Premium Essay

The Health History Project

In: Other Topics

Submitted By nicole30marie
Words 2663
Pages 11
Nicole Arango
Required Uniform Assignment
The Health History Project
Health Assessment: NR302
February 7, 2016

1. Biographic Data
Name Todd Matthew Riddick
Phone 609-577-9068
Address 8264 SW 179th Terrace, Palmetto Bay, FL 33157
Birthdate February 28th, 1972 Birthplace Trenton, NJ
Age 43 Gender Male Marital Status Divorced
Occupation Radiology Technologist Employer Baptist Hospital of Miami
Race/ethnic origin Black

2. Sources and Reliability
Client arrived to appointment alone. Client claims to be woken by his own snoring on occasion. Client’s girlfriend scheduled the appointment due to annual checkup. Client claims that he is not hypertensive, but is on preventative medication due to family history.

3. Reason for Seeking Care
Client claims appointment was made as an “annual checkup/follow-up.”

4. Present Health or History of Present Illness
Subjective: Client claims he believes to be in good health. Participates in gym routines minimum of 4x a week. Client claims to eat relatively healthy.
Objective: Client has a BMI of 24.3, otherwise, normal.

5. Past Health
Client claims to have improved his health over the past 10 years. Client was hospitalized 3 years ago for left should reconstructive surgery due to a motorcycle accident.

Describe general health
Client claims to be a smoker for the past 25 years. Client smokes roughly 6-8 cigarettes a day. Client claims to have regular sleep patters with 6-9 hours of sleep a night.

Previous illnesses, accidents, injuries, or operations
Client denies having any childhood illnesses. Client had motorcycle accident, age 38. Suffered left shoulder injury, but continued regular daily activities without hindrance. At age 42, Client tripped and fell and suffered further damage to left shoulder,…...

Similar Documents

Premium Essay

Client Health History Paper

...1. Date of History: September 19, 2012 2. Identifying Data Age: 38 years old. Sex: Male Race: Hispanic Birth Place: Cienfuegos, Cuba Address: 1110 SW 154 AVE, Miami FL 33194. Phone Number: 305 764 4934 Marital status: Married Occupation: Software developer Religion: Catholic 3. Source of referral and reliability: Patient himself who seems reliable. 4. Chief Complain: Patient states that he had a headache for 2 hours. 5. History of Present Illness Patient states that he had a headache for 2 hours 3 days ago. He states that pain started after working for more than 12 hours in front of the computer around 9.00 PM on September 16, 2012. The headache was localized behind his eyes. It was deep, constant and sharp that he had to stop working and went home. Patient states that computer use aggravates his headache and sleep improves it. The intensity of the headache was 8 in the scale of 0 to 10. He states that this headache was not associated with any head injury, dizziness or vertigo. It disappeared about 2 hours after he took 2 Tylenol pills of 500mg. Patient thinks this headache meant that his body was exhausted, and he needed to rest. 6. Past Medical History General state of health: Healthy 38 years old male. Childhood Illnesses: Patient states he had Varicella when he was 10 years old. Adult Illness: Patient states that he had Hepatitis B at age of 24. Psychiatric Illnesses: None Accidents and Injuries: Patient denies having had any accident or......

Words: 3408 - Pages: 14

Premium Essay

Health Projects

...Use of M.I.S. Packages in Health Projects in India A Suite of software packages (like to monitor the Prevention of Food Adulteration, software for Medical Certification of Cause of Death (MCCD), Software for Processing Bed Occupancy & Mortality Rate, DOTS (Directly Observed Treatment Short-term for eradication of TB disease). Medicine Inventory Monitoring System (MIMS), Doctors Leave Accounting System and Family Welfare MIS, Malaria Monitoring Software, Software for National School Health Programme and G2G e-Office packages has been implemented at Civil Surgeons offices under e-health Net Project. This has helped in greater availability of medicines to the patients in govt. health institutes and Doctor’s availability in rural dispensaries. E-Health Net received National Silver Icon Award along with Health Care Foundation at 8th national e-Governance conference. Website of Health department has been launched. Hospitals OPD MIS, Physically Handicapped Certificate Issuing systems introduced. GOI sponsored IDSP (integrated Disease Surveillance Project) initiated at all districts. Intermediate Technologies – IT Power India Pvt. Ltd. (ITPI) is the well known private limited company in the field of renewable energy and environment management consultancy with the object of promoting sustainable development. ITPI has the widest range of expertise in both the above sectors, covering strategic planning as well as functional areas of operations including funding and......

