Adolescent health screenGCU

Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: Date: January 28, 2014 Biographical Data Patient/Client Initials: Phone No: N/A Address: Birth Date: Age: 12Sex: f Birthplace: Upland, CA. Marital Status: Single Race/Ethnic Origin: Caucasian Occupation: StudentEmployer:N/A Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability? ) Insurance provided by parent Source and Reliability of Informant: Informant: Client, Reliable Past Use of Health Care System and Health Seeking Behaviors: Routine exams and vaccinations Present Health or History of Present Illness: Present health is good Past Health History General Health: (Patient’s own words) â€Å"I only get sick when my little brother brings something home† Allergies: (include food and medication allergies) NKA Reaction: Current Medications: N/A Last Exam Date: 8/2013Immunizations: 8/2013 Childhood Illnesses: UTI Serious or Chronic Illnesses: N/A Past Health Screening (see â€Å"Well Young Adult Behavior Health Assessment History Screening† below) Past Accidents or Injuries: None Past Hospitalizations: none Past Operations: none Family History (Specify which family member is affected. ) Alcoholism (ETOH use/abuse): Maternal grandfather Allergies:Mother and brother-seasonal; maternal grandmother- penicillin Arthritis:N/A Asthma: Maternal Aunt Blood Disorders:N/A Breast Cancer:Maternal great grandmother Cancer (Other): Bladder- maternal grat uncle Cerebral Vascular Accident (Stroke):Paternal grandfather Diabetes:Maternal grandfather Heart Disease:N/A High Blood Pressure:Father Immunological Disorders:N/A Kidney Disease:N/A Mental Illness:N/A Neurological Disorder:N/A Obesity:N/A Seizure Disorder:N/A Tuberculosis:N/A Obstetric History (if applicable) Gravida:N/ATerm:Preterm:Ab/incomplete: Course of Pregnancy (length of pregnancy, delivery date, method of delivery, length of labor, complications, baby’s weight, baby’s condition): Well Young Adult Behavioral Health History Screening Socio-Demographic Content and Questions: What organizations or activities (community, school, church, lodge, social, professional, academic, sports) are you involved in? Softball, GATE, Science club, and Soccer How would you describe your community? â€Å"It’s nice. Sometimes it gets boring but I like it here. † Hobbies, skills, interests, recreational activities? â€Å"I like making crafts like bracelets and I also like to make things out of colorful duct tape. † Military service: Yes_______ No_x______ If yes, overseas assignment? Yes________ No_________ Close friends or family members who have died within past 2 years? N/A Number of relatives or close friends in this area? â€Å"Most of my family and all my friends live around me. I only have two uncle that live far away {San Diego}†. Marital status: Single_x_____ Married________Divorced_________Separated_________ In serious relationship________ Length of time_________ Environmental Content and Questions: Do you live alone? Yes________ No __x______ When did you last move? â€Å"My mom moved 3 years ago and my dad moved 2 years ago. † Describe your living situation? Number of years of education completed? 6 Occupation? Student If employed, how long? Are you satisfied with this work situation? Do you consider your work dangerous or risky? Is your work stressful? Over the past 2 years have you felt depressed or hopeless? No Biophysical Content and Questions Have you smoked cigarettes? Yes_______ No___x_____ How much? Less than ? pack per day_____ About 1 pack per day? ______ More than 1 and ? packs per day______ Are you smoking now? Yes_______ No________ Length of time smoking? ______________ Have you ever smoked illicit drugs? Yes__________ No___x______ If yes, for how long? ___________ Do you smoke these now? Yes__________ No __________ Do you ingest illicit drugs of any kind? Yes_________ No___x_______ If so, what drugs do you use and what is the route of ingestion? _________ How long have you used these drugs _________________ Review of Systems (Include both past and current health problems. Comment on all present issues. ) General Health State (present weight – gain or loss, reason for gain or loss, amount of time for gain or loss; fatigue, malaise, weakness, sweats, night sweats, chills ): Good Skin (history of skin disease, pigment or color change, change in mole, excessive dryness or moisture, pruritis, excessive bruising, rash or lesion): Seasonal dryness Health Promotion (Sun exposure? Skin care products? ): Does not wear sunscreen Hair (recent loss or change in texture): No change Health Promotion (method of self-care, products used for care): Washes hair 4 times a week but conditions daily Nails (change in color, shape, brittleness): No change Health Promotion (method of self-care, products used for care): Wears nail polish Head (unusual headaches, frequency of headaches, head injury, dizziness, syncope or vertigo): Dizziness when drinks coffee Eyes (difficulty or change in vision, decreased acuity, blurring, blind spots, eye pain, diplopia, redness or swelling, watering or discharge, glaucoma or cataracts): Recent change in glasses prescription Health Promotion (wears glasses or contacts and reason, last vision check, last glaucoma check, sun protection): Wears glasses at all times Ears (earaches, infections, discharge and its characteristics, tinnitus or vertigo): No history of aches or infections Health Promotion (hearing loss, hearing aid use, environmental noise exposure, methods for cleaning ears): Uses q-tips for daily cleaning Nose and Sinuses (discharge and its characteristics, frequent or severe colds, sinus pain, nasal obstruction, nosebleeds, seasonal allergies, change in sense of smell): Within normal limits Health Promotion (methods for cleaning nose): Blows nose when congested. Mouth and Throat (mouth pain, sore throat, bleeding gums, toothache, lesions in mouth, tongue, or throat, dysphagia, hoarseness, tonsillectomy, alteration in taste): Within normal limits Health Promotion (Daily dental care – brushing, flossing. Use of prosthetics – bridges, dentures. Last dental exam/check-up. ):Brushes once to twice a day, but does not floss. Sees dentist q 6mo. Neck (pain, limitation of motion, lumps or swelling, enlarged or tender lymph nodes, goiter): Within normal limits Neurologic System (history of seizure disorder, syncopal episodes, CVA, motor function or coordination disorders/abnormalities, paresthesia, mood change, depression, memory disorder, history of mental health disorders): Within normal limits Health Promotion (activities to stimulate thinking, exam related to mood changes/depression): In accelerated programs at school (GATE) Endocrine System (history of diabetes or insulin resistance, history of thyroid disease, intolerance to heat or cold): Within normal limits Health Promotion (last blood glucose test and result, diet): No history of glucose testing. Admits to eating candy 3-4 times a day. Breast and Axilla (pain, lump, tenderness, swelling, rash, nipple discharge, any breast surgery): Within normal limits Health Promotion (performs breast self-exam – both male and female, last mammogram and results, use of self-care products): Does not perform self breast exams Respiratory System (History of lung disease, smoking, chest pain with breathing, wheezing, shortness of breath, cough – productive or nonproductive. Sputum – color and amount. Hemoptysis, toxin or pollution exposure. ): Within normal limits Health Promotion (last chest x-ray, smoking cessation): No history of chest x-ray, has never smoked Cardiac System (history of cardiac disease, MI, atherosclerosis, arteriosclerosis, chest pain, angina): Within normal limits Health Promotion (last cardiac exam): No history of cardiac exam Peripheral Vascular System (coldness, numbness, tingling, swelling of legs/ankles, discoloration of hands/feet, varicose veins, intermittent claudication, thrombophlebitis or ulcers): Within normal limits Health Promotion (avoid crossing legs, avoid sitting/standing for long lengths of time, promote wearing of support hose):Stays physically active Hematologic System (bleeding tendency of skin or mucous membranes, excessive bruising, swelling of lymph nodes, blood transfusion and any reactions, exposure to toxic agents or radiation): Within normal limits Health Promotion (use of standard precautions when exposed to blood/body fluids): No exposure to blood/body fluids Gastrointestinal System (appetite, food intolerance, dysphagia, heartburn, indigestion, pain [with eating or other], pyrosis, nausea, vomiting, history of abdominal disease, gastric ulcers, flatulence, bowel movement frequency, change in stool [color, consistency], diarrhea, constipation, hemorrhoids, rectal bleeding): Occasional diarrhea. BM once to twice per day Health Promotion (nutrition – quality/quantity of diet; use of antacids/laxatives): Admits to poor diet consisting of processed and fast food. Home cooked meals consumed 3 times a week. Musculoskeletal System (history of arthritis, joint pain, stiffness, swelling, deformity, limitation of motion, pain, cramps or weakness): Within normal limits Health Promotion (mobility aids used, exercises, walking, effect of limited range of motion): Exercise achieved in PE at school and softball practice. Urinary System (recent change, frequency, urgency, nocturia, dysuria, polyuria, oliguria, hesitancy or straining, urine color, narrowed stream, incontinence; history of urinary disease; pain in flank, groin, suprapubic region or low back): Within normal limits Health Promotion (methods used to prevent urinary tract infections, use of feminine hygiene products, Kegel exercises):Wipes front to back to prevent UTI Male Genital System (penis or testicular pain, sores or lesions, penile discharge, lumps, hernia): N/A Health Promotion (performs testicular self-exam): Female Genital System (menstrual history, age of first menses, last menstrual cycle, frequency of cycles, premenstrual pain, vaginal itching, discharge, premenopausal symptoms, age at menopause, postmenopausal bleeding): No menses. Within normal limits Health Promotion (last gynecological checkup, pap-smear and results, use of feminine hygiene products): No gynecologic check-up history or feminine products used. Sexual Health (presently involved in relationship involving intercourse or other sexual activity, aspects of sex satisfactory, use of contraceptive, is relationship monogamous, history of STD): Not sexually active Health Promotion (safe-sex practices): Will be starting sexual education course in school in two weeks. Nursing Diagnoses: Based on this health history and health screening, identify three nursing diagnoses that would be applicable for this client as well as your rationale for your selection of each nursing diagnosis. Include: One â€Å"actual† nursing diagnosis with rationale for choice of this diagnosis. Imbalanced nutrition; less than body requirements R/T consumption of fast/processed foods daily AEB adolescent’s statements. Consumption of fast food in adolescents has increased rapidly since the 1970’s and it is estimated that 75% of American adolescent eat fast food 1 or more times per week (Ebbeling, et. al, 2004). Fast food has been linked to childhood obesity and T2DM. These processed meals contain little nutritional value, are not balanced, and provide empty calories. As with this adolescent, fast food is a inexpensive option for a quick meal. As a child of divorced parents, her mother works and is often in need of a quick and low cost meal for her and her children. One wellness nursing diagnosis with rationale for choice of this diagnosis. Readiness for enhanced nutrition R/T improving food choices AEB adolescent’s desire to change diet and recent diagnosis of grandfather’s T2DM. Family history of T2DM is a major contributing risk factor in the development of the disease (Valdez, 2009). Adolescents are at an age where they can make their own food choices but lack the ability to acquire funds to purchase food. While discussing her diet, the adolescent stated that there are healthier food options she could make, even if they come from a fast food establishment. One â€Å"risk for† nursing diagnosis based on the health screening with rationale for choice of this diagnosis. Risk for impaired skin integrity R/T lack of sun screen use and UV exposure AEB frequent sun burns. â€Å"Extended sun exposure in childhood and adolescents increases the probability of skin cancer in adulthood† (Saridi, et. al, 2013). While discussing sun exposure and the dangers of skin cancer, she stated â€Å"That’s an older person’s problem. † A lack of education of the dangers and the â€Å"It won’t happen to me† attitude are contributing factors in her noncompliance with sun protection.

