NR 302 Week 5 Assignment; RUA Health History - The History and Health Assessment of Lilliane Price

Purpose Before any nursing plan of care or intervention can be implemented or evaluated, the nurse assesses the individual through the collection of both subjective and objective data. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting subjective assessment data, synthesizing the data, and on identifying health/wellness priorities based on the findings. The purpose of the assignment is two-fold: • Torecognizetheinterrelationshipsofsubjectivedata(physiological,psychosocial,cultural/spiritual,and developmental) affecting health andwellness. • Toreflectontheinteractiveprocessbetweenselfandclientwhenconductingahealthassessment. Course Outcomes: This assignment enables the student to meet the following course outcomes: CO 1: Explain expected client behaviors while differentiating between normal findings, variations, and abnormalities. (PO 1) CO 2: Utilize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment. (POs 4 and 8) CO 3: Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1) CO 4: Utilize effective communication when performing a health assessment. (PO 3) CO 5: Demonstrate beginning skill in performing a complete physical examination, using the techniques of inspection, palpation, percussion, and auscultation. (PO 2) CO 6: Identify teaching/learning needs from the health history of an individual. (POs 2 and 5) CO 7: Explore the professional responsibility involved in conducting a comprehensive health assessment and providing appropriate documentation. (POs 6 and 7) Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment. Total points possible: 100 points Preparing the assignment Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions. 1. Completeahealthassessment/historyonanindividualofyourchoicewhois18yearsofageorolderandNOTa family member or closefriend. a. The purpose of this restriction is to avoid any tendency to anticipate answers or to influence how the questions are answered. Your goal in choosing an interviewee is to simulate the interaction between you and an individual for whom you would providecare. b. Informtheindividualthatinformationobtainedwillbekeptconfidential anddonot useidentifyinginformation within theassignment. c. The Health History Worksheet can be used to help you organize the Family Medical History information you will obtain from the Adult Participant (document link is on the Assignmentpage). d. The use of this tool is optional. There are three parts to thisassignment. 2. Include the following sections when completing theassignment. a. Health History Assessment (70points/70%) 1) Demographics 2) Perception ofHealth 3) Past MedicalHistory 4) Family MedicalHistory 5) Review ofSystems 6) DevelopmentalConsiderations 7) CulturalConsiderations 8) PsychosocialConsiderations 9) CollaborativeResources b. Reflection (20points/20%) 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. 1) Reflect on your interaction with the intervieweeholistically. 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 havelearned? 3) What barriers to communication did youexperience? a) How did you overcomethem? b) What will you do to overcome them in thefuture? 4) What went well with thisassignment? 5) Were there unanticipated challenges during thisassignment? 6) Was there information you wished you had available but didnot? 7) How will you alter your approach nexttime? c. Style and Organization (10points/10%) Your writing should reflect your synthesis of ideas based on prior knowledge, newly acquired information, and appropriate writing skills. Scoring of your work in written communication is based on proper use of grammar, spelling, APA, and how clearly you express your thoughts and reasoning in your writing. 1) Grammar and mechanics are free oferrors. 2) Verbalizes thoughts and reasoningclearly. 3) Uses appropriate resources and ideas to support topic with APA whereapplicable. For writing assistance (APA, formatting, or grammar), visit the APA Citation and Writing pagein 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 module.