Health History Paper - APA 7th Edition with in text citation and Reference Page - NO PLAGIARISM Make up an individual (not a patient), utilizing the name Jane Doe or John Doe for the purpose of this p
Chamberlain College of Nursing NR 30 2 Health Assessment I NR30 2_Health _History _Worksheet April 2014 1 Health History Worksheet This worksheet is used to assist the student in gathering and organizing in form ation when conducting a health history. Family Member Description Paternal grandfather First and last initials : Birthdate: Death date: Occupation: Education: Primary language: Health summary: Paternal grandmother First and last initials : Birthdate: Death date: Occupation: Education: Primary language: Health summary: Father First and last initials : Birthdate: Death date: Occupation: Education: Primary language: Health summary: Father’s siblings - Summary of any significant health issues Maternal grandfather First and last initials : Birthdate: Death date: Occupation: Education: Primary language: Health summary: Maternal grandmother First and last initials : Birthdate: Death date: Occupation: Education: Primary language: Health summary: Mother First and last initials : Birthdate: Death date: Chamberlain College of Nursing NR 30 2 Health Assessment I NR30 2_Health _History _Worksheet April 2014 2 Occupation: Education: Primary language: Health summary: Mother’s siblings - Summary of any significant health issues Adult Participant First and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Adult participant’s siblings Summary of any significant health issues Adult participant ’s spouse/significant other First and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Adult participant’s children - Up to 4 children Child #1 first and last initials : Birthdate: Death date: Occupation: Education: Primary language: Health summary: Child #2 first and last initials : Birthdate: Death date: Occupation: Education: Primary language: Health summary: Child #3 first and last initials : Birthdate: Death date: Occupation: Education: Primary language: Health summary: Chamberlain College of Nursing NR 30 2 Health Assessment I NR30 2_Health _History _Worksheet April 2014 3 Child #4 first and last initials : Birthdate: Death date: Occupation: Education: Primary language: Health summary: An example Family Member Description Paternal grandfather First and last initials : RL Birthdate: 1921 Death date: 1981 Occupation: Retired as a coal miner Education: 6th grade Primary language: English Health summary: He was diagnosed with chronic lung disease, diabetes, and hypertension.He died from a heart attack. Paternal grandmother First and last initials : ML Birthdate: 1932 Death date: 1998 Occupation: House wife Education: Does not want to disclose Primary language: English Health summary: Diagnosed with chronic lung disease from smoking cigarettes. Died from heart failure. This example point s to common problems among this generation on both sides of the Adult Participant’s family. Consider the potential implications this would have for the Adult Participant’s health status .
