Sign In
Not register? Register Now!
Essay Available:
Pages:
3 pages/β‰ˆ825 words
Sources:
2 Sources
Style:
Other
Subject:
Health, Medicine, Nursing
Type:
Other (Not Listed)
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 12.96
Topic:

NRS 434VNR Assignment Health History and Examination

Other (Not Listed) Instructions:

In this assignment, you will be completing a health assessment on an older adult. To complete this assignment, do the following:
Perform a health history on an older adult. Students who do not work in an acute setting may "practice" these skills with a patient, community member, neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual).
Complete a physical examination of the client using the "Health History and Examination" assignment resource. Use the "Functional Health Pattern Assessment" resource as a guideline to assist you in completing the template.
Document findings of complete physical examination in Situation-Background-Assessment-Recommendation (SBAR) format. Refer to the sample SBAR Template located on the National Nurse Leadership Council website at https://www(dot)ihs(dot)gov/nnlc/includes/themes/newihstheme/display_objects/documents/resources/SBARTEMPLATE.pdf as a guide.
Document the findings of the physical examination in the assessment worksheet.
Using the "Health History and Examination" assignment resource, provide the physical examination findings summary with planned interventions for the client. Include any community services in the interventions.
APA format is not required, but solid academic writing is expected.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Turnitin.
NRS-434VN-R-Functional-Health-Pattern-Assessment-Student.docx NRS-434VN-R-IndividualHealthHistoryandExaminationAssignment-Student.docx
How does the person describe current health? What does the person do to maintain health? What does person know about links between lifestyle and health? How big a problem is financing health care for this person? Can this person report his/her medications and the reason for taking them? If this person has allergies, what does he/she do to prevent/manage them? What does the person know about medical problems in his/her family? Have there been any important illnesses/injuries in this person’s life? 

Other (Not Listed) Sample Content Preview:
Health History and Examination
Health Assessment of the Head, Neck, Eyes, Ears, Nose, Mouth, Throat, Neurological System, and the 12 Cranial Nerves Skin, Hair, Nails, Breasts, Peripheral Vascular System, Lymphatics, Thorax, Heart, Lungs, Musculoskeletal, Gastrointestinal, and Genitourinary Systems
Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include relevant data for your client.
Student Name:

Date: October, 2017


Client/Patient Initials: M.R

Sex: Female

Age: 75

Occupation of Client/Patient: Secretary in a Private School

Health History/Review of Systems
(Complete and systematic review of systems)

Neurological System (headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc., medications):
The patient who was examined stated that she has been having just minor headaches probably once per month (She thinks that this is due to allergies). She has never had history of head injuries, tremors, unexplained weakness, dizziness, convulsions, tingling or numbness. There is no any report to show that she has been having difficulties in speaking or swallowing.

Head and Neck (pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications):
The patient who was examined did not say having pain in head or neck. Mild headaches were to be occurring on a monthly basis, which she thought to be occurring due to allergies.
The patient denied having any head or neck injury, lump or swelling, neck pain, or any surgery on neck or head.

Eyes (eye pain, blurred vision, history of crossed eyes, redness/swelling in eyes, watering, tearing, injury/surgery to eye, glaucoma testing, vision test, glasses or contacts, medications): The patient did not report having eye pain. She is also not having history of crossed eyes, blurred vision, and eye watering, tearing or injury, or eye surgery to her eyes.
The patient examined was having red eyes but this was due to the allergies. The patient was using Visine to relieve redness and irritation.
The last eye examination that the patient went for was on February 2017. The patient did report having Glaucoma.
For purposes of reading, the patient stated that she is using specialized eye glasses with a prescription of +3. She also stated she only needed those glasses when reading or better still when working with computer. She did not report having used contact.

Ears (earache or other ear pain, history of ear infections, discharge from ears, history of surgery, difficulty hearing, environmental noise exposure, vertigo, medications):
The examine patient having an earache currently or in the past. She also denied having any ear pain, a history of ear infections, there was no any kind of discharge from her ears. There is no any report on any surgery that was conducted in her ears. She also denied having Vertigo, or better still difficulties in hearing. The patient has not been exposed to an environment of noise. There are no medications that she using for her ears.

Nose, Mouth, and Throat (discharge, sores or lesions, pain, nosebleeds, ...
Updated on
Get the Whole Paper!
Not exactly what you need?
Do you need a custom essay? Order right now:
Order

πŸ‘€ Other Visitors are Viewing These Other Other (Not Listed) Samples:

HIRE A WRITER FROM $11.95 / PAGE
ORDER WITH 15% DISCOUNT!
Order Now