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Assignment: Health History – The Art of History Taking and Putting All Together w/Information Processing – Unit 2-3

Directions:

Please refer to your Shadow Health Platform.

This Comprehensive Assessment provides the opportunity to plan and conduct a full health assessment on a patient in a single clinic visit.

After completing this Shadow Health Assessment the student should be able to:

  • Document accurately and appropriately:
  • Document subjective data using professional terminology.
  • Document objective data using professional terminology.
  • Demonstrate clinical reasoning skills:
  • Use clinical reasoning to plan the organization of a comprehensive exam.
  • Gather subjective and objective data. Have an Assessment and Plan of Care.
  • Differentiate between variations of normal and abnormal assessment findings. Including a list of differential diagnosis.
  • Select and use the appropriate tools and tests necessary for a comprehensive assessment.
  • Reflect on personal strengths, limitations, beliefs, prejudices, and values.
  • Develop strong communication skills.
  • Interview the patient to elicit subjective health information about her health history.
  • Ask relevant follow-up questions to evaluate patient condition.
  • Demonstrate empathy for patient perspectives, feelings, and sociocultural background.
  • Identify opportunities to educate the patient.

To view the Grading Rubric for this Assignment (include unit 2 Assignment), please visit the Grading Rubrics section of the Course Home.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format as outlined in the APA Progression
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