Preparing the assignment
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1. Complete a health assessment/history on an individual of your choice who is 18 years of age or older and NOT a
family member or close friend.
a. The purpose of this restriction is to avoid any tendency to anticipate answers or to influence how the questions
are answered. Your goal in choosing an interviewee is to simulate the interaction between you and an individual
for whom you would provide care.
b. Inform the individual that information obtained will be kept confidential and do not use identifying information
within the assignment.
c. The Health History Worksheet can be used to help you organize the Family Medical History information you will
obtain from the Adult Participant (document link is on the Assignment page).
d. The use of this tool is optional. There are three parts to this assignment.
2. Include the following sections when completing the assignment.
a. Health History Assessment (70 points/70%)
1) Demographics
2) Perception of Health

3) Past Medical History
4) Family Medical History
5) Review of Systems
6) Developmental Considerations
7) Cultural Considerations
8) Psychosocial Considerations
9) Collaborative Resources
b. Reflection (20 points/20%)
Reflection is used to intentionally examine our thought processes, actions, and behaviors in order to
evaluate outcomes. Provide a written reflection that describes your experience with conducting this Health
History.
1) Reflect on your interaction with the interviewee holistically.
a) Describe the interaction in its entirety: include the environment, your approach to the individual,
time of day, and other features relevant to therapeutic communication and to the interview
process.
2) How did your interaction compare to what you have learned?
3) What barriers to communication did you experience?
a) How did you overcome them?
b) What will you do to overcome them in the future?
4) What went well with this assignment?
5) Were there unanticipated challenges during this assignment?
6) Was there information you wished you had available but did not?
7) How will you alter your approach next time?

Solution

W.T., a 52-year-old, female of African American descent. She was born and raised in the Newark area of New Jersey. The client is employed as a Caregiver for the mentally challenged clients. W.T. live with her spouse in the home they own. Her spouse is a retired Army veteran and he also is a nurse and works at an outpatient clinic. She is here pursuing care for her annual checkup.

Perception of Health

            W. T.  states she feels well, is not in any pain currently. She does not smoke, drink, or do any recreational drugs. She is currently on blood pressure medication to control her hypertension……………….please follow the link below to purchase the solution at $10