Week 1 Discussion PostInterview Summary

The interview should begin by taking the patient’s comprehensive health history. Itshould include questions about the patient’s medical history, family history, lifestyle, and socialhistory. The patient is 21-year-old Filipino student living in a dormitory and wishing to gaininformation about birth control. The interviewer should ask the patient about their general health,chronic conditions, allergies, and medications […]

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The interview should begin by taking the patient’s comprehensive health history. It
should include questions about the patient’s medical history, family history, lifestyle, and social
history. The patient is 21-year-old Filipino student living in a dormitory and wishing to gain
information about birth control. The interviewer should ask the patient about their general health,
chronic conditions, allergies, and medications they are currently taking. Questions about the
patient’s family medical history should include any illnesses, genetic disorders, or chronic
conditions in the family. Questions about the patient’s lifestyle should include their diet, exercise
routine, sleep habits, alcohol and drug use, and stress levels. The interviewer should also ask
about the patient’s sexual history, including their current and past partners, their current
contraception method, and any sexually transmitted infections (STIs) they may have had.
Once the health history is completed, the interviewer should explain the different types of
birth control available and the benefits and risks associated with each method. Questions should
be asked to ensure the patient understands how to use and store the chosen method of birth
control. The interviewer should also discuss other forms of contraception, such as condoms, and
the importance of using them to reduce the risk of STIs. Finally, the interviewer should provide
the patient with appropriate follow-up care and resources, such as local clinics, to ensure the
patient can access the necessary care and follow-up appointments.
Communication Techniques

I would use communication techniques with this patient, including active listening, open-
ended questions, and reflective statements. Active listening is essential when gathering a health
history because it helps to build trust, conveys acceptance and understanding, and encourages the

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patient to share more information (Ilardo & Speciale, 2020). Open-ended questions can allow the
patient to go into more detail and provide more information. Reflective statements can be used to
show that the patient is being heard and understood. The patient would likely be most
comfortable speaking in their native language, so I would be sure to utilize a translator if needed
and speak in a slower, more relaxed manner to ensure they can understand and process what I am
saying.
Additionally, I would ensure that I give the patient adequate time to answer questions and
explain their feelings or concerns. I would also use appropriate language for their age, cultural
background, and educational level to ensure that the patient understands what I am saying (Self
et al., 2018). I would also use non-judgmental language and avoid slang or colloquialisms that
the patient may not be familiar with. Finally, I would use a compassionate and reassuring tone to
ensure that the patient feels comfortable and safe.

Risk Assessment Instrument

The Risk Assessment Instrument I selected is the Family Planning Risk Assessment Tool
(FP-RAT). The tool applies to the selected patient because it is specifically designed to assess
their risk factors for contraception-related adverse outcomes (Cates, 2019). Such includes
looking at physical and mental health, lifestyle behaviors, and other factors related to
contraception. The tool also considers the patient’s cultural and religious beliefs, pertinent to the
selected patient, a Filipino college student. Additionally, the tool can assess the patient’s desired
outcomes related to birth control and family planning and potential side effects (Morse &
Jackson, 2019). All these factors will help the provider make the best recommendation for the
patient.

Questions to Ask the Patient

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  1. Have you ever had a sexual partner?
  2. How often do you have unprotected sex?
  3. Do you have any allergies to medications?
  4. Are you comfortable with discussing issues related to sex and contraception?
  5. Are you aware of the different types of birth control available?
  6. Have you discussed birth control options with your partner?
  7. Do you have any religious or cultural beliefs that might influence your decision regarding
    contraception?
  8. Do you have any health conditions that might complicate or limit the types of birth control you
    can use?
  9. Are you planning to become pregnant soon?
  10. What concerns do you have about using birth control?

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References

Cates, W. (2019). A risk-assessment tool for integrated reproductive health services. Family
Planning Perspectives, 29(1), 41–43.
Ilardo, M. L., & Speciale, A. (2020). The community pharmacist: perceived barriers and patient-
centered care communication. International journal of environmental research and
public health, 17(2), 536
Morse, J. E., Ramesh, S., & Jackson, A. (2019). Reassessing unintended pregnancy: Toward a
patient-centered approach to family planning. Obstetrics and Gynecology Clinics, 44(1),
27–40.
Self, A., Chipokosa, S., Misomali, A., Aung, T., Harvey, S. A., Chimchere, M., … & Marx, M.
A. (2018). Youth accessing reproductive health services: drivers, barriers, and
suggestions from the perspectives of youth and parents. Reproductive health, 15(1), 1-10

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