Course Project Milestone 1: Health History Form
Your Name: Paola Sanchez Date: 11/22/2013
Your Instructor’s Name:
Directions: Refer to the Milestone 1: Health History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 175 points, with 5 points awarded for clarity of writing, which means the use of proper grammar, spelling and medical language.
Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Milestone1_Form_Smith” When you are finished, submit the form to the Milestone #1 Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have…show more content…
Culture: Puerto Rican
Physical and social characteristics that influence healthcare decisions:
Will only go to doctor for a cold or fever after home remedies don't work.
SPIRITUALITY (5 pts)
Religious and spiritual needs:
Client baptized as Catholic; but not a current practicing Catholic
SELF-CONCEPT (5 pts)
View of self-worth:
Is happy with self and loves to care for others. Growing up all she wanted to be is a mother and is very happy that she was able to full fill her dream by having 4 children.
Client states she doesn't have any and is pretty content.
REVIEW OF SYSTEMS (20 pts)
Skin, hair, nails:
No birthmarks. No rashes, lesions or skin discoloration. Showers daily and dyes hair every 6 months. Tries to keep nails clean and manicured and likes to paint nails red. Nails are not pitted or clubbed.
Head, neck, related lymphatics:
No neck swelling. Denies history of seizures or dizziness. Patient admits to headaches especially when blood pressure is not controlled.
Wears reading glasses. Had cataract