Question

1. Create your own scenario in writing your patient health history that includes the key components. (Remember, make a hypothetical case)

2. The nursing health history will be divided into two columns, in the left column are the key elements and on the right column are the data and various findings that are necessary in the scenario. Use the template below.

3. Note that the goal is for you to create a comprehensive, holistic patient case.

COMPONENTS:

A. IDENTIFYING
B. CHIEF COMPLAINTS
C. HISTORY OF PRESENT ILLNESS
D. HISTORY OF PAST ILLNESS
E. FAMILY HISTORY
F. PERSONAL AND SOCIAL HISTORY

Answer 1

A hypothetical patient health history case study includes all key components such as identifying information, chief complaints, history of present and past illness, family history, and personal and social history, presented in a two-column table. This scenario helps illustrate how to create a comprehensive, holistic patient case in a nursing health history format.

Step-by-step explanation:

Scenario: Patient Health History Case Study

As we construct a hypothetical patient health history, it is crucial to include all key components to establish a comprehensive and holistic case. Below is a table presenting each element alongside its corresponding findings.

Key ElementsData and FindingsA. Identifying InformationMs. Jane Doe, 54 years old, femaleB. Chief ComplaintsIntermittent chest pain for the past two weeksC. History of Present IllnessPain described as "pressure-like," aggravated by exertion and relieved by restD.

History of Past IllnessPrevious diagnoses of hypertension and hyperlipidemia; no surgical historyE. Family HistoryFamily history of coronary artery disease; father had a myocardial infarction at age 60F. Personal and Social HistoryWorks as a school teacher, smokes occasionally, moderate alcohol consumption, no drug use

To conclude the case study, we summarize the information gathered, which indicates a potential diagnosis of angina pectoris, considering the patient's symptoms, personal and familial history. Future, targeted research should focus on the effective management of angina related to lifestyle factors in similarly aged females.