Patient History for Nurse and Patient Interaction
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Patient History for Nurse and Patient Interaction – Health Assessment
Student (Community – Registered Nursel: Use professional nursing communication with the patient to conduct a 10 minute health assessment video interview taking into account the following:
• Introduction – nurse and patient • Situation – reasons for assessrnent. allergies. and relevant personal details • Background – health history, general health and psychosocial status • Assessrnent – observations, nutrition/diet, exercise, lifestyle, health beliefs and values. a. cultural/spiritual/religious practices • Recommendation – confirm health assessment information and implications tor well-being, recomrnend changes to rnanage and irnprove health and suggest timeframes for any plans
Assessor (Patient – George Phan* You are cooperative, alert and orientated. You are within normal limits. You are open to discuss ways to improve your health through possible changes to your diet. exercise. daily habits. and lifestyle choices.
WESTERN SyDNEY
Assessment 3: Health Assessment
STUDENT (General Practitioners Office – REGISTERED NURSE)
Scenario 1: Patient- George Pham
Assessment 3: Health Assessment
WE9T,ERN Sy0NEY
STUDENT ca Practitioner’s Office – REGISTERED NURSE)
Scenario 1: Patient- George Priam
George Pham has come to see a Registered Nurse at his General Practitioner, Office for a health assessment. George is reasonably active and has a stressful hfestyle with work and caring for his daughter, children. He has some minor health problems and wants to improve his health through eating well and by making positive changes to his hfestyle.
George Pham: male. height 170 cm, weight 71 kg (BM, 24.6). BF’ 1./ 92. HR 94, RR 20. temperature 37.0 C. Sa02 98, on room air.
..nri,MNEY Assessment 3: Health Assessment Assessor (Patient) Scenario 1: Patient 1- George Pham
BIODATA:
• George is a 73-year-old male (D.O.B: 17/01/1.6) with no known allergies. and his current address is 52 Homebush St. Central. 2001
• George was born in Vietnam and carne to Australia as a ‘boat person’ in 1979 with his wife and daughter.
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