NR304 Health Assessment II

RUA Health History and Physical Assessment Guidelines

Purpose

As you learned in NR302, before any nursing plan of care or intervention can be implemented or evaluated, the nurse conducts an assessment, collecting subjective and objective data from an individual. NR304 Health Assessment II. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting both subjective and objective data, synthesizing the data, and identifying health and wellness priorities for the person. The purpose of the assignment is twofold.

1. To recognize the interrelationships of subjective data (physiological, psychosocial, cultural and spiritual values, and developmental) and objective data (physical examination findings) in planning and implementing nursing care
2. To reflect on the interactive process that takes place between the nurse and an individual while conducting a health assessment and a physical examination

Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1. Complete a health history and physical examination on an individual. This individual must be different from the individual used for the NR302 health history and physical examination assignment. Using the following subjective and objective components, as well as your textbook for explicit details about each category, complete a health history and physical examination on an individual. You may choose to complete portions of this assignment as you obtain the health history and perform the physical examination associated with the body systems covered in The person interviewed must be 18 years of age or older. Please be sure to avoid the use of any identifiers in preparing the assignment and follow HIPAA protocols.
   

   NR304 Health Assessment II

   1. Students may seek input from the course instructor on securing an individual for this
   2. Avoid the use of client identifiers in the assignment, HIPAA protocols must be
   3. During the lab experiences, you will conduct a series of physical exams that includes the systems listed in Objective Data below.
   4. Refer to the course textbook for detailed components of each system
      • Remember, assessment of the integumentary system is an integral part of the physical exam and should be included throughout each system

More research solutions herein:  PUBH 6475 Module 4 Assignment 2 

Demographic Data

The patient examined is a 45-year-old Hispanic male who is living in Miami Florida. He is working as an electrician and has been married for more than 10 years with two teenage children. The patient is living in a close-knit community and has recorded that regularly attends church. The client’s family history and physical job activities have had an impact on the health priorities and perceptions.

Reason for Seeking Care

The client reports that he is seeking care due to an experience of occasional chest discomfort. The client has alluded that he has had an experience with this issue for the last three months. He has described the condition to be a mild pressure that occurs with physical exertion and when he rests the condition resolves. He has recorded that he is concerned about heart disease due to his family history. The goal of the client is to address the issue and maintain his overall health…. (get full solution here)