NR509_Non-Specific_Headache-3BRING - Chamberlain College of Nursing NR509 Advanced Physical Assessment Student Name EPISODIC ASSESSMENT NON-SPECIFIC

NR509_Non-Specific_Headache-3BRING - Chamberlain College of...

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Chamberlain College of Nursing NR509 Advanced Physical Assessment Student Name: ________________________________________ EPISODIC ASSESSMENT/ NON-SPECIFIC HEADACHE INTRODUCTION _____1. Introduces self as NP student (1) _____2. Acknowledges purpose of exam (complete H&P or episodic visit) (1) _____3. Asks open-ended questions then narrows down to closed ended questions (1) _____4. Asks questions in an appropriate, professional, manner (1) CC / HPI _____1. Includes the following: Onset (2) Location (2) Duration/Timing (2) Characteristics/Quality/Severity (2) Aggravating factors/Associated Symptoms (2) Relieving factors (2) Treatment/Medications/Remedies (2) _____2. Summarizes HPI at end of information gathering (1) PMH _____1. Major childhood illnesses (1) _____5. Immunizations (1) _____2. Major adult illnesses (1) _____6. Allergies to medications, foods and environment (2) _____3. Surgeries (1) _____7. Medications (including RX, OTC, herbal) (2) _____4. Hospitalizations (1) FAMILY HISTORY _____1. Asks about both parents (1) _____2. Siblings (1) SOCIAL HISTORY _____1. Living Situation (1) _____2. Children (1) _____3. Employment (1) HABITS _____1. Tobacco (1) _____2. ETOH/Illegal Drug Use (1) ROS _____1. Constitutional (1) _____4. Cardiovascular/Lungs (1) _____2. HEENT (1) _____5. Neurologic (1) _____3. Neck/Lymphatic (1) 10/15
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