Health Screening and History of an Adolescent or Young Adult Client (A Direct Care Experience)
Details:
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:
1. Biographical Data
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.
RUBRIC:Interrelates the three complete and accurate nursing diagnoses (Actual, Wellness, and Risk For), provides rationale based upon the information collected in the health and history screening, and integrates each diagnosis into a recommended wellness plan for the patient.Provides all components of the health history (biographical, past health, family, symptoms) using appropriate medical acronyms and abbreviations, and relates information to the diagnoses and integrates into treatment plan.Healthscreening and diagnosis are integrated in an understanding of the human experience across the health-illness continuum and provide specific suggestions for treatment across this continuum.Writer is clearly in command of standard, written, academic English.In-text citations and a reference page are complete. The documentation of cited sources is free of error.