Words: 1455 - Pages: 6

Premium Essay

Health Care History

...Health Care History Throughout the history of the United States, the economics of the health care system has experienced many changes. There are many factors to consider regarding the drive behind many of the changes within the health care system. Medical and surgical technologies are some factors, which relate to the changes in health care. Besides these factors, allocating sources to fund health care services has always been the most critical factor. One might consider the economic term supply and demand when looking at the history of health care economics and the primary funding source. Health care funding has always been a challenge and will continue to be a barrier due to the lack of resources within our nation. The primary source for funding medical services has faced many changes throughout U.S. history. The need to utilize medical services has increased, which led to the implementation of health care insurance. This came into effect due to the growing demand for health care services at a lower outer pocket expense. The challenge of funding medical services has always been a struggle. It was President Harry Truman who first approach Congress to enact a national insurance program back in 1945 After many failed attempts, President Johnson finally signed into law the Medicare and Medicaid program on July 30, 1965. Medicare is a government-funded program, which insures individuals 65 and older and those who are permanently disabled. Medicaid is also a......

Words: 250 - Pages: 1

Free Essay

Health History

...Health History I. Date: 02/24/11 II. Identifying Data: 22 years of age, DOB 05/31/88; Born in Houston, Tx; Divorced; Full Time Student; Non-Denominational Christian. III. Source of Referral: None IV. Source of History: Patient V. Chief Complaint: None VI. Present Illness: None, No present illness. VII. Past History: a. Patient states, “Basically healthy, I try to eat well and exercise.” b. No major illnesses. Born four weeks premature. Patient did have the Chicken Pox. Patient also had Mononucleosis as an adolescent. c. No Adult illnesses. d. General Anxiety Disorder (GAD) e. No Accidents or injuries. f. No operations. g. No hospitalizations other than hospitalized for child birth in October of 2008. VIII. Current Health Status: a. Patient states, “adverse effects to Codeine.” Allergies also to pollen and other outdoor allergens which irritate sinuses. b. Patient has had the following immunizations: Hepatitis Series, Tdap, and Varicella. c. TB skin test negative. Pap smear- no abnormalities found. d. No environmental hazards. e. Exercises four to six times per week at 30-60 minutes each time. Exercises include both cardio and strength training. f. Patient goes to sleep with ease but awakens several times throughout the night. g. Patient states diet is as follows; “Anywhere between 1500 to 2200 calories per day. Usually eats well and attempts to abide by daily......

Words: 632 - Pages: 3

Premium Essay

History Project

...HISTORY PROJECT Islam came to India with Turks. The interaction that took place between Turks and Indians resulted in the development of a syncretic culture. Mutual understanding and assimilation of each other’s culture took place in all fields. This process of assimilation saw lots of ups and downs. The new rulers built palaces and places of worship. Arabs borrowed the principles of arch and dome from Rome through the Byzantine Empire and adopted them. The use of arch and dome was seen in the new structures as they helped in the construction of lofty and impressive buildings. Now large halls could be constructed with a clear view. A fine quality mortar was another technique put to use in these structures. Decoration of buildings was done with geometrical and floral designs, combining them with panels of inscriptions of verses from the Quran. The combination of floral and geometrical designs with verses from Quran was called Arabesque. Earlier motifs like the bell motif, swastika, lotus etc. were also a part of the decoration. Animal and human figures were not used because it was considered unIslamic. Red sandstone, yellow sandstone or marble was used in constructing these buildings. Qutab minar was an amalgam of local features and new techniques, was constructed by Iltutmish. It is said that he dedicated this mosque to the Sufi saint, Qutab-ud-din Bhaktiyar kaki. Guru Nanak was born in a Khatri household at Talwandi on the bank of river Ravi. He was an accountant. He......

