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.
Complete the assignment as outlined on the worksheet, including:
- Biographical data
- Past health history
- Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening
- Review of systems
- All components of the health history
- Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)
- Rationale for the choice of each nursing diagnosis.
- A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.
Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Turnitin.
NRS-434VN-R-HealthScreeningandHistoryAdolescentAssignment-Student x
Running head: HEALTH SCREENING AND HISTORY
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HEALTH SCREENING AND HISTORY
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Health Screening and History
Madelin Torres
Grand Canyon University
Biographical Data
Name: Veronica Williams Religious Preference: Christianity
Address: 35-01000 Healthcare financing: Has health insurance
Age: 22 Usual reasons for medical care: Persistent Occupation: Student.
headaches.
Past Health History
At eight years she had typhoid, and at 15 years she had an accident where she broke her hand. At 23 years she has consistently visited medical care centers with headache claims.
Family History and all components of Health History
Her parents are middle-class earners and thus can afford health insurance. Her father has diabetes and is required to administer insulin shots regularly. Her mother suffers from high blood pressure, and her prescription is Lozart H pills. Veronica seems a bit plump which indicates she takes in a lot of junk and does not exercise often.
Actual Diagnosis
The persistent headaches even after undergoing treatment and taking painkillers are an indication of an eye problem. Her eyes have a light issue which causes her eyes to strain thus resulting in eye discomfort; his in turn results in headaches. Straining of the eyes is brought by improper focusing such as farsightedness, nearsightedness, astigmatism or even improper alignment of the eyes (Grierson, 2000). In her care nearsightedness since she sees blurry figures when writings are placed at a distance.
Wellness Diagnosis
The patient’s readiness to wear narrow focus glasses will not only eliminate her headache problems but also enable her to read writings at a distance more efficiently. The narrow focus glasses will do eliminate the eye strain thus, in turn, her headache. It will also reduce the risk of her getting cataracts which also cause increased headaches.
Risk Diagnosis
Veronica’s body mass index indicated that she is not following any diet. It also shows she is taking in a lot of sugar and hence her plumpness. If she continues with this lifestyle and feeding habits, she will be at risk of getting obesity. Also, given her family’s health history she is also at risk of developing high blood pressure and diabetes at a very young age if she does not change her diet (Izzo, Black & Good friend, 2003).
Wellness Plan
Veronica should set up a diet which is should strictly adhere to. In her diet, she should significantly reduce the level of sugar intake and make arrangement to visit the gym for at least two hours on a daily basis (Mcqueen, 2006). This will significantly cut her excessive weight thus rendering her physically fit.
References
Grierson, I. (2000). The eye book: eyes and eye problems explained. Liverpool: Liverpool University Press.
Izzo, J., Black, H. & Goodfriend, T. (2003). Hypertension primer: the essentials of high blood pressure. Philadelphia: Lippincott Williams & Wilkins.
Mcqueen, S. (2006). Becoming physically fit a physical education multimedia course. Place of publication not identified: Brooks Cole.