Scribd Logo
Hochladen

Willkommen bei Scribd!

  • Healthhistoryform

    Hochgeladen von

    Bingleypooh
    17 Ansichten2 Seiten
    This nursing health history document collects information about a patient's personal characteristics, current health status, family characteristics, environment, and self-care requisites. It records details such as the patient's initials, age, sex, medical diagnosis, past medical history, personal health goals, family health status, type of dwelling, and patterns related to air, food, elimination, activity, solitude, hazards, and normalcy. The document is used to assess and plan nursing care for the patient.

    Originalbeschreibung:

    Originaltitel

    Healthhistoryform.

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Verfügbare Formate

    RTF, PDF, TXT oder online auf Scribd lesen

    Stufen Sie dieses Dokument als nützlich ein?

    Sind diese Inhalte unangemessen?

    Dieses Dokument melden
    This nursing health history document collects information about a patient's personal characteristics, current health status, family characteristics, environment, and self-care requisites. It records details such as the patient's initials, age, sex, medical diagnosis, past medical history, personal health goals, family health status, type of dwelling, and patterns related to air, food, elimination, activity, solitude, hazards, and normalcy. The document is used to assess and plan nursing care for the patient.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Als RTF, PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    17 Ansichten2 Seiten

    Healthhistoryform

    Hochgeladen von

    Bingleypooh
    This nursing health history document collects information about a patient's personal characteristics, current health status, family characteristics, environment, and self-care requisites. It records details such as the patient's initials, age, sex, medical diagnosis, past medical history, personal health goals, family health status, type of dwelling, and patterns related to air, food, elimination, activity, solitude, hazards, and normalcy. The document is used to assess and plan nursing care for the patient.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Als RTF, PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    von 2

    Instructor_______________________ Student___________________________

    Clinical Group_______________ Date of Care_________________

    FOUNDATIONS OF NURSING AGENCY

    NURSING HEALTH HISTORY

    I. Patient Profile

    A. Personal Characteristics

    Patient Initials__________ Age__________ Sex__________

    Marital Status_________ Ethnicity _________ Religion ___________

    Educational Level ___________________ Language Spoken ____________________

    Occupation __________________ Interests, Hobbies _______________________

    B. Current Health Status Code Status______________________________

    Medical Diagnosis ___________________________________________________________________

    Past Medical History _________________________________________________________________

    Personal Health Goals ________________________________________________________________

    C. Family Characteristics

    Family Members/Health Status _________________________________________________________

    D. Environment

    Type of Dwelling ____________________________________________________________________

    Geographic Location: Urban__________ Rural__________ Other__________

    Accessibility to Health Care____________________________________________________________

    II. Universal Self-Care Requisites

    A. Air

    Respiratory ________________________________________________________________________

    Cardiac __________________________________________________________________________

    Peripheral Vascular _________________________________________________________________

    Skin, Hair, Nails ____________________________________________________________________


    B. Food/Water

    Dietary Modifications/Restrictions ____________________________________________________

    Weight Gain/Loss _________________________________________________________________

    Ingestion/Digestion Problems ________________________________________________________

    C. Elimination

    Usual Bowel/Bladder Patterns _______________________________________________________

    Aids to Elimination (Laxatives, Enemas) ________________________________________________

    Difficulties with Elimination _________________________________________________________

    D. Activity/Rest

    Activity Patterns __________________________________________________________________

    Mobility Problems/Aids ____________________________________________________________

    Sleep/Rest Patterns/Aids ___________________________________________________________

    E. Solitude/Social Interaction

    Sensory Problems/Aids _____________________________________________________________

    Communication Patterns ___________________________________________________________

    Support System ___________________________________________________________________

    Sexuality (fertility, contraception, STD’s) _____________________________________________

    Male: prostate, genitalia ___________________________________________________________

    Female: perimenstrual conditions, obstetric history _____________________________________

    F. Hazards

    Allergies _______________________________________________________________________

    Personal Safety Practices _________________________________________________________

    Social Habits (alcohol, drugs, smoking) _______________________________________________

    G. Normalcy

    Stress Management _____________________________________________________________

    Self-Concept/Body Image ___________________________________________________________

    Current Medications ____________________________________________________________

    Das könnte Ihnen auch gefallen