Words: 3153 - Pages: 13

Premium Essay

Health History and Screening

...Health History and Screening Performing a health history and screening on adolescents can prove to be challenging and entertaining at times. This generation is much more reserved towards opening up about their personal information in comparison to the middle and older adult populations. S.G., a single sixteen year old Caucasian female, was the source for this history and screening. She is a full time high school student and athlete from Roswell, New Mexico, and her last medical examination occurred in August of 2013. She takes no prescribed medications and has no known medical conditions or allergies. All of her childhood immunizations are current. As an infant, S.G. was hospitalized for treatment of respiratory syncytial virus (RSV) and pneumonia. In 2012, she suffered from a torn meniscus to her right knee that required her to undergo surgical intervention in order to repair the injury. Her family health history includes: sulfa allergy (father), asthma (brother), diabetes, heart disease, high blood pressure (maternal grandfather), obesity, anxiety, and bipolar (maternal uncle). S.G. remains active in high school and traveling volleyball, fellowship of Christian athletes, and her church youth group. She also enjoys scrapbooking, photography, hiking, and traveling. Her description of Roswell is that the city is committed, involved, and caring to all residents. S.G. and her mother were present throughout this session, and both sources offered reliable and factual......

Words: 1250 - Pages: 5

Free Essay

Health History

...Course Project Milestone 1: Health History Form Directions: Refer to the Milestone 1: Health History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 175 points, with 5 points awarded for clarity of writing, which means the use of proper grammar, spelling and medical language. Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Milestone1_Form_Smith” When you are finished, submit the form to the Milestone #1 Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment. Disclaimer: The focus of this assignment is on communicating details within the written client record. When taking a health history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the interviewee decides not to share information, please write, “Does not want to disclose.” BIOGRAPHICAL DATA (10 pts) | | Date: | 05/20/2013 | Initials: | KJ | Age: | 37 | Date of birth: | 03/07/1977 | Birthplace: | Kingston, Jamaica. Moved to Miami at 2 years old with my parents.(Born at St. Andrews a private hospital, which is the number one privately owned hospital and strategically located in the city.) | Gender: | Female | ......

Words: 1745 - Pages: 7

Premium Essay

History of Health Care

...History of Health Care Reform Transcribed from a talk given by Karen S. Palmer MPH, MS in San Francisco at the spring, 1999 PNHP meeting) Late 1800’s to Medicare The campaign for some form of universal government-funded health care has stretched for nearly a century in the US On several occasions, advocates believed they were on the verge of success; yet each time they faced defeat. The evolution of these efforts and the reasons for their failure make for an intriguing lesson in American history, ideology, and character. Other developed countries have had some form of social insurance (that later evolved into national insurance) for nearly as long as the US has been trying to get it. Some European countries started with compulsory sickness insurance, one of the first systems, for workers beginning in Germany in 1883; other countries including Austria, Hungary, Norway, Britain, Russia, and the Netherlands followed all the way through 1912. Other European countries, including Sweden in 1891, Denmark in 1892, France in 1910, and Switzerland in 1912, subsidized the mutual benefit societies that workers formed among themselves. So for a very long time, other countries have had some form of universal health care or at least the beginnings of it. The primary reason for the emergence of these programs in Europe was income stabilization and protection against the wage loss of sickness rather than payment for medical expenses, which came later. Programs were not universal to......

