Running head: HEALTH ASSESSMENT CHECK OFF PROJECT 1
Advance Health Assessment
Grand Canyon University
Health Assessment Check Off Project
NUR-643E
Introduction
Nursing health assessment is an incredibly valuable tool nurses have in their arsenal of
skills. A thorough and skilled assessment allows the nurse, to obtain descriptions about the
, Running head: HEALTH ASSESSMENT CHECK OFF PROJECT 2
patient’s symptoms, how the symptoms developed, and a process to discover any associated
physical findings that will aid in the development of differential diagnoses. Assessment uses both
subjective and objective data. Subjective assessment factors are those that are reported by the
patient. Objective assessment data includes that which is observable and measurable (Jarvis,
2012). A complete history will serve as a guide to help identify potential or underlying illnesses
or disease states. Once assessment and planning have been completed, including analysis of the
collected data, the next step is implementing the strategies and interventions that will comprise
the health program. The purpose of obtaining a health history is to provide us with a description
of the patient’s symptoms and how they developed (Bickley & Szilagyi, 2017). A comprehensive
health history is pertinent in healthcare settings to provide high-quality patient centered care,
prevent medical errors, ensure patient safety, and prevent mortality and morbidity with timely
detection of diseases. Health interviews open a path to understand the patient’s needs, prioritize
the patient care and medical management, and identify any medical emergencies. It gives a
picture of the patient’s current health, behavior, and risk status. (Bickley and Szilagyi, 2017
Physical Exam Documentation
Chief Complaint: Patient says I am here with lower back pain for one week. There was no
other prior history of back pain. Increasing in pain intensity for 5 days. Rated pain score 8/10, no
prior history of trauma or sprain, walking and climbing the stairs aggravated the pain, the pain
was relieved by resting, and the lower back pain had affected her daily living activities.
History of Present Illness: Mr. Bob is a 65 year Asian American came in independently with
intense intermittent lower back pain in both lower extremities along with numbness and tingling
on and off. Also, I feel my legs are very cold all the time. with a complaint of low back pain,
Advance Health Assessment
Grand Canyon University
Health Assessment Check Off Project
NUR-643E
Introduction
Nursing health assessment is an incredibly valuable tool nurses have in their arsenal of
skills. A thorough and skilled assessment allows the nurse, to obtain descriptions about the
, Running head: HEALTH ASSESSMENT CHECK OFF PROJECT 2
patient’s symptoms, how the symptoms developed, and a process to discover any associated
physical findings that will aid in the development of differential diagnoses. Assessment uses both
subjective and objective data. Subjective assessment factors are those that are reported by the
patient. Objective assessment data includes that which is observable and measurable (Jarvis,
2012). A complete history will serve as a guide to help identify potential or underlying illnesses
or disease states. Once assessment and planning have been completed, including analysis of the
collected data, the next step is implementing the strategies and interventions that will comprise
the health program. The purpose of obtaining a health history is to provide us with a description
of the patient’s symptoms and how they developed (Bickley & Szilagyi, 2017). A comprehensive
health history is pertinent in healthcare settings to provide high-quality patient centered care,
prevent medical errors, ensure patient safety, and prevent mortality and morbidity with timely
detection of diseases. Health interviews open a path to understand the patient’s needs, prioritize
the patient care and medical management, and identify any medical emergencies. It gives a
picture of the patient’s current health, behavior, and risk status. (Bickley and Szilagyi, 2017
Physical Exam Documentation
Chief Complaint: Patient says I am here with lower back pain for one week. There was no
other prior history of back pain. Increasing in pain intensity for 5 days. Rated pain score 8/10, no
prior history of trauma or sprain, walking and climbing the stairs aggravated the pain, the pain
was relieved by resting, and the lower back pain had affected her daily living activities.
History of Present Illness: Mr. Bob is a 65 year Asian American came in independently with
intense intermittent lower back pain in both lower extremities along with numbness and tingling
on and off. Also, I feel my legs are very cold all the time. with a complaint of low back pain,