Thompson v Oklahoma 1988 Essay Example | Topics and Well Written Essays - 500 words

Thompson v Oklahoma 1988 - Essay Example Even advocates of death penalty can hold that executing minors is wrong and undeserved. Most juvenile offenders have a history of bad and abusive childhoods and have not had the chance to make peace with their experiences or lead normal lives. They also do not have a sufficient understanding of death as minors tend to think of themselves as invincible. Therefore, a threat of capital punishment would not really deter juveniles from committing crimes. The government should instead focus on instigating changes is the society so that neighborhoods would turn up less violent individuals instead of imposing the most extreme punishment. Then there's the concept of justice and retribution to justify execution for juveniles. Minors do not fully understand the repercussions and seriousness of their acts, so they do not deserve this. The age, level of maturity, and childhood history should be taken into consideration when deciding a person's punishment. Those who argue the opposite strike me as too unsympathetic. Proponents for using capital punishment for minors maintain that even juveniles are capable of understanding the consequences of their actions and should therefore be held accountable for it.

President Kennedy and Civil Rights Research Paper

President Kennedy and Civil Rights - Research Paper Example Author Shelly Sommer presents John F. Kennedy in his book, â€Å"John F Kennedy: His life and legacy† in many roles such as a boy, a young adolescent, a hero of wars, a husband, a great politician, and finally the youngest President of America. But the question should be raised that whether John F. Kennedy really cared about civil rights or it was just to defeat Nixon in office and be the President of America? The votes of African American people were as much important for him as the whites and so President Kennedy has to make his way to the office anyhow. When two African American students, Vivian Malone and James Hood decided to take admission in the University of Alabama in summers of 1963, President John F. Kennedy- a spirited and energetic leader of that time led the movement of Civil rights to let these students enter the university. He challenged the southern courts to take notice of the situation and take into consideration this issue to grant equal rights to African A mericans as well. On the evening of September 30, 1963, President delivered a speech in which he issued a declaration that Mississippi should abolish segregation and let African American students attend the college. ...   He asked for a federal legislature for the rights of African Americans and thus his words were transformed into actions after his death when the Civil Rights Act of 1964 was enacted. ( Blaustein, Albert P, and Robert L. Zangrando. Civil Rights and the American Negro: A Documentary History). Critics of Kennedy Supporting Civil Rights’ Some people, however, believed that John F. Kennedy was not much interested in civil rights; rather he was famous for Cold War issues and Cuban Missile Crisis. This belief was not pointless. Kennedy’s attitudes towards Civil Rights before the election campaign proved it to be true. He voted against the Civil Rights Act of 1957 by Eisenhower. Kennedy wanted to serve the Democrats in the elections of 1960s, and to do so he has to oppose the bill as Democrats were in the opposition to the bill at that time. Finally, Kennedy won the elections as leader of the Democratic Party in 1960 and defeated Nixon. This act of Kennedy proves that all h e did was his personal gains and he has no interests in the rights or equality of African Americans. Kennedy suddenly converted or changed his point of view when he was nominated as a candidate from Democratic Party for the Presidential Elections of 1960. He delivered speeches promising equal rights to African Americans and preserving their dignity and sovereignty. Historians are confused over this abrupt change in the attitude. Supporters of Kennedy see the antagonism toward the Civil Act of 1957 as a political necessity.

Personality assesment Essay Example | Topics and Well Written Essays - 500 words

Personality assesment - Essay Example (Funder 1991, Tellegen 1991) personality psychologists predominantly make use of the ‘Five Factor Model’ for the assessment of an individual’s personality. (Digman 1990, Goldberg 1993a) This model reflects an individual’s psychological, social and cultural components that contribute towards his personality. It also reveals if an individual has had a troubled history or comes from a very poor socio- economic background. Research has given us an invaluable theory of personality which could be used for assessing the different personality variables. Personality assessment helps us to get a better idea of an individual and also helps us understand the individual’s behavioral pattern in a better light, thereby avoiding many conflicting issues. The 8th edition of Robert Feldman’s (2006) book on Understanding Psychology, stimulates the understanding and capabilities of students through his broad vision and insightful thinking. He strongly felt that if students understood psychology then they would learn it well. The principles and concepts contained in his book cover the areas of five important perspectives – Cognitive, behavioral, neuro-scientific, psychodynamic and humanistic. 1. Validity – Validity is considered to be the subjective judgment which could be based on either experience or other empirical indicators. Validity is also considered to be the maximum extent to which a test measures what’s needed to be measured. For a test to be considered valid it has to be first of all reliable; but reliability of the test does not guarantee its validity. The different types of validity include – 1) Face validity, 2) Construct validity, 3) Criterion validity, 4)Convergent validity and 5) Discriminant validity. 2. Reliability – Reliability is nothing but consistency. Reliability is considered to be the extent to which any test provides consistent scores. Measuring procedures do

Financial Analysis Essay Example | Topics and Well Written Essays - 2000 words - 4

Financial Analysis - Essay Example It has a workforce of over 100,000 employees worldwide. Before Dell moved to Round rock it had its main offices in the Arboretum complex in northern Austin, Texas. In 1989 Dell occupied 127,000 square feet in the Arboretum complex. As at 1990 Dell had more than 1,200 employees in its headquarters (Gomez, 2009). In 1993 Dell submitted a document to Round Rock officials, titled "Dell Computer Corporate Headquarters, Round Rock, Texas, May 1993 Schematic Design." Despite the filing, during that year the company said that it was not going to move its headquarters. In 1994 Dell made a move of switching its employees out of the Arboretum to its new acquired offices though it still maintained that it was going to continue to occupy the top floor of the Arboretum and that the companys official headquarters address would continue to be the Arboretum. The upper floor still played a greater role of holding Dells board room meetings; also it was used as a center for its demonstrations and visitor meeting room. For less than one month prior to 29 August, 1994, Dell moved most of its customer support and telephone sales employees to Round Rock. It was later on in 1996 that Dell decided to move to Round Rock, this was due to its high rate of growth which created the need of finding a new place that could allow it to carry out its activities in the best manner possible and also be able to manage its first growing markets globally. Dell has notably has widened its customer base since its inauguration through acquisitions and going for mergers with other companies including Perot Systems and Alien ware. Dell main activities involve selling computers, network switches, servers, data storage devices, software, and computer peripherals. The company is also known for its innovations in delivery administration and electronic commerce. Some of the available outlets in the United States are located in North Carolina, Eden Prairie, Minnesota, Miami,

