Comprehensive Health History Assessment: Insights for Young Adult Nursing Students

Health History Assessment and Reflection [Name] [University] NR302 Health Assessment [Name] 02/07/2021 Health History Assessment and Reflection Demographic The patient's demographic information provides an overview of the expected health issues they may encounter and the care needs they could expect. For instance, “the age and gender of the individual could determine the approach of care adopted by nurses at health facilities.” (Kaakinen et al., 2018.) Anna Do, a 22-year-old nursing student, was interviewed. At the interview time, she was single and had visited the virtual WebEx for purposes associated with an annual physical examination. Perception of Health At the time of the virtual visit, the patient demonstrated constant migraines that had affected her comfort. She has trouble sleeping and indicated that she experienced stress occasionally. Anna Do had visited the facility for a physical examination, and it has been a year since she had her previous exam. She did physical exercise six times a week and did not demonstrate symptoms of reproductive health problems. Past Medical History The patient's past medical history is critical in dealing with her present conditions and providing the appropriate medication. The interviewee does not have a terminal illness or any identified allergic reaction to drugs or medicines at the hospital. She reported having no drug abuse problems such as challenges or engaging in risky behaviour after consumption. Ms Do demonstrated that the patient was sexually active and did not have intimate relationships such as violence. While she was not on a physically recommended diet, she reported being a pescatarian, a diet that excludes meat but includes fish. Family Medical History “By examining the medical history of a patient’s family, nurses can offer better care and determine the issues that could affect the individual” (Kaakinen et al., 2018). The mother and the interviewee's father are both healthy, and we're 55 years old each. She reported that her 27-year-old brother was healthy as well. Ms Do’s grandparents were above 85 years old and had chronic illnesses. The maternal grandmother had respiratory health issues while the grandfather lung cancer. Additionally, her paternal grandmother had thyroid cancer, and the grandfather had a heart attack. Review of Systems Body systems may indicate the possibility of current and future health issues likely to affect patients at different ages in their lives. During the assessment, it was noted that most of the patient's health systems had not experienced any serious issue in the past. However, she indicated skin/hair/nails and head/neck health problems before the current interview. Developmental Considerations At the time of the interview, the patient was in her early 20s and living with family members. She demonstrated signs of belonging to a suppo