Pregnancy-Focused Health History
Pregnancy-Focused Health History
Assignment 3: 38-year-old Native American pregnant female living on a reservation.
Part 1: Pregnancy-Focused Health History
Assuming that this patient lives on a reservation, she will be utilizing a federally qualified health center (FQHC) through the Indian Health Service (HIS) program. The Indian Health Services (n. d.) stated that improvements to the HIS program were established in 1992 with amendments to the Indian Health Care Improvement Act. These improvements provide care for Native Americans on and off of reservations to access necessary health services, including those not available in all reservation-based FQHCs. The patient will have access to all essential women’s health tools and options. The interview for building the health history would be pregnancy-focused, including a detailed obstetric and gynecologic history, while including topics important to perinatal health such as nutrition, vaccine history, substance abuse, domestic violence, and a detailed history of any familial genetic disorders. The questions would be asked while avoiding medical terminology whenever possible.
Part 2: Risk Assessment Tool
A tool I would incorporate into the health history with this patient is the American College of Obstetricians and Gynecologists Antepartum Record and Postpartum Form (American Academy of Pediatrics and American College of Obstetricians and Gynecologists, 2017). The form is presented in a survey format to provide a detailed prenatal history, patient care, management guidelines, and postpartum management tools. I would choose to work through the prenatal history with the patient to translate many of the form’s medical terms and abbreviations and provide patient education during the process, such as completing the vaccination history and providing the patient with the rationale for obtaining needed vaccines during her pregnancy.
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