Journal Article Review

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Journal Article Review
Chamberlain College of Nursing
NR 305
RN Health Assessment

Journal Article Review
“A guide to taking a patient’s history” was written by Hilary Lloyd and Stephen Craig. The article was published in the December 5, 2007 issue of Nursing Standard. The article discusses the process of taking a patient history, preparing the environment, communication, and the importance of order.
Summary of Article
The patient history is an important part of the patient assessment that nurses conduct. The article provides steps on how to take a full and detailed patient history. The first step before obtaining a patient history is obtaining consent from the patient. The patient must be able to provide consent if they are able to act on their own free will and are able to understand what they have agreed to. The next step is preparing the environment. Preparing the environment includes: ensuring that the environment is safe for both the patient and the nurse, maintaining privacy, protecting patient confidentiality, and allowing enough time to complete the assessment. Communication is the next step. During this step, the nurse introduces themselves to the patient. Using active listening and allowing the patient to tell their story is very important during this step. Use of technical terms should be avoided. Questioning should begin with open-ended questions. Examples include: “Tell me about your health problems” or “How does the affect you”. Once these questions have been completed, closed questions should be asked. Examples of these include “When did it begin” and “How long have you had it”. The next step is clarification. During this step, the information the patient has given is repeated back to ensure understanding and to clarify any discrepancies. The final step is to ask the patient “if there is anything else”. This…...

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