This article discusses the importance of health assessment in healthcare, focusing on the interview process with older adults. It also highlights the barriers faced by older adults in accessing healthcare.
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Running head: HEALTHCARE HEALTHCARE Name of the student: Name of the university: Author note:
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1 HEALTHCARE Introduction Health assessment is an important aspect in healthcare which includes physical inspections or various other procedures to detect the illness in a very early stage, when the person starts feeling ill or notices symptoms. Healthassessmentof in older adults can be performed on variety of levels, that range from minor screenings to complex disease evaluations. In order to perform the assessment, the healthcare providers and nurses needs to practice skills and knowledge about the process (Forbes & Watt, 2015). They must know the appropriate process of using diagnostic tools and apparatus. One of the major part of health assessment is interview with the effected person. The assignment will focus on the Critical Reasoning Cycle to conduct the interview with older person regarding the health issues witnessed. Clinical Reasoning Cycle 1: The interview set was manual, based on the nursing and healthcare knowledge and practice a questionnaire was prepared. The interview was conducted between a healthcare professional and an older person usingprepared a semi-structured interview grounded on the primary ideas. environment and the surrounding where the health assessment interview will be performed was selected very carefully. The questions focused on the health issues faced by the older person and what all facilitation issues the person has been facing because of the age group and it was an open-end interview. There was minimal amount of distraction; no noise from things such as television, music player, radio and also the public address arrangements were not loud as it may distract the elderly person or effect the ability of the person to distinguish between words and comprehend the questions asked. (Giger, 2016).The questionsandpracticeincludedthecasehistory,familymedicalhistory,present
2 HEALTHCARE medication,palpation,inspection,percussionandauscultation(Stanyon et al., 2016). Also it used recorders to record the conversation and the data were written down in as a text. Clinical Reasoning Cycle 2: Before collecting the data and information of the health condition of the older person using techniques, it is important to collect the history and present knowledge about the older patient. This will include identifying personal data such as name, age, address, religion etc. Then comes the past history collection such as finding out the allergies the person has, immunizations, surgeries, past illness and injuries that the older person witnessed and also family medical history (Jarvis, 2015). It states whether the patient family line has any disorder or illness cases. At last comes the present medical information, such as medications, treatments therapies the older person is going through. Palpation:Palpation basically used in order collect data using sensory actions of touch in the hands and finger. Palpation is a process which is used for assessment in various physical assessment parts, such as to pulses, texture of skin, body temperature, hair condition, tumour presence or pain (Kristensen et al., 2015). The nurse may use her fingertips to check the pulses of the older person and other physical assessments. Inspection:Inspection is the methodology which is most commonly used for the physical assessment process. It is a process in which the intelligences of vision, smell, and audible range are used for data collection (Harte et al., 2017). The healthcare giver, using the knowledge of vision, hearing and smell will understand the difficulties and problems in the health of the older person. Percussion:Percussion is an important technique used for health assessment in which the size, location, and thickness of the portions under the skin are examined by drumming the
3 HEALTHCARE affected area and observing the resonance of the sound waves. The technique is used by the nurse to understand and observe the older person (Varvarigou et al., 2016). Auscultation:Auscultation is a method of information collected which involves stethoscope or various other sound speaker usage in order to make the sounds of the heart beat and lungs louder and more clear. This will be used to report the data about the heart beat rate and other respiratory tract conditions of the older person (Gardezi et al., 2018). Clinical Reasoning Cycle 3: From the health assessment interview, a knowledge about the health status and barrier to health of the older people was obtained. There are various issues that are resulting as a barrier to health access and conditions for the type of population. The affordability of the healthcare service is one of the reasons of the barrier. The financial status and pension cuts that these older people witness makes it difficult for them to afford such expensive and proper healthcare treatments (Temple & Williams, 2018).Pharmaceutical access is also one of the issues that the older people face which can be either because of the lack of availability of appropriate medications in their areas or may be because of their lack of ability to put effort to visit the stores. Next is thePrimary care service utilization, as it was found that the elder people visit the emergency words in a sever health condition because they miss or skip the regular check-ups or primary addressing for their respective diseases or difficulties, which later induces and becomes a serious issue for them (Amjad et al.,2016). It is also found d that elder people with various disorders related to their movement or memory makes it more difficult for them to access to health care which is effecting their health conditions in a much sever way.
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4 HEALTHCARE Conclusion The assignment concludes about the interview practice that should be performed for the health assessment for older people which will help in understanding more precisely the health related issues and barrier they face because of the age group. It also states about the specific criteria that should be followed to address a proper privacy maintained interview session, the techniques and steps that needs to be followed. It also highlighted the barriers they have been facing in order to get proper healthcare treatment and facilities.
5 HEALTHCARE Reference: Amjad, H., Carmichael, D., Austin, A. M., Chang, C. H., & Bynum, J. P. (2016). Continuity of care and health care utilization in older adults with dementia in fee-for-service Medicare.JAMA internal medicine,176(9), 1371-1378. Forbes, H., & Watt, E. (2015).Jarvis's physical examination and health assessment. Elsevier Health Sciences. Gardezi, S. K., Myerson, S. G., Chambers, J., Coffey, S., d’Arcy, J., Hobbs, F. R., ... & Prothero, A. (2018). Cardiac auscultation poorly predicts the presence of valvular heart disease in asymptomatic primary care patients.Heart,104(22), 1832-1835. Giger, J. N. (2016).Transcultural nursing: Assessment and intervention. Elsevier Health Sciences. Harte, R., Glynn, L., RodrĂguez-Molinero, A., Baker, P. M., Scharf, T., Quinlan, L. R., & Ă“Laighin, G. (2017). A human-centered design methodology to enhance the usability, human factors, and user experience of connected health systems: a three-phase methodology.JMIR human factors,4(1). Jarvis, C. (2015).Physical examination and health assessment. Elsevier Health Sciences. Kristensen, M. S., Teoh, W. H., Rudolph, S. S., Tvede, M. F., Hesselfeldt, R., Børglum, J., ... & Hansen, L. N. (2015). Structured approach to ultrasound-guided identification of the cricothyroid membrane: a randomized comparison with the palpation method in the morbidly obese.BJA: British Journal of Anaesthesia,114(6), 1003-1004. Stanyon, M. R., Griffiths, A., Thomas, S. A., & Gordon, A. L. (2016). The facilitators of communication with people with dementia in a care setting: an interview study with healthcare workers.Age and ageing,45(1), 164-170.
6 HEALTHCARE Temple, J. B., & Williams, R. (2018). Multiple health conditions and barriers to healthcare among olderAustralians:prevalence,reasonsand typesof barriers.Australian journal of primary health,24(1), 82-89. Varvarigou, M., Hallam, S., Creech, A., & McQueen, H. (2016). Intergenerational music- making: A vehicle for active ageing for children and older people.Oxford textbook of creative arts, health, and wellbeing: International perspectives on practice, policy and research, 259-267.