RUA HEALTH HISTORY AND PHYSICAL ASSESSMENT

RUA HEALTH HISTORY AND PHYSICAL ASSESSMENT

RUA HEALTH HISTORY AND PHYSICAL ASSESSMENT

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1. Complete a health history and physical examination on an individual. Using the following subjective and objective components, as well as your textbook for explicit details about each category, complete a health history and physical examination on an individual. You may choose to complete portions of this assignment as you obtain the health history and perform the physical examination associated with the body systems covered in NR304. The person interviewed must be 18 years of age or older. Please be sure to avoid the use of any identifiers in preparing the assignment and follow HIPAA protocols.

2.

a. Students may seek input from the course instructor on securing an individual for this assignment.

b. Avoid the use of client identifiers in the assignment, HIPAA protocols must be utilized.

c. During the lab experiences, you will conduct a series of physical exams that include the systems listed in Objective Data below.

d. Refer to the course textbook for detailed components of each system exam.

1) Remember, assessment of the integumentary system is an integral part of the physical exam and should be 2 included throughout each system.

e. Keep notes on each part of the health history and physical examination as you complete them so that you can refer to the notes as you write the paper, particularly the reflection section.

f. Utilize proper medical terminology.

3. Include the following sections, used as section headers within the paper.

a. Health History: Subjective Data (30 points/30% [1-2 paragraphs in length])

1) Demographic data

2) Reason for care

3) Present illness (PQRST of current illness)

4) Perception of health

5) Past medical history (including medications, allergies, and vaccinations and immunizations)

6) Family medical history

7) Review of systems 8) Developmental considerations

9) Cultural considerations

10) Psychosocial considerations

11) Presence or absence of collaborative resources (community, family, groups, and healthcare system) b. Physical Examination: Objective Data (30 points/30% [1 paragraph])

1) From NR302

a) HEENT (head, eyes, ears, nose, and throat)

b) Neck (including thyroid and lymph chains)

c) Respiratory system

d) Cardiovascular system

2) From NR304

a) Neurological system

b) Gastrointestinal system

c) Musculoskeletal system d) Peripheral vascular system

c. Needs Assessment (20 points/20% [2 paragraphs]) RUA HEALTH HISTORY AND PHYSICAL ASSESSMENT

1) Based on the health history and physical examination findings, determine at least two health education needs for the individual. Remember, you may identify an educational topic that is focused on wellness.

2) Support the identified health teaching needs selected with evidence from two current, peer-reviewed journal articles.

3) Discuss how the interrelationships of physiological, developmental, cultural, and psychosocial considerations will influence, assist, or become barriers to the effectiveness of the proposed health education.

4) Describe how the individual’s strengths (personal, family, and friends) and collaborative resources (clinical, community, and health and wellness resources) effect proposed teaching.

d. Reflection (10 points/10% [1 paragraph]) 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 complete health history and physical assessment.

1) Reflect on your interaction with the interviewee holistically.

a) Describe 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?

e. Writing Style and Format (10 points/10%)

1) Writing reflects synthesis of information from prior learning applied to completion of the assignment.

2) Grammar and mechanics are free of errors.

3) Able to verbalize thoughts and reasoning clearly. 4) Use appropriate resources and ideas to support topic.

5) Adheres to APA recommendations for title page, running head, headings, in-text citations, and reference page.

6) HIPAA protocols followed.

