Health History Assignment: Physical Health Assessment

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Pages: 5


Health History Assignment
Amandeep Kaur Sekhon
Assiniboine Community College
HTLH 0011: Physical Health Assessment

Health History Assessment The following information in this paper will include the client’s biographical data, reason for seeking care, history of present illness, past medical history, family history including genogram, and review of systems, as well as care plan specific to the client and her present illness.
Section I: Biographical data
Name: Harpreet Kaur
Phone: 204-000-0000
Address: 82 Nicholson Street, Winnipeg
Birth date: 15-August-1986
Birthplace: India
Age: 30
Gender: Female
Marital Status: Married
Occupation: Manager
Ethno cultural background: Indian
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She feels tenderness in her breast before 3-4 days of menstruation but after it ends she does not feel any tenderness. She does not have any history of breast disease.
Haematological disorders: She does not have any bleeding disorders and reactions.
Section VIII Functional assessment
Self concept: She is graduated from college, working as a Manager in a large store. She lives with her husband in a basement. She rose as Sikhism and believes in God.
Activity and exercise: She spends her day till 4pm in store and does house chores and goes to pick her husband at 11pm on his work and then sleeps around 1am.
Sleep and rest: She sleeps at 1am and wakes up at 6pm. She does not take any sleep pills.
Nutrition: She does breakfast and dinner. During lunch time she only eats snacks like fries and sandwich.
Alcohol and smoke: She neither drinks alcohol nor smokes.
Interpersonal relationship: She has healthy relations with her husband, parents, friends and coworkers.
Coping and stress management: She tries some relaxation techniques like watch TV, phone to her friends.
Section IX Perception of