Words: 4548 - Pages: 19

Free Essay

History Project

...------------------------------------------------- ECONOMY IN ANCIENT INDIA:FROM EARLY VEDIC PERIOD TO 712 A.D. HISTORY Submitted by: Suyogaya Awasthy 2014127 ------------------------------------------------- SEMESTER I DAMODARAM SANJIVAYYA NATIONAL LAW UNIVERSITY Visakhapatnam ------------------------------------------------- OCTOBER 2014 TABLE OF CONTENT TITTLE | PAGE NO. | ACKNOWLEDGMENT | 4 | INTRODUCTION | 5 | SECTION TITLE * Economy: During Early Vedic Age * Economy: During Later Vedic Age * Economy: During Gupta Period * Economy: During Mauryan Period * Guild System:The base of Ancient Economic India | 7891012 | CONCLUSION | 19 | BIBLIOGRAPHY | 20 | | ACKNOWLEDGEMENT I have endeavored to attempt this project. However, it would not have been feasible without the valuable support and guidance of Dr.Vishwachandra Madasu. I would like to extend my sincere thanks to her. I am also highly indebted to Damodaram Sanjivayya National Law University Library Staff, for their patient co-operation as well as for providing necessary information & also for their support in completing this project. My thanks and appreciations also go to my classmates who gave their valuable insight and help in developing this project. INTRODUCTION Condition of Economy: Early Vedic to later Vedic period The agriculture was the main economic activity of the people in the Vedic...

Words: 2074 - Pages: 9

Premium Essay

Health History

...Health history Function- Mental state n physical state for well being Intuition- gut feeling- from experience, Index of suspicion- asking question with reasons by comparying the situation and condition of the patient. They go hand in hand which come through experience. Health history S- symptoms through pqrst ( provoking and palliative) Provoke- what causes symtoms to be worst? Palliative- what causes symtoms to better? Q- Quality it means description. Open ended question Describing the symptoms. 1.What are you feeling? funny 2. Descibe funy? What is that mean? A bit tied.. 3. had you feeled before? 4. how is different from before? Feeling going from arms. R- Region and radiation Which art of your body are you feeling the symtoms? Where are you feeling tited ness? Around here- that means not localized. Is that your chest? Ask yes no for calrification’ Radiation- where else are you feeling the symptoms? Going up around neck and arms S- Severity (0 to 10) how severe is yoiur symtoms? Its about that 8. 0 no pain and 10 worst pain Does it stop doing anything? Daily activity T- time of actual symptoms When does it normally occur? How long does it last normally? Normally less than half hour but this is long Is it on and off? Constant or on or off? A- allergy- penesil, antibiotic, lacto biopsycho social model- nurses for allery NKA-nurse NKDA- doctor Burden- social worker Home- equipment Stair- ot to repair to help them Food to......

Words: 379 - Pages: 2

Free Essay

Course Project Milestone #1: Health History Form

...Course Project Milestone #1: Health History Form Directions: Refer to the Milestone 1: Health History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 175 points, with 5 points awarded for clarity of writing, which means the use of proper grammar, spelling, and medical language. Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Milestone1_Form_Smith”. When you are finished, submit the form to the Milestone #1 Dropbox by the deadline indicated in your guidelines. Post questions in the Q & A Forum or contact your instructor if you have questions about this assignment. Disclaimer: The focus of this assignment is on communicating details within the written client record. When taking a health history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the interviewee decides not to share information, please write, “Does not want to disclose.” BIOGRAPHICAL DATA (10 pts) | | Date: | 5/29/15 | Initials: | JS | Age: | 52 | Date of birth: | 6/1/1962 | Birthplace: | Antigua | Gender: | Female | Marital status: | Married | Race: | Black | Religion: | Christian | Occupation: | Housekeeping | Health insurance: | Carpenters Union Health Insurance through her husbands......

Words: 1365 - Pages: 6

Premium Essay

Health Care History

...History and Evolution of Health Care Angeline Anderson Economics: The Financing of Health Care HCS/440 November 22, 2011 Humberto Munoz History and Evolution of Healthcare http://www.stfm.org/fmhub/fm2004/january/malcolms20.pdf While some can contribute these changes due to the evolutionary changes the US has undergone since her inception, the major contributing factors that influence the changes in health care economics are advances in technology and medical care. By understanding the history of health care economics, and identify the flow of funds system, financial managers are able to be more adequately prepared for the future. It is essential to remember that the driving force behind health care economics is money, and it plays an integral part to the success of the health care industry.     “Who pays for what has changed dramatically in the past 60 years. Whereas in the past, the majority of individuals paid their medical bills with private funds, today insurance companies and other third parties cover the majority of payments, with individuals paying only a small fraction of the total flow of funds with private money” (Getzen & Moore, 2007, p. 3, para. 1).   The flow of funds is a system in which financial managers are able to “follow” the money through the health care system, and as stated above the initial flow of funds have drastically changed from past years. History shows that many physicians would trade services for non-money items (such as...

