The scenario I will be writing on is “A 14-year-old biracial male living with his grandmother in a high-density public housing complex”.

            Collecting patient data is a core step in the nursing process and healthcare professionals usually develop a relationship with their patients during the history and interviewing process ((Ball, Dains, Flynn, Solomon, & Stewart, 2019). I will first introduce myself to the patient and establish privacy. When interviewing the patient effective communication is important. It is necessary to establish a positive patient relationship by ensuring courtesy, comfort, connection, and confirmation.

          Teenagers are exposed to many external and internal struggles and are expected to cope with hormonal changes, puberty, social and parental forces, work and school pressures, and other problems of life. During adolescence, individuals may also be exposed to risky behaviors and need help in making the right decisions. As such, teenagers may be unwilling to speak with healthcare providers. There is, therefore, the need to establish privacy and providers must be sensitive to the needs and situation of the patient. Providing a safe place for the adolescent to speak freely is a goal of the healthcare provider (Ball et al., 2019). 

            The health assessment will be from head-to-toe and going through each system of the body. During the interview process, I will ask the patient open-ended questions regarding his health, to allow him to share more information, including his feelings, attitudes, and understanding of the subject. Examples of open-ended questions that may be asked to a 14-year-old include; 

Tell me about your living situation, and how are things at home?
Tell me about your friends, and what activities do you do with your friends?
What do you like or don’t like about your school?

          Risk assessment explores the behavioral and lifestyle changes and influences decisions regarding treatments (Wu & Orlando, 2015). Specific screening tools have been developed for gathering the psychosocial history of adolescents (Sullivan, 2019). The screening tool for adolescent issues is the Home, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicide/Depression, and Safety (HEEADSSS). This interview format is flexible and designed for adolescents because physical and social threats are common during adolescent age.

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination:  An interprofessional approach (9th ed.). St. Louis, MO:  Elsevier Mosby.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.

Wu, R. R., & Orlando, L. A. (2015). Implementation of Health Risk Assessments with Family Health History: Barriers and Benefits.” Postgraduate Medical Journal, no. 1079: 508. doi:10.1136/postgradmedj-2014-133195.

      Assume you are the information system manager at a community clinic in the kingdom of Saudi Arabia that currently is completely paper-based.The clinic is planning to implement an EHR (Electronic Health Record ) system. List two semi-structured interview questions that you would ask a physician or registered nurse as part of your preparation for the transition. Explain and justify why the selected questions are necessary .

Requirement :

– 2 Pages 

– 3 Resources

– APA writing standard

– No plagiarism 

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

In Topic 10, you will submit a summary report of your scholarly activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

Respond to your colleagues’ posts by sharing your thoughts on  their specialty, supporting their choice or offering suggestions if  they have yet to choose. 

At least 2 references in each peer responses! 

Nursing today is continually changing and expanding.  Staying current on the latest best practices is essential.  Evidence-based practice is a philosophy of implementing the best practices and procedures that have been proven, through research and studies, to facilitate the most favorable outcomes.  In 2010 under the Obama administration and the Affordable Care Act, evidence-based practice (EBP) shifted health care from being based on a reimbursement system and quantity to a system based on evidence and quality (Laureate Education, 2018).  EBP is a long-term problem-solving approach to clinical practice.  These practices integrate evidence from research, clinical experience, theories, expert panels, patient values, and preferences (Melnyk & Fineout-Overholt, 2018).  

For this discussion assignment, I have chosen the Mayo Clinic website.  The Mayo Clinic is the oldest and largest medical group with several multispecialty facilities, combining medical practice with research and education on both a national and international level.  The Clinic has a united model of care that permits multi-disciplinary practice that fosters the team-orientated patient health care and accountability (Bakri & Mayo Clinic, 2014).  Mayo clinic’s mission statement is “To inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, education and research” (Mayo Clinic, n. d.).

I believe that the Mayo Clinic is well-grounded in EBP, through the many research activities in which they are involved.  Through research, the Mayo Clinic has been involved in over a hundred medical breakthroughs.  All of these have contributed to the well-being of the patient population.  Good examples are their development of a rapid way to diagnose surgical specimens allowing their surgeons to explore, diagnose, and repair all in one operation.  Also, the mayo clinic isolated thyroxin, the principal hormone of the thyroid gland; only the second time, a pure hormone had been isolated, and the Mayo Clinic developed a DNA test to diagnose anthrax rapidly (Mayo clinic, n. d