Reflect on how well you constructed the HPI for this patient encounter and rate your performance using the following rating scale (High blood pressure was the CC) (0=unacceptable, 1=needs improvement, 2=average, 3=effective, 4=exceptional performer) iHuman Reflection Week

You can rate how effective you made the HPI in this encounter by reflecting on your reasoning. Reveal the reasoning behind the rating, and suggest at least one evidence-based strategy that will improve your performance during the next virtual patient encounter.
Please provide at most one reference. I will rate your performance 3=effective.

iHuman Reflection Week 4.

Constructing an accurate patient’s medical history is fundamental in developing an effective history of present illness (HPI). Since the encounter was virtual, I heavily relied on the patient’s history. Goldberg (2018) affirms that significant information used in creating HPI comes from establishing the client’s medical background. I acknowledge that my ability to conduct the interview effectively influenced the encounter’s outcome. So, I prepared myself for the most common complaints. According to Goldberg (2018), the patient’s history will be valuable if the interviewer is experienced. To this end, I used my knowledge of disease pathophysiology to compile the data for the HPI. I also structured and asked my questions in the most efficient way possible. My performance ended up being 3 (effective).

My evaluation criteria have given me confidence in my performance rating. Goldberg (2018) suggests the success of HPI development is not dependent on having sufficient knowledge and precise testing. However, other important aspects can often be overlooked. As someone who values practical communication, I made every effort to communicate well with my patients and ensure that they had a good experience. The patient responded well to my communication skills and was very open. I collected sufficient data about the patient’s high blood pressure situation. However, next time I will do better. This is the most effective evidence-based strategy to increase my performance on the ………….

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