Nursing Health Hx
NURSING HEALTH HISTORY
Nursing Health History is the gathering of subjective and objective data from the patient and his/her significant others through an interview, physical assessment, reviewing his/her past health history and through his/her medical records upon admission. Vital data of the patient are stated in chronological order to effectively assess patient’s needs, complaints and problems and to provide individual care. These vital data provide a conceptual baseline data utilized in developing nursing diagnosis, subsequent plans for individualized care and for the nursing process application as a whole.
The group was assigned in Manuel J. Santos Hospital for three weeks of Surgical Ward and OR/DR exposure dated February 4-6, 11-13, 18-20 year 2013. On the second week of duty February 11, 12, 13, 2013, the group had chosen a patient for our Mini-PAR presentation and continuously assessed the patient. Right then, we started conducting comprehensive interview with the patient and the significant others and performed a thorough physical assessment.
With the aid of ethical guidelines for conducting nursing research on our patient based on the principle of ethical conduct of confidentiality; which pertains to the duty to respect privilege information, we therefore withhold the real name of our subject. Thus, we addressed him as Patient “X” who is 53 years old, female and currently residing at Surigao del Norte. Upon the first interaction, we have observed that the patient was sitting in slouched manner, unable to make eye contact has limited movement due to pain but was responsive and coherent in answering our questions during the interview..
BIOGRAPHIC DATA Patient X, 53 years old, female, Roman Catholic by faith, weighing 54 kg and stands for 5 ft and 2 inches tall, a Filipino citizen presently residing at Alipao Aligrea, Surigao del Norte. She was born on August 25, 1960 around evening through normal spontaneous vaginal delivery cephalic presentation
Nursing Health History is the gathering of subjective and objective data from the patient and his/her significant others through an interview, physical assessment, reviewing his/her past health history and through his/her medical records upon admission. Vital data of the patient are stated in chronological order to effectively assess patient’s needs, complaints and problems and to provide individual care. These vital data provide a conceptual baseline data utilized in developing nursing diagnosis, subsequent plans for individualized care and for the nursing process application as a whole.
The group was assigned in Manuel J. Santos Hospital for three weeks of Surgical Ward and OR/DR exposure dated February 4-6, 11-13, 18-20 year 2013. On the second week of duty February 11, 12, 13, 2013, the group had chosen a patient for our Mini-PAR presentation and continuously assessed the patient. Right then, we started conducting comprehensive interview with the patient and the significant others and performed a thorough physical assessment.
With the aid of ethical guidelines for conducting nursing research on our patient based on the principle of ethical conduct of confidentiality; which pertains to the duty to respect privilege information, we therefore withhold the real name of our subject. Thus, we addressed him as Patient “X” who is 53 years old, female and currently residing at Surigao del Norte. Upon the first interaction, we have observed that the patient was sitting in slouched manner, unable to make eye contact has limited movement due to pain but was responsive and coherent in answering our questions during the interview..
BIOGRAPHIC DATA Patient X, 53 years old, female, Roman Catholic by faith, weighing 54 kg and stands for 5 ft and 2 inches tall, a Filipino citizen presently residing at Alipao Aligrea, Surigao del Norte. She was born on August 25, 1960 around evening through normal spontaneous vaginal delivery cephalic presentation