In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:
Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.
Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.
Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors.
Complete the assignment as outlined on the worksheet, including:
2.Past Health History
3.Family History: Obstetrics History (if applicable) and Well Young Adult Behavioral Health History Screening
4.Review of Systems
5.Include all components of the health history
6.Use correct acronyms or abbreviations when indicated
7.Develop three Nursing Diagnoses for this client based on the health history and screening. Include: one actual nursing diagnosis, one wellness nursing diagnosis, one “Risk For” nursing diagnosis, and your rationale for the choice of each nursing diagnosis for this client.
8.Using the three nursing diagnoses you have identified, develop a wellness plan for the adolescent/young adult client
Health History and Screening of an Adolescent or Young Adult Client
Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client.
Student Name: Date:
Patient/Client Initials: Phone No:
Birth Date: Age: Sex:
Birthplace: Marital Status:
Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)
Source and Reliability of Informant:
Past Use of Health Care System and Health Seeking Behaviors:
Present Health or History of Present Illness:
Past Health History
General Health: (Patient’s own words)
Allergies: (include food and medication allergies)
Last Exam Date: Immunizations:
Serious or Chronic Illnesses:
Past Health Screening (see “Well Young Adult Behavior Health Assessment History Screening” below)
Past Accidents or Injuries:
(Specify which family member is affected.)
Alcoholism (ETOH use/abuse):
Cerebral Vascular Accident (Stroke):
High Blood Pressure:
Obstetric History (if applicable)
Gravida: Term: Preterm: Miscarriage/Abortions:
Course of Pregnancy (length of pregnancy, delivery date, method of delivery, length of labor, complications, baby’s weight, baby’s condition):