Healthinformation helps to enhance communication, patients’ safety,harmonization of health care systems, influencing clinicalassessments, keeping proper records and adherence to evidence-basedclinical methods. The historyandinformation about health is obtainable if there is propercommunication between the clinical staff and the patients (Sullivan,2012). In the case involving a therapist and a disabled blackAmerican who is seventy-six years old, and he resides in the urbanregion, the communication should be geared towards understanding thechallenges facing the patient and how to overcome them. When speakingto a teenage Latino boy from a middle-class an adolescentHispanic/Latino boy from a middle-class background, the physicianought to consider communication styles that are identifiable with theyouths. In the case involving a 55-year-old Asian female fromhigh-density poverty setting, the health history will include issuessuch as access to quality services, social amenities and ill-healthintensity. An interview with a pre-school aged white female from arural setting will involve issues such as family background andjuvenile health complications. An interview with a 16-year-old whitepregnant teenager from an inner-city neighborhood will considerissues such as social status, partner’s health history andadolescent health complications.

Theinterview questions will vary significantly depending on age,ethnicity, gender and social environment. It is known that healthoutcomes are influenced by factors such as socio-economicenvironment, gender and age. The health complications are influencedby the said factors differently, including the nature of thediseases. For an expectant 16-year-old Caucasian teenager who comesfrom an interior-city neighborhood and an Asian woman aged 55 yearsfrom high-concentration of poverty are at a greater risk of gettingexposed to diseases. The 76-year-old black American male withdisabilities and adolescent Hispanic/Latino boy from a middle-classbackground are likely to record reduced health risks due to enviablesocial setting. Difference in ages is also a major determinant on thehealth risks (Deeks, Et al, 2009).

The55-year-old Asian female from high-density poverty setting is exposedto several health risks. The social environment is not conducive toenhance quality living. Being a high density area, it is likely forthe lady to encounter communicable diseases faster. Second, povertyincreases the risk of getting diseases. It is notable that the ladycannot access quality health care services due to lack of enoughfinances. Another element may be discrimination owing to her race.Her old age may also contribute to increased risk as the elderly havea potentially weak body that cannot easily cope with the healthcomplications. In interviewing the lady, the communication stylesshould be geared towards understanding the socio-economic andlifestyle facets that influence the health outcomes. I would use theFallRisk Assessment for Older Adultsas the instrument to assess the risks on the individual.

Targetedquestions will include the following

  1. What are some of the social challenges you encounter when seeking quality health care services?

  2. Which common health ailments do you encounter most?

  3. Based on the information from your family, which are the common ailments (if any) affecting other family members?

  4. What would you identify as the biggest contributor to your health challenges?

  5. Has the health care institutions helped you in enhancing positive health outcomes?


Deeks,A., Lombard, C., Michelmore, J., &amp Teede, H. (2009). The effectsof gender and age on health related behaviors. BMCPublic Health, 9, 213–220.

Sullivan,D. D. (2012). Guideto clinical documentation (2nd ed.).Philadelphia, PA: F. A. Davis.