...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client.    Nursing Diagnoses: Based on this health history and health screening, identify three nursing diagnoses that would be applicable for this client as well as your rationale for your selection of each nursing diagnosis. Include: One “actual” nursing diagnosis with rationale for choice of this diagnosis. One wellness nursing diagnosis with rationale for choice of this diagnosis. One “risk for” nursing diagnosis based on the health screening with rationale for choice of this diagnosis. © 2011. Grand Canyon University. All Rights Reserved. Student Name: Beth Chiappara Date: October 16, 2014 Biographical Data Patient/Client Initials: AR Phone No: 951 244-6197 Address: 23055 Canyon Lake CA 92587 Birth Date: 02/14/89 Age: 25 Sex: Female Birthplace: Anaheim CA Marital Status: Married Race/Ethnic Origin: Caucasian Occupation: Financial Analyst Employer: University of California Riverside Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance...
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...Health History and Screening of an Adolescent or Young Adult Client Student Name:ANKUR SHALI Date: February 02, 2013 Biographical Data Patient/Client Initials: A.S. Phone No: 7089546543 Address: 3249 Polly lane, Berwyn, Illinois. Birth Date:01/16/1988 Age:25 Sex:Female Birthplace: Illinois Marital Status: Married Race/Ethnic Origin: Hindu Indian Occupation: Nursing Employer: Rush University Medical Center, Chicago, Illinois. Financial Status: Patient has a great lifestyle. Patient has Blue Cross HMO from Employer and she is financially self-sufficient. Source and Reliability of Informant: The Informant is the patient. She has had no history of dementia or forgetfulness. She is alert and oriented to person, place and time. Past Use of Health Care System and Health Seeking Behaviors: Patient was previously admitted in 2005 for nausea/ vomiting due to food poisoning. Apart from that hospitalization, patient says she only visits the hospital for checkups. Present Health or History of Present Illness: Patient said she has been vomiting for 3 days and that she cannot keep anything down. She said she is in her early weeks of pregnancy. Past Health History General Health: “I feel terrible and tired because of this vomiting” Allergies: (include food and medication allergies) No known drug allergies, no known food allergies Reaction: Not applicable Current Medications: Takes...
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...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: Leigh Hinson | Date: 10/19/2015 | Biographical Data | Patient/Client Initials: ECN | Phone No: 910-654-1107 | Address: 6893 Princess Ann Rd. Evergreen NC 28438 | Birth Date:7-20-1999 | Age: 16 | Sex:F | Birthplace: Whiteville, NC | Marital Status:Single | Race/Ethnic Origin: White | Occupation: Cashier | Employer: Food Lion | Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?) She is a full time high school student. She works a part time job as a cashier at a local Food Lion. Her parents and grandparents help her financially. She receives health insurance from her parents. | Source and Reliability of Informant: Patient is very reliable and dependable. | Past Use of Health Care System and Health Seeking Behaviors: None | Present Health or History of Present Illness: Constipation | Past Health History | General Health: (Patient’s own words)Patient states she is in overall good health. | Allergies: (include food and medication allergies) Strawberries | Reaction: Hives | Current Medications:None | Last Exam Date: 4/2015 | Immunizations: All immunizations are up to date. | Childhood...
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...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: Shannon landrum | Date:04/08/16 | Biographical Data | Patient/Client Initials:VPL | Phone No:270-543-8411 | Address:1645 Fairview road Bremen key | Birth Date:02/16/06 | Age:16 | Sex:female | Birthplace: Greenville, KY | Marital Status: single | Race/Ethnic Origin: Caucasian | Occupation: student | Employer: none | Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)Does not work, father provides insurance | Source and Reliability of Informant:parents | Past Use of Health Care System and Health Seeking Behaviors:Frequent checkups at primary physician | Present Health or History of Present Illness:tonsillitis | Past Health History | General Health: (Patient’s own words)Over all good health with frequent sore throats | Allergies: (include food and medication allergies) NKDA | Reaction: | Current Medications:Oral birth controlAmoxicillin BID x 7 days r/t tonsillitis | Last Exam Date:03/21/16 | Immunizations:Up to date, had at 15 | Childhood Illnesses: tonsillitis | Serious or Chronic Illnesses:Had RSV at age 13 months, reoccurring tonsillitis...
