NR305 Milestone1 Form 8 6 13 Essay - 1119 Words

Course Project Milestone 1: Health History Form Your Name: Paola Sanchez Date: 11/22/2013 Your Instructor’s Name: Directions: Refer to the Milestone 1: Health History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 175 points, with 5 points awarded for clarity of writing, which means the use of proper grammar, spelling and medical language. Type your answers on this form. Click â€Å"Save as† and save the file with the assignment name and your last name, e.g., â€Å"NR305_Milestone1_Form_Smith† When you are finished, submit the form to the Milestone #1 Dropbox by the deadline indicated in your guidelines. Post questions in the QA Forum or contact your instructor if you have†¦show more content†¦Culture: Puerto Rican Physical and social characteristics that influence healthcare decisions: Will only go to doctor for a cold or fever after home remedies dont work. SPIRITUALITY (5 pts) Religious and spiritual needs: Client baptized as Catholic; but not a current practicing Catholic SELF-CONCEPT (5 pts) View of self-worth: Is happy with self and loves to care for others. Growing up all she wanted to be is a mother and is very happy that she was able to full fill her dream by having 4 children. Future plans: Client states she doesnt have any and is pretty content. REVIEW OF SYSTEMS (20 pts) Skin, hair, nails: No birthmarks. No rashes, lesions or skin discoloration. Showers daily and dyes hair every 6 months. Tries to keep nails clean and manicured and likes to paint nails red. Nails are not pitted or clubbed. Head, neck, related lymphatics: No neck swelling. Denies history of seizures or dizziness. Patient admits to headaches especially when blood pressure is not controlled. Eyes: Wears reading glasses. Had cataract