NURS C 350 Comprehensive Health Assessment Documentation Form- Patient Initials RM

Advanced Nursing Practice Field Experience Comprehensive Health Assessment Documentation Form Date:______ Patient Information Patient Initials RM Age 45 Sex Female Chief Complaint Patient presents today with request for a yearly physical. History of Present Illness (HPI) Patient present for physical, denies any health problems or needs. 7 attributes of a symptom: location, quality, quantity/severity, timing, setting, remitting/exacerbating factors, associated manifestations Medications Patient does not take any medications. Allergies NKA Medical HX (PMH) Childhood Patient denies Adult Patient denies Surgical Patient denies Ob/Gyn Patient denies problem, unknown if patient is in care of OB/GYN Psychiatric Patient denies problems Vaccinations Flu Date: 2019 Pneumovax Date: 2019 Tetanus Date: 2019 Family HX (specify family member affected/age at death) Patient denies any family HX when asked