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...Running head: FAMILY HEALTH ASSESSMENT April 09, 2011 FAMILY HEALTH ASSESSMENT Family Health Assessment The family of my choice is the Jones family. Sarah Jones is 40years African American, born into the Jones family with both parent alive and grandparent alive. The Jones family are devoted Catholic, they believes strongly in their Christian faith. Sarah Jones family has history of diabetes, hypertension, constipation, alcoholism and long history of smoking. Sarah Jones has history of diabetes, chronic obstructive pulmonary disease and a long 2 history of smoking cigarette ,chronic back pain, insomnia,depression and she weighs 300lbs and height 4.5ft tall , has never being married and has no children. Sarah Jones lives with her parents and she is an unemployed student, Sarah’s parents are retired. Health perception and Health Management In regards to the data collect on Ms Jones , it is noted that she has a long family history of smoking . Sarah Jones also has history of smoking cigarette, Sarah Jones has history of congestive obstructive pulmonary disease, which will result in failure to nourish tissues(Gordon, 1987). Nutrition and Metabolic Ms Jones data collected indicated a history of being obese and diabetes and she is unemployed and lives with her parents who are retired , Sarah Jones has problem of insufficient fund which makes it difficult for her to purchase food that are recommended for diabetic client and also she is unable to make good selection of food...
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...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: Date: Biographical Data Patient/Client Initials: C. M Phone No: Address: Birth Date: Age: 15 Sex: Female Birthplace: Marital Status: Single Race/Ethnic Origin: White Occupation: Student Employer: N/A Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?) Income is adequate for life style, patient is a High School Student at the current time, and lives at home with parents, there is a concern regarding her health, regarding asthma, bronchitis at this time. Patient is unemployed, but is covered under parents insurance BCBS. Source and Reliability of Informant: Patient is a poor historian, but patients mother is present at the time and is a good historian for patient. Past Use of Health Care System and Health Seeking Behaviors: There is a previous use of Health Care System for hospitilation, mother states that the patient does not usually have any health seeking behaviors. Present Health or History of Present Illness: Patient during the past 3 days has developed a progressive cough with mild production of green phlegm, and nasal congestion, that has not been relieve with OTC medication...
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...Health History and Screening of Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name | Date: April 20, 2013 | Biographical Data | Patient/Client Initials: MT | Phone No: | Address: | Birth Date: 10/19/1994 | Age:18 | Sex Female | Birthplace: Richmond, VA | Marital Status: Single | Race/Ethnic Origin: African American | Occupation: Cashier | Employer:VCU Health System | Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)Patient works part-time as a cashier and requires assistant to supplement her income. She receives monthly food stamps and funds from her maternal grandmother to help with living expenses. Medical, dental and vision insurance coverage is available through the patient’s mother. She has no disability limiting her from working or engaging in other activities | Source and Reliability of Informant:Information obtained from patient who is a good historian and is well informed about her health history | Past Use of Health Care System and Health Seeking Behaviors:She uses the health care system for episodic illnesses and recently sought medical care for UTI. Patient understand the importance of obtaining health care when necessary as demonstrated her recent visit to the doctor to for UTI | Present...
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...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: ss | Date: 12/11/14 | Biographical Data | Patient/Client Initials: mkl | Phone No: 442-898-7721 | Address: | Birth Date: | Age: 22 | Sex: F | Birthplace: | Marital Status: S | Race/Ethnic Origin: Caucasian | Occupation: Student | Employer: N/A | Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)Unemployed, BC/BS of California | Source and Reliability of Informant:Self | Past Use of Health Care System and Health Seeking Behaviors: Patient has had regular annual exams growing up. Patient is current on all vaccinations/immunizations. Patine sees PMD annualy. Resently she saw Endocrinologyst to r/o hormonal disbalance due to exess facial hair grow and acne problem. | Present Health or History of Present Illness:Good. Hx of HAV, abnormal liver panel test | Past Health History | General Health: (Patient’s own words)“I am in a good health. I do have problem with acne and I am using Proactive to treat it. I am still trying to loose weigh and working out 3-4 times a week. | Allergies: (include food and medication allergies) NKDA | Reaction:N/A | Current Medications:Multivitamins, Ca, Supplements | ...
