NR 302 RUA Health history 1 complete edition(Updated 2020/2021) > HEALTH HISTORYHealth History Samantha Candela

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2HEALTH HISTORYHealth History AssessmentI choose to do a health assessment on a family friend. I will use AH has her initials. Demographic DataAH is 63 years old, a female, Caucasian, and lives in a h... ouse. She lives in a rural area where she lives alone but has family close by.Perception of HealthTo her healthy means being in good health, getting regular exercise, and eating nutritious food. Unhealthy to her means not being in good health, overweight, and eating bad foods. She feels like she is between healthy and unhealthy. She is not in the best health, exercises once a week, and eats good most of the time. She would like to increase her health and the amount of exercise she gets.Past Medical HistoryHer past medical history includes degenerative disc disease, high blood pressure, hyperlipemia, depression, anxiety, COPD, asthma, emphysema, diverticulitis, and osteoporosis. Her past surgical history includes neck and back surgery, removal of gallbladder, removal of cataract, and hysterectomy. The medications she takes daily include a Spiriva inhaler, allegra, valium, Zoloft, gabapentin, Lopressor, and protonix. Family Medical HistoryBoth of her parents had high blood pressure, which lead to her high blood pressure. Her mother had asthma, which increased her chance of having it. Her father had lung cancer from smoking cigarettes. Her mother was anemic and had to have a lot of blood transfusions. Review of Systems 3HEALTH HISTORYThe only skin issue that she has is eczema. Her hair has some grey in it and her nails are fine. She doesn’t have any headaches, head injury, or dizziness. She has some pain in her neck when she turns her head to the right. She doesn’t have any lymphatic issues. She has decreased vision and had some cataracts. She wears eyeglasses and had cataract removal surgery in June 2015. She doesn’t have any earaches or infections and her hearing is good. She has allergies to pollen and dust but no other major sinus issue. Her mouth and throat look good, no mouth pain, sore throat, toothaches, or lesions. She has asthma and emphysema, which causes her to have shortness of breath. Even with her breathing problems she can still take care of herself, cook, andclean. Her only heart related use is high blood pressure and she controls that with medication andcontrols her salt intake. Developmental ConsiderationsShe has had asthma since she was a little girl and this has caused her some issues growing up. She couldn’t play sports and play with friends for long because she would start having trouble breathing. She did not have many friends growing up and had trouble with weight; she always thought that her asthma caused this. [Show More]

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