You will first use The Health History Worksheet to collect health history information on your patient to prepare for this assignment.
You will submit two major parts for this assignment.

  1. Health History Assessment (50 points)
    Using the following components of a health history assessment and your textbook for explicit details about each category, complete a health assessment/history on an individual of your choice. It is important that you inform the person of your assignment and assure him/her that the information obtained will be kept confidential. Please be sure to avoid the use of any identifiers in preparing the assignment. Instead use initials only.
    Using the information, you gathered on the Health History Worksheet, during your client interview, complete and submit the RUA Health History Template (located in the Files of the Lecture folder) to report your findings from each section:
    ▪ Biographic Data
    ▪ Reason for Seeking Care
    o “Pain” of any kind cannot be used for this assignment. Please have your patient choose from the following complaints for you to complete this section: Nausea, Dizziness, Vision change, Rash, Swelling, Diarrhea, Hair loss, or Nose bleed
    ▪ Present Health/History of Present Illness
    ▪ Past Medical History (including medications, allergies, and vaccinations/immunizations)
    ▪ Medications
    ▪ Family Medical History
    ▪ Review of Systems
    ▪ Functional assessment
    ▪ Considerations
  2. Reflection (40 points/40%)
    The reflection is used to intentionally examine our thought processes, actions, and behaviors in order to evaluate outcomes. Provide a written reflection that describes your experience with conducting this Health History. The Reflection must be submitted as an APA style 7th edition Guidelines for Writing Professional Papers. First-person may be used.
    1) Reflect on your interaction with the interviewee holistically.
    a. Consider the interaction in its entirety: include the environment, your approach to the individual, time of day, and other features relevant to therapeutic communication and to the interview process (if needed, refer to your text for a description of therapeutic communication and of the interview process).
    2) How did your interaction compare to what you have learned?
    3) What went well?
    4) What barriers to communication did you experience?
    a. How did you overcome them?
    b. What will you do to overcome them in the future?
    5) Were there unanticipated challenges to the interview? Stating that there were no challenges will not be accepted for points
    6) Was there information you wished you had obtained? Stating that there was no information you wished you had obtained will not be accepted for points
    7) How will you alter your approach next time?

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