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...Chapter 3: Health History and Physical Examination MULTIPLE CHOICE 1. A patient who is actively bleeding is admitted to the emergency department. Which approach is best for the nurse to use to obtain a health history? a.|Briefly interview the patient while obtaining vital signs.| b.|Obtain subjective data about the patient from family members.| c.|Omit subjective data collection and obtain the physical examination.| d.|Use the health care provider’s medical history to obtain subjective data.| ANS: A In an emergency situation the nurse may need to ask only the most pertinent questions for a specific problem and obtain more information later. A complete health history will include subjective information that is not available in the health care provider’s medical history. Family members may be able to provide some subjective data, but only the patient will be able to give subjective information about the bleeding. Because the subjective data about the cause of the patient’s bleeding will be essential, obtaining the physical examination alone will not provide sufficient information. DIF: Cognitive Level: Apply (application) REF: 45 TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 2. Immediate surgery is planned for a patient with acute abdominal pain. Which question by the nurse will elicit the most complete information about the patient’s coping-stress tolerance pattern? a.|“Can you rate your pain on a 0 to 10 scale?”| b.|“What...
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...Health Promotion Among Black or African American Population [Your Name] Grand Canyon University: Family-Centered Health Promotion(NRS-429V) January 10, 2016 Health Promotion Among Black or African American Population The Center for Disease Control and Prevention [CDC] (2015) notes that “Starting in 1997, the Office of Management and Budget (OMB) requires federal agencies to use a minimum of five race categories: White, Black or African American, American Indian or Alaska Native, Asian, and Native Hawaiian or other Pacific Islander.” Each minority group differs in health status and disparities and health promotion. In this paper the writer will focus on a specific minority group, the Black or African Americans, and will compare the minority group’s current health status to the national average. Further the author will discuss which health disparities exist in this particular minority group and what health promotion means to them and then will discuss an a approach using the three levels of health promotion prevention that is the most effective given the unique needs of the minority group with an explanation of why it might be the most effective approach. The Black or African Americans make up 15.2% of the total United States population and consists of people of African American, Sub-Saharan African or Afro-Caribbean decent. It is the second largest minority population. The current health status of this minority group is continuing to get...
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...Health history of a patient is an important tool in identifying health issues and devising efficient interventions to address them. Hence, health providers can use health history information to diagnose, treat and plan for the care of the patients (Ball et al., 2006). In that light, we will focus on the patient named BB for purposes of privacy and confidentiality. BB is a 70-year-old Caucasian female. The patient resides and recently just moved to Show Low, Arizona. She is married and operates her business with the help of her husband. The interview was conducted at her home in Show Low, Arizona. More importantly, the patient's consent was sought before this meeting and she was assured of the confidentiality of the information shared (Jarvis, 2016). Therefore, in continuing with the purpose of this paper - it is to complete a health assessment and history of BB. Health Assessment and History Demographic information The patient described within this documentation will be referred as BB for the purpose of privacy and confidentiality. BB is a 70-year-old Caucasian female. She was born in Long Island, New York and she currently resides in Show Low, Arizona. She has lived in Arizona for the last 30 years as stated, and is married and lives with her husband. Though retired from the 9 to 5 working world, she is self-employed, running her business with the help of her husband. Perception of health The patient appears contented with current life status and well-adjusted too...
