Conduct a health history on a family member or friend. You can use the form located in your Health Assessment lab manual book or from Week Two classroom assignment. You do not need to submit the health history form with your paper. Be sure document that permission was given.

Using the interviewing techniques learned in Module 2, gather the following information. Use your textbook as your resource.

Present Health
Past Health
Family History
Review of Systems

Summarize all collected data in a 4 -5 page Word doc, and include your answers to the following questions in the summary. Your assignment needs to be completed in APA format & have accurate spelling and grammar. Reference page is required. APA template located in the library.

1.Was the person willing to share the information? If they were not, what did you do to encourage them?
2.Was there any part of the interview that was more challenging? If so, what part and how did you deal with it?
3.How comfortable were you taking a health history?
4.What interviewing techniques did you use? Were there any that were difficult and if so, how did you overcome the difficulty?
5.Now that you have taken a health history discuss how this information can assist the nurse in determining the health status of a client.Thumbnails/thumbnail.png

Classroom Assignment Week Two
Date __________________________ Examiner ______________________

1. Biographic Data Name _______________________________________________ Phone________________________ Address____________________________________________________________________________ Birthdate ________________________________ Birthplace _________________________________ Age __________ Gender __________ Marital Status ______________ Occupation _______________ Race/ethnic origin __________________________________ Employer ________________________

2. Source and Reliability

3. Reason for Seeking Care

4. Present Health or History of Present Illness

Past Health
Describe general health ______________________________________________________________ Childhood illnesses __________________________________________________________________ Accidents or injuries (include age) ______________________________________________________ Serious or chronic illnesses (include age) ________________________________________________ Hospitalizations (what for? location?) ____________________________________________________ Operations (name procedure, age) ______________________________________________________
Obstetric history: Gravida ____________ Term ____________ Preterm ____________ (# Pregnancies)
(# Term pregnancies) (# Preterm pregnancies)
Ab/incomplete _____________________ Children living _____________________ (# Abortions or miscarriages) _____
Course of pregnancy__________________________________________________________________ (Date delivery, length of pregnancy, length of labor, baby’s weight and sex, vaginal delivery or cesarean section, complications, baby’s condition)

Last examination date: Physical ________________

Dental ________________ Vision ________________
Allergies _________________________________ Reaction __________________________________

Current medications _________________________________________________________________ _

6. Family History—Specify Which Relative(s)

Heart disease___________________________ High blood pressure______________________ Stroke_________________________________ Diabetes_______________________________
Blood disorders_________________________ Breast or ovarian cancer___________________
Cancer (other)__________________________ Sickle cell______________________________ Arthritis_______________________________
Allergies_______________________________ Asthma _______________________________ Obesity________________________________ Alcoholism or drug addiction ______________
Mental illness ___________________________ Suicide ________________________________
Seizure disorder ________________________ Kidney disease __________________________ Tuberculosis _____

Review of Systems (Circle/highlight both past health problems that have been resolved

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