Posted: February 26th, 2023
comprehensive assessment
. Comprehensive Health Assessment (
10
% of grade) (CC2. a, b, c)
· After completing, a detailed health history and complete physical examination students will document the results of the health history and physical examination using APA The health history form and details on how to complete this activity are found on the Blackboard Course.
|
Rubric for Health History | |||||||
|
Topic |
Points |
Criteria |
|||||
|
Patient Demographics |
5 |
Gender, age, ethnicity, and other social demographics as indicated. |
|||||
|
Chief Complaint / Present Illness |
Use patient’s own words, followed by brief history of current illness. |
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|
Past Medical History |
Thorough discussion of past illnesses, treatments, surgeries, immunizations, etc. |
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|
Current Health Status |
Summary of general health status related to present illness. |
||||||
|
Genogram |
10 |
Grandparents, parents, siblings, children. |
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|
Family History |
Detailed narrative description of genogram. |
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|
Personal & Social History |
Work, family, friends, community support systems, recreation/leisure activities, alcohol/drug/smoking history |
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|
Review of Systems |
20 |
Include both subjective data and objective examination findings |
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|
Nutritional Assessment |
24-hr diet intake, calorie count, BMI, mini-nutrition assessment findings & score (pg. 157) |
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|
Risk Factors |
Disease, illness, or injury risk factors (Cardiovascular, Respiratory, Cancer, Safety, etc.) |
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|
Health Promotion |
Prioritize based on risk factors, develop teaching plan with nursing interventions. |
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|
APA Guidelines & Writing Style |
APA (title page, margins, page numbers, headings, subheadings, citations); spelling; writing clear, concise, professional. |
||||||
|
Total |
100 |
. Comprehensive Health Assessment (
10
% of grade) (CC2. a, b, c)
· After completing, a detailed health history and complete physical examination students will document the results of the health history and physical examination using APA The health history form and details on how to complete this activity are found on the Blackboard Course.
|
Rubric for Health History | |||||||
|
Topic |
Points |
Criteria |
|||||
|
Patient Demographics |
5 |
Gender: F, age: 70, ethnicity: Black: African American, and other social demographics as indicated: Haitian. |
|||||
|
Chief Complaint / Present Illness |
Use patient’s own words, followed by brief history of current illness. Diabetes, high cholesterol, anemia, high blood pressure |
||||||
|
Past Medical History |
Thorough discussion of past illnesses, treatments, surgeries, immunizations, etc. |
||||||
|
Current Health Status |
Summary of general health status related to present illness: stable due to taking medication to treat each illness |
||||||
|
Genogram |
10 |
Grandparents, parents, siblings, children. |
|||||
|
Family History |
Detailed narrative description of genogram. |
||||||
|
Personal & Social History |
Work: retired, family, friends, community support systems, recreation/leisure activities, alcohol/drug/smoking history:none |
||||||
|
Review of Systems |
20 |
Include both subjective data and objective examination findings: mole on back |
|||||
|
Nutritional Assessment |
24-hr diet intake, calorie count, BMI, mini-nutrition assessment findings & score (pg. 157) |
||||||
|
Risk Factors |
Disease, illness, or injury risk factors (Cardiovascular, Respiratory, Cancer, Safety, etc.) |
||||||
|
Health Promotion |
Prioritize based on risk factors, develop teaching plan with nursing interventions. |
||||||
|
APA Guidelines & Writing Style |
APA (title page, margins, page numbers, headings, subheadings, citations); spelling; writing clear, concise, professional. |
||||||
|
Total |
100 |
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