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...Health promotion is defined as the process of enabling people to increase control over and improve their health (World Health Organization). Health promotion focuses on helping individuals, families, and communities develop the competence and capabilities they required to gain control over day to day life event and circumstances. The Historical view of health promotion is focus on the prevention of disease through the public health movement. The success of historical health promotion then was measured by the eradication of, or inoculation for, contagious and debilitating disease. Thus polio and small pox are now read about in our history books. The health care promotion was focused on improving the ecological condition of people. History view of health promotion also shows that for the American health system curative system of diseases was mostly in the tertiary level of treatment. The contemporary health promotion encompasses strategies that allow populations to be healthy and enable them to make healthy choices. It is carried out by and with people, not on or to people. The contemporary view is mainly for the prevention of chronic illnesses across the life span. Presently the disease that were formerly associated with adulthood such as diabetes are being diagnosed in adolescents and young adults, The contemporary or modern view of health is prevention of occurrence of disease and promotion of health education with the collaboration of related organization, political, and economic...
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...Grand Canyon University: Family Centered Health Promotion NRS-429V September 8, 2013 Review of Literature Health Promotion is the concern with physical, social, and mental wellbeing that strives to help people take control over the matters that influence their life. In addition, to enable people to increase control of their health, improve their health, and optimize their quality of life. The concept of health promotion was developed to emphasize the community-based practice of health promotion, community participant and health promotion practice. Health promotion can be encompassed with any disease either acute or chronic. When underlining the definition health promotion in relationship to hypertension it is defined as “effect of anti-hypertensive patient-oriented education and in-home monitoring for medication adherence and management of hypertension, by providing education of healthy lifestyle behaviors and medication adherence”(Hacihasanoglu & Gozum, 2011, p. 692). This means to change the behaviors to one’s lifestyle along with medication compliance an individual can achieve control of and a better well-being while living with hypertension. Nurses’ purpose to health promotion is to assist in education, promotion, planning, implementation, and goal setting to patient, groups, and communities. We are the largest group of health professional, we have the potential to contribute substantially in the area of health promotion. The nurses’ responsibility as it relates...
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...the patient’s cultural, religious and ethnic background. Culture is defined as an element of ethnicity, consisting of shared values and behaviors associated with a particular group. (Edelman, et al, 2014) In order to improve the quality of care, it’s important to understand the patient’s culture and the health practices they traditionally use. Regarding the Heritage Assessment tool’s usefulness, it will allow the healthcare professional to understand the patient as a whole due to the fact that it addresses the individual’s heritage, cultural, religious and ethic background and behaviors and how they may relate to the patient’s views on health and wellness. To be Culturally Competent, one has to be able to provide healthcare based on the total patient situation- ethnically, culturally and spiritually. The Heritage Assessment Tool is designed to open up dialogue in order for the healthcare professional to have a better understanding of their patient and allow them to provide more effective healthcare with the patient’s own health traditions having been assessed. This, ideally, will result in a holistic approach to healthcare. (Giger & Davidhizar, 1990) Common Health Traditions Based on the cultural heritage information received from the Heritage Assessment Tool filled out by the families chosen, the families from Germany and Jamaica prepare food from their ethnic background but the family from Great Britain does not. The family from Great Britain also...
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...Nursing Health History 1. Biographic Data A. Patient/Client Initials * K.E. B. Phone Number * 281-835-4377 C. Address * Missouri City, Texas D. Birthdate * October 26,1935 E. Age * 74 y/o F. Sex * Female G. Birthplace * India H. Marital Status * Widowed I. Race/Ethnic Origin * Asian Indian J. Occupation * House Wife K. Employer * N/A L. Financial Status * Her income comes from Social Security. Currently has Medicare as her health insurance. She lives with her son, allowing her to be able to support her lifestyle and health concerns. M. Source and Reliability of information * Client herself, who seems reliable. II. Reason for Seeking Care * The client came to the hospital because o to consistent back pain which is interfering with ADLs. The pain has been present for the past two weeks. Back pain is located in the lower lumbar area. It is a throbbing like pain that occurs through out the day. The severity of pain on a scale of 1-10, client rated 8. The pain causes her to sit down or lay down until pain improves. Pain lasts for about 15 minutes. Not standing up usually relieves the pain. 1. When did symptoms appear? - Pain began two weeks ago when she was cleaning. 2. How often? - Pain has reoccurred everyday. 3. Type of activity when patient’s symptoms occurred. - The problem happened when the patient was cleaning. III. Past Health History * Client...
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