Northern Virginia Community College Health History Worksheet You can anyone as a patient.Preparing the assignment
The Health History Worksheet can be used to help you organize the Family Medical History information you
will obtain from the Adult Participant (document link is on the Assignment page). The use of this tool is
optional. There are three parts to this assignment.
1. Health History Assessment (50 points/50%)
Using the following components of a health history assessment and your textbook for explicit details about
each category, complete a health assessment/history on an individual of your choice. The person interviewed
must be 18 years of age or older and should NOT be a family member or close friend. The purpose of this
restriction is to avoid any tendency to anticipate answers or to influence how the questions are answered. Your
goal in choosing an interviewee is to simulate the interaction between you and an individual for whom you
would provide care. It is important that you inform the person of your assignment and assure him/her that the
information obtained will be kept confidential. Please be sure to avoid the use of any identifiers in preparing
the assignment. Health History components to be included:
a) Demographics
b) Perception of Health
c) Past Medical History
d) Family Medical History.e) Review of Systems
f) Developmental Considerations
g) Cultural Considerations
h) Psychosocial Considerations
i) Collaborative Resources
2. Reflection (40 points/40%)
Reflection is used to intentionally examine our thought processes, actions, and behaviors in order to
evaluate outcomes. Provide a written reflection that describes your experience with conducting this Health
History.
a) Reflect on your interaction with the interviewee holistically.
I. Consider the interaction in its entirety: include the environment, your approach to the
individual, time of day, and other features relevant to therapeutic communication and to the
interview process (if needed, refer to your text for a description of therapeutic communication
and of the interview process).
b) How did your interaction compare to what you have learned?
c) What went well?
d) What barriers to communication did you experience?
I. How did you overcome them?
II. What will you do to overcome them in the future?
e) Were there unanticipated challenges to the interview?
f) Was there information you wished you had obtained?
g) How will you alter your approach next time?
3. Style and Organization (10 Points/10%)
Your writing should reflect your synthesis of ideas based on prior knowledge, newly acquired information,
and appropriate writing skills. Scoring of your work in written communication is based on proper use of
grammar, spelling and how clearly you express your thoughts and reasoning in your writing.
Grammar and mechanics are free of errors.
Able to verbalize thoughts and reasoning clearly
Use appropriate resources and ideas to support topic .
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