For writing assistance (APA, formatting, or grammar), visit the APA Citation and Writing Assistance page in the online library.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review material

KEY TAKEAWAYS BEFORE ATTEMPTING THIS ASSIGNMENT

Throughout the history of health care, the comprehensive health history and physical assessment has been an important part of providing quality care to RUA patients. In this essay, we will explore the benefits of a comprehensive health history and physical assessment in RUA patients, the different types of physical assessments used in RUA health care, and the challenges of obtaining a comprehensive health history and physical assessment in RUA patients.
A comprehensive health history and physical assessment is a necessary part of patient care in RUA patients. This is because it provides practitioners with a better understanding of the patient’s overall health, including any underlying conditions or risk factors that could affect their care. According to a study published in the Scandinavian Journal of Primary Health Care by F Francisco, C Erausquin, I Rua-Figueroa and colleagues (2002), a comprehensive health history and physical assessment can be beneficial in RUA patients. Through a comprehensive assessment, practitioners are able to identify any risk factors or underlying conditions that may affect the patient’s care. This can help them to customize the treatment plan for each patient and ensure that the patient receives the most effective care possible. Additionally, a comprehensive assessment can help to identify any potential problems early on, allowing for early intervention and prevention of any further complications. Furthermore, it can also provide practitioners with valuable information about the patient’s lifestyle, diet, and other health-related factors, which can help in the overall management of the patient’s care. In conclusion, a comprehensive health history and physical assessment is an important part of patient care in RUA patients, as it can provide practitioners with valuable information to ensure the patient receives the most effective care possible.
RUA health care providers have a wide range of physical assessments to choose from when evaluating a patient’s health and wellbeing. According to Pujol-Ribera et al. (2006), there are four types of physical assessments used in RUA health care: physical exams, laboratory tests, imaging studies, and functional assessments. Physical exams are conducted by a health care provider to assess the patient’s overall health, and to diagnose any medical conditions or illnesses. Laboratory tests are used to detect any abnormalities in the patient’s blood or urine, which can help diagnose any diseases or disorders. Imaging studies, such as x-rays, CT scans, and MRIs, can be used to detect any structural abnormalities or damage to the patient’s organs. Finally, functional assessments are used to assess the patient’s physical abilities, such as balance, agility, and endurance. All of these physical assessments are important for RUA health care providers to accurately diagnose and treat any medical conditions or illnesses that the patient may be suffering from. Therefore, it is essential for health care providers to be familiar with the different types of physical assessments used in RUA health care in order to provide the best care for their patients.
The challenges of obtaining a comprehensive health history and physical assessment in RUA patients are numerous and can be attributed to a range of factors. According to a study conducted by Pujol-Ribera et al. (2006), there is a wide range of barriers that can impede the collection of a comprehensive health history and physical assessment. These include language barriers, cultural differences, lack of time, and a lack of familiarity with the patient’s medical history. Furthermore, the authors suggest that a lack of communication between providers and patients can also contribute to an incomplete health history and physical assessment. Additionally, the authors point out that many RUA patients may not be aware of the importance of a comprehensive health history and physical assessment. This can lead to a lack of engagement from the patient, resulting in a lack of information being collected. As such, there is a need for healthcare providers to be aware of these challenges in order to ensure that a comprehensive health history and physical assessment is obtained for every RUA patient. Through increased communication, education and engagement with patients, healthcare providers can ensure that a complete health history and physical assessment is obtained for each individual patient. References: Pujol-Ribera, E., Gene-Badia, J., Pasarin-Rua, M.I., et al. (2006). Family physicians’ perceptions of barriers to obtaining a comprehensive health history and physical assessment in rural underserved areas. Family Practice, 23(6), 588-593.
In conclusion, the health history and physical assessment are some of the most important components of providing excellent patient care. A comprehensive history and physical should include taking a detailed medical history, performing a physical examination, and ordering diagnostic tests as needed. These elements provide healthcare practitioners with the necessary information to assess the patient’s health and develop a care plan that leads to improved physical and mental wellbeing for the patient.
Work Cited
J Gene-Badia.”Family medicine attributes related to satisfaction, health and costs.”https://academic.oup.com/fampra/article-abstract/23/3/308/475416
J Gene-Badia.”Family medicine attributes related to satisfaction, health and costs.”https://academic.oup.com/fampra/article-abstract/23/3/308/475416
“Abnormal sonographic findings in the asymptomatic arthritic shoulder.”https://www.tandfonline.com/doi/abs/10.1080/0300974023172
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