vitamins to her diet. If needed, other recommendations would include referrals to a case
management or social worker.
The comprehensive health assessment includes data that is subjectively obtained
from the patient and/or family, as well as from testing and a detailed physical examination.

COMPREHENSIVE HEALTH ASSESSMENT
6
Assessment information also comes from past medical and surgical history, family history,
health habits, mental and social health, substance use, and access to healthcare. (University
of New England, 2018). Attention is also given to cultural and spiritual concerns, the
learning technique of the patient, visual, learning, and ambulatory needs (University of
New England, 2018).
Also included in the comprehensive health assessment are laboratory
and diagnostic testing.
Diagnostic testing includes blood pressure screening, vision
examination, hearing tests, an EKG, a pap smear, and so on and etcetera (ExecHealth, 2018).
Detailed assessment of the body such as heart and breath sounds, abnormal sensations, a
neurological examination, gait and motor functioning, deep tendon reflexes, and cranial
nerve assessment are conducted within the comprehensive health history intake, as well as
the physical assessment portion (Campbell & Lynn, 1990, p.38).
The physical health assessment is gathered objectively through inspection,
auscultation, palpation, and percussion. Inspection is a general overview of the body,
looking at the patient’s skin and physical appearance. Auscultation is listening to the body
with a stethoscope. Palpation through light touch assesses for the presence of any masses,
lesions, swelling, and pain. Percussion involves tapping on the surface of the body to
determine the presence of any abnormalities of internal structures with the presence of
masses or air in or around the organs. The examiner uses the senses, including sight, smell,
hearing, and touch to conduct the physical assessment. All these components come
together to complete a through and comprehensive health assessment.

COMPREHENSIVE HEALTH ASSESSMENT
7
References
Campbell, E.W. & Lynn, C.K. (1990). The Physical Examination. In H.K. Walker. W.D. Hall &
J.W. Hurst (Eds.), Clinical Methods: The History, Physical, and Laboratory
Examinations (3
rd
Ed., pp. 37-39). Boston, MA: Butterworths. Retrieved from
ExecHealth. (2019). Comprehensive Health Assessments. (2019). Retrieved from
University of New England. (2019). Comprehensive Health Assessment. (2019). Retrieved
from -
Health-Assessment

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- Spring '16
- Shelley Ashby