Health History

Assignment: Health History – The Art of History Taking and Putting All Together w/Information Processing – Unit 2-3

Directions:

Please refer to your Shadow Health Platform.

This Comprehensive Assessment provides the opportunity to plan and conduct a full health assessment on a patient in a single clinic visit.

After completing this Shadow Health Assessment the student should be able to:

• Document accurately and appropriately:
• Document subjective data using professional terminology.
• Document objective data using professional terminology.
• Demonstrate clinical reasoning skills:
• Use clinical reasoning to plan the organization of a comprehensive exam.
• Gather subjective and objective data. Have an Assessment and Plan of Care.
• Differentiate between variations of normal and abnormal assessment findings. Including a list of differential diagnosis.
• Select and use the appropriate tools and tests necessary for a comprehensive assessment.
• Reflect on personal strengths, limitations, beliefs, prejudices, and values.
• Develop strong communication skills.
• Interview the patient to elicit subjective health information about her health history.
• Ask relevant follow-up questions to evaluate patient condition.
• Demonstrate empathy for patient perspectives, feelings, and sociocultural background.
• Identify opportunities to educate the patient.

To view the Grading Rubric for this Assignment (include unit 2 Assignment), please visit the Grading Rubrics section of the Course Home.

Assignment Requirements:

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.