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
