Description
PURPOSE
Before any nursing plan of care or intervention can be implemented or evaluated, the nurse assesses the individual through the collection of both subjective and objective data. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting subjective assessment data, synthesizing the data, and on identifying health/wellness priorities based on the findings. The purpose of the assignment is two-fold:
Explanation & Answer
Answer posted please confirmKindly go through the work and let me know incase of any question,problem or clarification.If the answer is okay,looking forward to work with you again.Thank you
Topic: Health History
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Introduction
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Question Analysis
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References
Running Head: HEALTH HISTORY
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Health History
Name
Institutional Affiliation
1
HEALTH HISTORY
2
The Health History
Health History Assessment
Demographic data
Name A.A
Gender Female
Age 12/06/1969
Ethnic Origin Africa American
Birth Place Dallas, Texas
Primary Language English
Marital Status Married
Occupation Hairdresser
Past Medical History:
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Rheumatoid Arthritis, diagnosed 2016
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Medications: Ibuprofen 800 mg
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Allergies: IV contrast dye
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Vaccinations/Immunizations: A.A. is up to date with all
vaccinations/immunizations.
Family Medical History:
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Negative for Rheumatoid Arthritis or connective tissue diseases
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Father, 73 has a history of hypertension and high cholesterol
Review of Systems:
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Skin: had no vasculitic rashes or nodules
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Head, Ears, Eyes, Nose, and Throat: Denies.
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Neck: Denies.
HEALTH HISTORY
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Musculoskeletal exam Upper extremities-Fingers had swelling and rheumatoid
nodules, Wrists had decreased range of motion
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Musculoskeletal exam Lower limbs- Feet had swelling and tenderness
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Respiratory System: Shortness of breath upon exertion.
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Cardiovascular System: Denies
Physical Assessment Priorit...
Review
Review
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