Health History
Date: August 15th
Name: Mr. ZNK
Address: 1121 Maryland Avenue, Beltsville, MD 20707 Telephone: 3016554386
Age: 30
Date of birth: April 24,1984
Birthplace: Accra, Ghana
Gender: Male
Marital status: Single
Race: African
Religion: Non Occupation: Automotive technician
Health insurance: Medical & dental insurance from work
Source: Client
Reliability: Client is alert to person, place ,situation, and time and is able to provide needed information during assessment
Present Health/Illness
Reason for seeking care: Medical checkup for frequent urination that started one week ago. Urine amount each time is very small. Daily activities get interrupted and “I am hesitant to drink fluids but that has not prevented it”.
Health beliefs and practices:
Visit the doctor as often as possible, especially if I feel like something is not right in my body.
Health patterns:
Try to eat right and exercise regularly
Medications:
No medications. Tylenol once in awhile for headache
Health goals:
Work on having annual checkup with my doctor
Past History
Childhood illnesses:
Chicken pox, measles and asthma
Immunizations:
Had all the childhood vaccines in Accra. Other vaccines like hepatitis vaccine I had in the US
Medical illnesses:
History of asthma and seasonal flu
Hospitalization:
None
Surgery:
None
Injury:
Sustained a laceration on scalp at age 10 and had a suture.
Blood transfusion:
None
Emotional/psychiatric problems:
I get overwhelmed at times with pressure
