Description
Assignment: Health History - The Art of History Taking and Putting All Together w/Information Processing - Unit 2-3
Directions:
Please refer to your Shadow Health Platform.
This Comprehensive Assessment provides the opportunity to plan and conduct a full health assessment on a patient in a single clinic visit.
After completing this Shadow Health Assessment the student should be able to:
- Document accurately and appropriately:
- Document subjective data using professional terminology.
- Document objective data using professional terminology.
- Demonstrate clinical reasoning skills:
- Use clinical reasoning to plan the organization of a comprehensive exam.
- Gather subjective and objective data. Have an Assessment and Plan of Care.
- Differentiate between variations of normal and abnormal assessment findings. Including a list of differential diagnosis.
- Select and use the appropriate tools and tests necessary for a comprehensive assessment.
- Reflect on personal strengths, limitations, beliefs, prejudices, and values.
- Develop strong communication skills.
- Interview the patient to elicit subjective health information about her health history.
- Ask relevant follow-up questions to evaluate patient condition.
- Demonstrate empathy for patient perspectives, feelings, and sociocultural background.
- Identify opportunities to educate the patient.
To view the Grading Rubric for this Assignment (include unit 2 Assignment), please visit the Grading Rubrics section of the Course Home.
Assignment Requirements:
Before finalizing your work, you should:
- be sure to read the Assignment description carefully (as displayed above);
- consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
- utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
- follow the conventions of Standard American English (correct grammar, punctuation, etc.);
- be well ordered, logical, and unified, as well as original and insightful;
- display superior content, organization, style, and mechanics; and
- use APA 6th Edition format as outlined in the APA Progression
Explanation & Answer
Attached.
1
Running Head: Shadow health patient interview
Shadow Health Patient Interview
Student name:
Institutional affiliation:
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Shadow health patient interview
Shadow Health Patient Interview
I contacted an interview with Stephane Jones a patient with suffering from an injury of
the right foot. During the interview, I was able to survey the patient, make assessment of the
current status of the patient, know the past medical history of the patient, assess the cultural
background of the patient.
Question: What brings you here today?
Question: Miss Jones, how old are you? how did the pain begin or what is casual activity for the
pain?
Question: Where do you feel most pain?
Question: Have you ever had a medical probably related of this nature? or has any of your
relatives got such a problem?
Question: Tell me something about your social and personal history; family culture, sleep
quality, urination pattern.
Question: How do you feel when eating food?
In conclusion, after the shadow health interview, some the activities which happened
concurrently with the interview included raising the two bed-rails near the head of the patient,
placing the table with a distance reachable by the patient, ensuring that the call light can easily be
reached by the patient, place a non-skid foot wear on the patient.
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Shadow health patient interview
References
Chambers, R., Drinkwater, C., & Boath, E. (2003). Involving patients and the public : how to do
it better. Abingdon: R...