2
Health History and Physical
Student Name
Chamberlain University
Course Number and Title
Professor Name
Due Date
Complete a health history and physical examination of an individual. Using the following subjective and objective components and your textbook for explicit details about each category, complete an individual’s health history and physical examination and fill in the template below. Make sure to use correct terminology while documenting the details of each section. The person interviewed must be 18 years of age or older. Please avoid using any identifiers in preparing the assignment and follow HIPAA protocols.
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Assignment Sections and Required Criteria
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Assessment Documentation |
Reference Citations (If needed) |
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Health History
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Demographic data
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Perception of health
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Past medical history (including medications, allergies, vaccinations, and immunizations)
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Family medical history
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Review of systems
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Developmental considerations (using Erikson’s Stages of Psychosocial Development)
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Cultural considerations
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Psychosocial considerations
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Presence or absence of collaborative resources
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Reflection
1.) Reflect on your interaction with the interviewee holistically.
a.) Describes 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.
2.) How did your interaction compare to what you have learned?
3.) What barriers to communication did you experience?
a.) How did you overcome them?
b.) What will you do to overcome them in the future?
4.) What went well with this assignment?
5.) Were there unanticipated challenges during this assignment?
6.) Was there information you wished you had available but did not?
7.) How will you alter your approach next time?
References
