To compose detailed and effective patient profiles, clinic professionals note the important information on the patient’s state. It is necessary to note (1) the patient’s age and (2) ethnicity. The information on (3) the patient’s primary language and (4) profession should also be noted. To complete the patient’s profile, the nurse needs the information on (5) the history of the present illness, (6) used medications, (7) observed allergies, (8) past medical and surgical history, (9) facts of the personal and (10) family history, (11) immunization history, and (12) subjective complaints.
To do the assessment, the clinic focuses on such significant components as (1) the subjective data provided by the patient on his or her (a) physical state, (b) complaints, and (c) past medical history. The data also depends on the character of the problem. For instance, to provide the assessment related to the women’s health, it is necessary to ask the patient about such details as the menstrual, pregnancy, and STI (sexually transmitted infections) history (Schuiling & Likis, 2013, p. 112). The next important component is (2) the objective data received as a result of the physical examination. The practitioner assesses the patient in relation to such criteria as (a) vital signs, (b) HEENT (Head, Eyes, Ears, Nose, and Throat) examination, and (c) cardiovascular assessment.
While referring to the needs of the community of Chester, PA, it is important to note that there are details in the approach to composing the patient profile which can be addressed in the clinic in order to contribute to providing more effective care. The community is not characterized by significant cultural diversity because the prevalent population is African Americans. However, race and language should be fixed clearly in the profile in order to avoid ethical and moral issues. Furthermore, the high unemployment rate is also connected with the community members’ health issues. That is why the information about the person’s employed/unemployed status should be added to the profile form. More attention should be paid to the family and personal history facts in order to predict and fix associated health problems (Chester, PA: City Data, 2014). Thus, the patient profile meets the community’s needs because it asks for detailed information on the patient’s history, but certain aspects should be noted in order to improve the used patient profile form.
The assessment used in the clinic is effective to meet the needs of the community representatives because much attention is paid to examining the patient’s state in relation to vital signs, HEENT examination, and cardiovascular assessment. These assessments are important for the community members to conclude about their health state because of the prevalence of such diseases as heart diseases and strokes, chronic respiratory diseases, and cancer in the community. Thus, the mentioned assessments are extremely important for the community members to predict and treat the diseases which are typical for the population of Chester (Chester, PA: City Data, 2014; The Community Tool Box, 2013). The concentration on examining the head, eyes, nose, ears, and throat is important to predict and conclude respiratory diseases and cancer. The risk of heart diseases is also examined with references to assessing the vital signs and with the help of the cardiovascular assessment. That is why the proposed assessments can be discussed as effective to be used in the clinics of Chester without modifying them intensively.
References
Chester, PA: City Data. (2014). Web.
Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health. Burlington, MA: Jones and Bartlett Publishers.
The Community Tool Box. (2013). Windshield and walking surveys. Web.