Words: 354 - Pages: 2

Free Essay

Health History of an Older Adult

...HEALTH HISTORY AND EXAMINATION OF AN OLDER ADULT HEALTH HISTORY AND EXAMINATION OF AN OLDER ADULT On March 1, 2016, with the permission of Mr. P.F. henceforth known as the client, a health history assessment and physical examination was conducted and the detailed results dictated within the appropriate assessment templates which are attached for review. In an effort to summarize the health history assessment and physical examination, the summarized assessment findings will be henceforth reported in SBAR format. Situation The client is a Caucasian 64 year old male, whom is alert and oriented to person, place and time whom presents as a well-groomed, well- rested, and well-nourished man that looks his age. English is spoken fluently by the client and is reported as his first language therefore interpreter services were not required. The client states that he worked and supported his family over forty years as a truck driver however has been retired since 2012. Additionally he reports living alone in a single story home which he has owned for over forty years. His plans are to continue to live in his home as long as he is able to care for himself and continue to maintain the home independently. He further states that he is able to complete all his activities of daily living independently, routinely cooks for himself three cardiac meals per day, and takes walks daily for exercise. Client does not report to currently be in a relationship or sexuality active, however did...

Words: 1283 - Pages: 6

Premium Essay

Public Health Nursing History

...Visiting home health nurses are a well-known profession and becoming more popular as time grows. The service of public health nursing was carried out on the frontier by nurses under the name of “Visiting nurse services” which were part of the late 19th century health reform out of ‘The Henry Street House’ in 1893, as discussed in the film “Nursing in America – A History of Social Reform”. They held many roles outside of nursing, those roles and missions and struggles will be discussed. The Henry Street House was opened in 1893 by Lilian Wald who established the phrase ‘public health nurse’, as discussed in the film “Nursing in America – A History of Social Reform”. She believed that bedside care should be provided to the public sick poor as well as treating the social and economic problems they faced and providing them with health education (Buhler-Wilkerson). She sent out nurses who traveled door to door to the families of the community of which they served. They were the major health educators to the people of the cities, many of whom could be considered for lack of a better work, ignorant. They knew not of the power of purpose of their own bodies, how to keep themselves healthy, or of their own sex organ functions. The messages of the public health nurse included education on child rearing, why immunizations were important, and information on sanitation and nutrition. They provided many services to the families they visited. In the beginning of public health nursing,......

Words: 1162 - Pages: 5

Premium Essay

Health Caare History

...Healthcare History Health Care History The United States health care system is currently getting ready to evolve tremendously through the organization, management structure, and payment structures. The economic component in health care is very important to understand in order to structure it successfully. This papers discusses the evolution of economics in the health care system and the structure of health care funding timeline. History and Evolution Health care economics presents an information framework were efficiency and equity goals are pursued. Furthermore, economics establishes a framework by maximizing benefits using resources at hand. Kenneth Arrow, the person responsible for mentioning the idea of health economics as a discipline, wrote an article titled “Uncertainty and the Welfare Economies of Medical Care” in 1963. The article discusses how the medical care industry benefits society compared to the “norm”. Furthermore, Mr. Arrow wrote about the significance of supply and demand. Arrow discussed that the average person has the characteristic of only seeking medical care when they are suffering from a critical injury or illness. Its not common for the average person to receive routine medical services on a regular basis. As Mr. Arrows discussed supply condition, he quoted “Entry to the health care profession is controlled by licensing. Licensing manages the supply which consequently increases the cost of medical care”. Medical......

Words: 1394 - Pages: 6