NURS 6640 / NURS6640 Assignment | Client Assessment.

NURS 6640 / NURS6640 Assignment | Client Assessment. Medical History The patient has no medical history, but a surgical history due to an ankle fracture he obtained during the Hurricane Harvey trying to help others. He said his immunization chart is up-to-date and doesn’t think he will be getting a flu shot this year, because he believes it doesn’t work. Substance Abuse History The patient acknowledges illicit drug use in the past. He denies alcohol use presently, but smokes cigarettes. Developmental History The patient had a good childhood upbringing with no congenital delays. Due to his past history of illicit drug use and current mental health issues, his age-appropriate developmental status is lagging and not met. Family Psychiatry History The patient endorsed lack of information on his great-grandparents but acknowledges that the paternal grandfather suffered from depression and PTSD due to WWII, his maternal grandmother from depression with unknown origin, his sister from bipolar disorder, and his mother from depression/anxiety due to Hurricane Harvey and his current mental status. 3 CLIENT ASSESSMENT Psychosocial History Due to the displacement from Hurricane Harvey, the patient’s psychosocial needs are unmet. He has been disconnected with the environment because he is mentally unfit to retain a menial job and has the inability to accurately make formal judgments. Also, his illicit past drug use places him in a questionable state, because exposing him to such environment again could lead to a need to use drug again. History of Abuse/ Trauma The patient denies any history or forms of abuse currently or in the past. Hurricane Harvey was an unforgettable trauma to his life. Reviews of Systems/ Physical Assessment