Individual Client Health History and Examination – Term Paper

In this assignment, you will be completing a health assessment on an older adult. To complete this assignment, do the following:

1) Perform a health history on an older adult. Students who do not work in an acute setting may “practice” these skills with a patient, community member,

neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual).

2) Complete a physical examination of the client using the “Health History and Examination” template that is attached below. Use “Functional Health Pattern

Assessment,” that is also attached below”

3) Document findings of complete physical examination in standardized communication framework (SBAR) by using the SBAR format. Refer to the “SBAR Template,”

located on the National Nurse Leadership Council Web site at

https://www.ihs.gov/medicalprograms/nnlc/documents/SBARTEMPLATE.pdf use this as a guide. Document the findings of the physical examination in a Word document.

4) Using the “Health History and Examination” template, locatedlocated below… provide the physical examination findings summary with planned interventions

for the client. Include any community services in the interventions…….

 

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