1. Perform a Health History on an older adult. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual).
2. Complete a physical examination of the client using the “Health History and Examination” assignment resource. Use the “Functional Health Pattern Assessment” resource as a guideline to assist you in completing the template.
4. Document the findings of the physical examination in the assessment worksheet.
5. Using the “Health History and Examination” assignment resource, provide the physical examination findings summary with planned interventions for the client. Include any community services in the interventions.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
When patients are older, acquiring a thorough medical and family history, as well as information on social situations and lifestyle, is critical to providing quality care.
Different interviewing strategies may be required depending on the needs of older patients.
The suggestions below might assist you in gathering a comprehensive history of current and previous issues, family history, medications, and socioeconomic status.
These proposals will take less time than they look.
Some only require a one time commitment.
Other health care professionals in the office or at home may be able to assist with data collection.
You might want to collect a full life and medical history from elderly patients as part of their regular office appointments, and utilize each visit to add to and update the information.
a few suggestions
When gathering the medical history of older patients, you may need to be extra adaptable.
Here are some ideas for making the most of your time and theirs:
If at all possible, acquire preliminary data prior to the session.
If time allows, request earlier medical records or mail forms that the patient or a family member can complete at home.
Use large print and leave enough space between items for users to respond to make your questionnaires easy to read.
In the waiting room, filling out questionnaires should be quick.
Allow the patient to relate his or her experience only once, not to another member of staff and then to you.
This approach might be exhausting for elderly folks who are unwell.
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