Shared by 
Unlock all 19 pages
Get it free by sharing your own notes, buy just this one, or become a member and unlock documents with your plan.
How to unlock this document
Choose the way that suits you. Each one gives you all 19 pages to read online and the PDF to download.
Share your notes, unlock for free
2 free unlocks for every 5 approved uploads
- Upload your own lecture notes, assignments, essays or past papers
- PDF, Word, PowerPoint and Excel files all work, and you can send many at once
- We check each upload; you get a notification when it is approved
- Spend a free unlock on this document or any other, and keep it for good
- Shared under your public username, never your email
Then upload your notes from your profile.
Buy this document
$19 one-time payment
- All 19 pages of this document, yours to keep
- Download the PDF and read it any time, also offline
- No subscription and nothing to cancel
- Find it again any time under My Profile → Library
You log in or create a free account first, then pay securely.
Become a member
Unlock documents from the whole library, which keeps growing
- Choose any documents you like, up to your plan’s unlocks
- Documents you unlock stay yours, even if you cancel later
- Your unlocks start again with every renewal
- Secure checkout by Dodo Payments
You log in or create a free account first, then pay securely.
Compare the plansAlready a member, or bought this before? Log in to open it
About this document
- Pages
- 19 pages
- Price
- $19 one-time, yours to keep
- Membership
- Included in every plan
- Format
- Subject
- Health, Medicine, Nursing
This document is a case study on a patient’s history of present illness, including patient assessment data, chief complaint, and past health history. It covers the patient’s condition, symptoms, and medical interventions. It is useful for students studying patient care.
What's inside
- Patient assessment data
- Chief complaint
- History of present illness
- Past health history
- Family assessment
- Physical assessment
Who it is for: Students of Nursing, Medicine or Health. (Undergraduate)
Share with classmates: WhatsApp Telegram X LinkedIn Facebook
Summary
Patient assessment is an essential part of nursing practice. This document explains how to gather and use information about a patient's health.
Basic Patient Information
The patient's name, age, sex and other details are gathered first. The patient's main complaints and medical history are also recorded.
Health and Family History
The patient's health perception is discussed. Information is gathered about the patient's family's health. The patient's developmental history is also considered.
Physical Assessment
The patient's vital signs and physical appearance are assessed. The patient's skin, nails, thorax, abdomen, and extremities are examined.
Medications and Nursing Care
Medications used to manage pain and other symptoms are described. A nursing care plan is outlined.
Key terms
- history of present illness
- the timeline and details of the patient's current health problem.
- system review
- a review of the patient's health across different body systems.
- vital signs
- key indicators of a patient's health, such as blood pressure and temperature.
- nursing care plan
- a plan outlining the nursing actions needed to care for the patient.
- pathophysiology
- the changes in the body that result from disease.
- anatomy and physiology
- the study of the body's structure and function.
Questions this document helps with
- What information is needed to assess a patient's health?
- How is a patient's physical condition evaluated?
- What are the steps in creating a nursing care plan?
Summary written with AI from the document's text.
Ask the AI Teacher
Ask any question about this document or your course, and get a clear explanation.
Log in to ask Create a free account
Free accounts can ask 5 questions a day.