Outline the history of excavation and interpretation at great Essay

Outline the history of excavation and interpretation at great Zimbabwe. What does this history tell us about colonialist ideolog - Essay Example This archeological site is famous as the place where south- African dry- stone architectural mastery reached its peak. By 1250-80, lucid stone walling were set up at Great Zimbabwe to create enclosures and platforms to support mud- and pole buildings (Phillipson, 2005, pp.52-53). The existence of Zimbabwean culture to the Western World was reported in the sixteenth century by the Portuguese travelers, although existence of Great Zimbabwe itself was not disclosed until Carl Mauch found stone ruins in Great Zimbabwe in 1871. Carl Mauch, like many other Europeans was of the idea that the biblical city of Ophir and stone buildings such as that of Great Zimbabwe had been built during the time when king Solomon went on to exploit the country’s gold reserves(Hall,1905, pp.295-300). This â€Å"exotic hypothesis† had long been in the minds of excavators coming to Rhodesian districts of south-Africa in search of the so-called ‘King Solomon’s Mines’, even the e xcavators from Rhode’s BSA Company that colonized Zimbabwe in 1890 had embraced this idea. Some were of the belief that the ruins were constructed by the Phoenicians, Arabians or the Egyptians. This â€Å"exotic hypothesis† was challenged by a professional archeologist named David MacIver in 1905. MacIver dated Great Zimbabwe’s medieval periodical origins by forming a stratigraphical connection of the stone walls with those of imports from China and Eastern Asia in the fourteenth to sixteenth century AD. This interpretation was completely contradictory to that of the â€Å"exotic hypothesis† and formed the integral part of his â€Å"essentially African† interpretation. It was however outright rejected by the public. The debate regarding the origins of culture of Zimbabwe involves political emotions as well as scientific verification, and criticisms to the â€Å"exotic hypothesis† are also not strong enough (Huffman & Vogel, 1991, pp.61). Thi s project is an attempt to account the history of the excavations in Zimbabwe through ages and how colonialist ideologies have come into play with emphasis on present political scenario and institutional changes taking place in Zimbabwe now to make it a better place to live in. History of Excavation in Zimbabwe Ever since there has been European settlement in southern parts of Africa since the very beginning of the sixteenth century; innumerable expeditions have taken place to search the wealth of the lost civilizations in the remotest of the interiors. However, all such expeditions have invariably ended without any success. This is quite a testimony to the power of well continued fables of lost cities and lost treasures. It was in 1871 that Carl Mauch, a spirited, energetic and successful explorer found the Great Zimbabwean ruins for the first time. The theory he proposed became the anthem of the many explorers exploring the ruins of Rhodesian Zimbabwe. Mauch, through various compe lx calculations and an imaginative mind noted that the splinters of wood from the forests were very similar to the wood in his pencil both being cedar, thereby indicating only one possibility that this massive stone building was built by none other than the great Queen of Sheba. It was for Mauch only that the vague ideas of a mysterious lost city could be drawn on a map for the very first time. In 1890, the British South Africa Company was captured by Mashonaland and Great Zimbabwe became a victimized possession

Develop a sense of the importance of integrity and ethics in small Essay

Develop a sense of the importance of integrity and ethics in small business ownership - Essay Example This paper will discuss the importance of ethics and integrity in small business enterprises. Research asserts that small-business investors substantially rely on ethical codes in the business setting. For example, the aspect of ethics in matters regarding finance should not be overlooked. This is because such businesses rely on accounting ethics. In case the business owners are not conscious about financial recordkeeping practices, then, they are likely to face tremendous challenges. In addition, they are exposed to risks related to fraud if they do not uphold ethics and integrity in the business (Petryni, 2008). Recently, some of the small businesses have implemented the code of ethics which is normally entailed in the policies of the organization. This code of ethics is normally a statement of values which defines the organization. In most cases, the code of ethics usually addresses issues related to conflict of interest, competition data, assets of the company and employee practices. Furthermore, integrity also forms a crucial part in business since; lack of integrity in the organization leads to poor development of the firm (Longenecker, Petty, Palich, & Hoy, 2012). Contrarily, there are some businesses which do not uphold the integrity and the code of ethics. In such cases, the business is said to run under unethical practices. There are several unethical practices that are practiced in most of the small businesses. One of the most prominent unethical practices is the lack of compassion. According to empirical studies, most of the workers in small business firms are usually exposed to unethical treatment (Longenecker, Petty, Palich, & Hoy, 2012). For example, most small companies offer medical covers for its employees especially if the company operates in risky circumstances. In case an employee is injured while in the line of duty, he or she must be