Assignment: Health History – The Art of History Taking and
Putting All Together w/Information Processing – Unit 2-3
Directions:
Please refer to your Shadow Health Platform.
This Comprehensive Assessment provides the opportunity to
plan and conduct a full health assessment on a patient in a single clinic
visit.
After completing this Shadow Health Assessment the student
should be able to:
Document accurately and appropriately:
Document subjective data using professional terminology.
Document objective data using professional terminology.
Demonstrate clinical reasoning skills:
Use clinical reasoning to plan the organization of a
comprehensive exam.
Gather subjective and objective data. Have an Assessment and
Plan of Care.
Differentiate between variations of normal and abnormal
assessment findings. Including a list of differential diagnosis.
Select and use the appropriate tools and tests necessary for
a comprehensive assessment.
Reflect on personal strengths, limitations, beliefs,
prejudices, and values.
Develop strong communication skills.
Interview the patient to elicit subjective health
information about her health history.
Ask relevant follow-up questions to evaluate patient
condition.
Demonstrate empathy for patient perspectives, feelings, and
sociocultural background.
Identify opportunities to educate the patient.
To view the Grading Rubric for this Assignment (include unit
2 Assignment), please visit the Grading Rubrics section of the Course Home.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as
displayed above);
consult the Grading Rubric (under the Course Home) to make
sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard American English (correct
grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original
and insightful;
display superior content, organization, style, and
mechanics; and
use APA 6th Edition format as outlined in the APA Progression
