nur 2092 Health History Essay

nur 2092 Health History Essay

Module

03 Written Assignment – Health History

Conduct a health history on a family member

or friend. Be sure they give you permission. Using the interviewing techniques

learned in Module 2, gather the following information. Use your textbook as

your guide.

Individual Health Assessment Form

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A response is required for EACH item in

EACH category.

Copy this document & record your responses in a text document (e.g.: Word or WordPerfect). That way you can just add the information without retyping the entire document. Please reformat and

delete things as appropriate.

Health History

Biographical data: (2 points)

Initals:____________

Age:

______________ Marital

status: ____M _____ S _____Sep. ____Cohab.

Birth date: _____________________ Number of dependents: ___________________

Educational level: ________________________ Gender: _____F _____ M _____Other

Occupation:

___________________________________¬¬¬¬_________________________

Ethnicity/nationality:

_____________________ Health insurance

____Yes _____No

Source of

history/reliability:________________________________________________

Present health history: (2 points)

Current medical conditions/chronic nur 2092 Health History Essay

illnesses:

Current medications:

Medication/food/environmental allergies:

Past health history: (8 points)

Childhood illnesses: Ask about mumps,

chickenpox, rubella, ear infections, throat infections, pertussis, and asthma.

Hospitalizations/Surgeries: Include reason

for hospitalization, year, and surgical procedures.

Accidents/injuries: Include head injuries

with loss of consciousness, fractures, motor vehicle accidents, burns, and

severe lacerations.

Major diseases or illnesses: Include heart

problems, cancer, seizures, and any significant adult illnesses.

Immunizations (dates of known):

Tetanus _______ Diphtheria ________ Pertussis ________ Mumps ________

Rubella _______ Polio _____________ Hepatitis B ______ Influenza _______

Varicella ______ Other

____________________________________________

Recent travel/military services: Include

travel within past year and recent and past military service.

Date of last examinations:

Physical examination _________ Vision ___________ Dental ___________

Family History (1 point)

Mother/Father/Siblings/Grandparents: include age (date of birth, if known), any

major health issues, and, if indicated, cause and age of death (date of death,

if known). nur 2092 Health History Essay.

Now answer the questions below: (25 points)

1. Was

the person willing to share the information? If they were not, what did you do

to encourage them?

2. Was

there any part of the interview that was more challenging? If so, what part and

how did you deal with it?

3. How

comfortable were you taking a health history?

4. What

interviewing techniques did you use? Were there any that were difficult and if

so, how did you overcome the difficulty?

5. Now

that you have taken a health history discuss how this information can assist

the nurse in determining the health status of a client. nur 2092 Health History Essay.