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NUR335_Assignment_5.1_Health_Promotion_Assessment_Worksheet.docx (1)-converted.docx

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1Health Promotion Assessment WorksheetStudent NameProgram Name, InstitutionCOURSE CODE: Course TitleInstructor NameMonth, Year
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3Health Promotion AssessmentWorksheetA health promotion assessment is a targeted assessment where the nurse assesses for health risksand education gaps that can be improved through health promotion interventionsInterviewDemographicsInitials:T.S.Age:70Sex:malePrimaryLanguageSpoken:__EnglishCultural Background:Caucasian/AmericanGeneral HealthHow would you rate your general health?AverageHave you had a wellness checkup with ahealthcare provider in the past year?YesHave you ever been told by a health careprovider that you have a chronic disease suchas hypertension, diabetes, heart disease,stroke, arthritis or kidney disease?Yes, vitamin D deficiency, hypothyroidism,osteopenia, epilepsy, pulmonary emphysema,right rotator cuff tendon injury hyperlipidemia,hypertension, B12 deficiency,In the past month, have you had pain on morethan three days that impacted your ability toperform your normal daily activities?If yes:Where was the pain located?What have you tried to relieve thepain?-Yes, due to my rotator cuff injury, I getdiscomfort in my right shoulder on a regularbasis. I use a topical pain reliever that workswell.-I have also been experiencing discomfort in myupper tummy and was diagnosed withcholelithiasis. My gallbladder will be removed
4in soon.How would you rate the quality of yoursleep?How many hours do you regularlysleep in a night?Do you ever wake up before youwanted to?Do you have problems falling asleep?-I normally sleep 7 or 8 hours a night..-I do not have any problems falling asleep.- I do have to get up from time to time to usethe restroom, but I can usually go back to sleepeasilyMedicationsAre you currently taking medicine for anychronic condition?Do you know what the medication isused to treat?Yes, many medications.-Depakote (divalproex sodium) for myepilepsy.-Aspirin to help prevent chest pain and heartattacks.
5Have you missed doses of yourmedication in the last week?-Vitamin D3 for my deficiency and osteopenia.-Levothyroxine for my hypothyroidism.

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Term
Fall
Professor
rebeccarichey
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