction; as it sets the tone and begins the bond between the provider and patient. This information gathered is also a legal record and is used as required documentation for third-party billing and reimbursement.During this time, the provider can establish their competence, professionalism, and encourage trust by providing culturally relevant care. Knowledge of the patient’s cultural and religious beliefs reflects to the patient how important the relationship truly is and provides the patient with a sense of individualized care.There are two types of data collected during the health history interview, objective and subjective. Objective data is measurable and can be verified. While subjective data is based on the patient’s perception and is open to interpretation. Both types of data should be collected and documented to provide a complete picture of the patient’s overall health.Allowing the patient to participate in the health history helps develop a collaborative partnership in providing care, giving the patient autonomy while encouraging mutual trust and respect. This is why it is imperative for this interaction to be reflective of the patient’s cultural practices while encouraging the patient to entrust you with their care by exuding professionalism and competence.There are two types of health histories. Comprehensive history is executed on all non-emergent, new patients who will have an ongoing care delivery relationship with the provider. A focused history should be utilized in emergent circumstances where the patient already has ongoing care and has a focused or specific compliant.The comprehensive health history contains a plethora of elements that need to be addressed. The provider first must ascertain verification of patient identification then current chief complaint, a thorough past medical and surgical history, as well as family and social histories. As noted per Nichols et al. (2021), the information gained not only in the patient’s history but in the family history may be pertinent and lead to further and/or specific testing. A review of systems completes the comprehensive history.While assessing the chief compliant, the provider may want to remember the mnemonic PQRST to ensure all appropriate data is collected. That mnemonic presents: precipitating factors, what provokes the symptom; quality, description of the character and location of symptoms; radiation, does the symptom radiate to other body areas; severity, quantify the symptom on a scale of 1-10; and timing, when did the symptom start, duration, and frequency. The mnemonic CLIENTOUTCOMES can be utilized to ensure complete and comprehensive care. That mnemonic entails: character, location, impact, expectations, neglect or abuse, timing, other symptoms, understanding/beliefs, treatment, complementary alternative medicine, options for care, modulating factors, exposure to materials or chemicals, and spirituality.A comprehensive review of systems thoroughly assess all body systems for abnormalities or defects. A smooth, systematic approach should be used to adequately evaluate these specific areas: general or constitution, skin, eyes, ears, nose, mouth and throat, cardiovascular, respiratory, gastrointestinal, genitourinary, breast, musculoskeletal, mental or psychiatric, lymphatic, hematologic, and endocrine.A focused health history encompasses the some of the data in a comprehensive history but focuses on the pertinent data related to the chief compliant. The patient identification still needs verified, as well as discussing the chief complaint. The use of PQRST mnemonic can still be implemented when assessing history of present illness to ensure all required data is addressed. Only collect data regarding past medical, family and social history that relevant to the current chief complaint. A focused review of systems is made that assesses the areas that are related to the current problem only.Regardless whether the health history is comprehensive or focused, every effort should be made to provide patient privacy while addressing any communication barriers or financial concerns. It is vital to assess and ensure culturally and linguistically applicable care. Additional resources or research made be required to facilitate cultural obligations or language barriers.2. The purpose of this discussion post is to gain a better understanding of the module one content, and in particular, I will be discussing the topic of a nutritional assessment. A staggering 30% of Americans are considered obese, and as advanced practice providers, it will be our duty to make every effort to aid in the decrease of these statistics through assessment, treatment, and education (Rhoads & Petersen, 2021).Malnourishment is also an issue, especially those who are hospitalized, unable to ambulate, and post-surgical intervention. Malnourishment Risk Assessments include the Malnutrition Screening Tool, Nutritional Risk Screening, Mini-Nutritional Assessment Short Form, and the Subjective Global Assessment (Rhoads & Petersen, 2021). These can be found on page 61 in our text.When methodically assessing nutrition, five domains are included to obtain essential data. The first domain is an assessment of nutrient balance which pertains to dietary intake, digestion and regulation of nutrients, energy expenditure (or metabolism), and nitrogen balance (Rhoads & Petersen, 2021). Domain 2 assesses body composition: weight, height, body mass index (BMI), muscle, etc (Rhoads & Petersen, 2021). Domain 3 evaluates inflammatory activity. This includes data regarding signs and symptoms of infection, pain, and laboratory testing, such as albumin, prealbumin, c-reactive protein (CRP), total lymphocyte count (TLC), and others (Rhoads & Petersen, 2021). The fourth domain assesses muscle, immune, and cognitive function (Rhoads & Petersen, 2021). Domain 5 looks at social determinants, including age, education, living circumstances, and access to healthcare (Rhoads & Petersen, 2021). Additionally, comorbidities and conditions must also be taken into consideration; this includes gastrointestinal, endocrine, and neurological disorders, but does not exclude special populations such as athletes.While nutrition plays an important role to our health, a recent systematic review determined healthcare providers are not educated enough on this subject in order to be able to adequately educate and assess nutritional status to provide high-quality, nutritional care (Crowley et al., 2019). To be effective and knowledgeable advanced practice providers, it is crucial we seek additional education in this area if we feel we are not serving our patients in a positive way when it comes to nutrition. According to the World Health Organization (n.d.), nutrition positively impacts longevity, non-communicable diseases, maternal/fetal health, immune systems, and child development. Therefore, it is imperative we are able to provide confident guidance in this area of healthcare.