Health Promotion and Preventative Care Plan
The purpose of this paper is provide information about the process of conducting a health assessment and a care plan based on the findings of the several assessments that were conducted for the benefit of the patient. The paper will describe the health history consisting of a review of systems, and will provide information about the assessment and its relevance to the plan of care developed for the patient.
The patient (CM) is a 24-year-old single black female who was born in the Democratic Republic of Congo (DRC) and arrived in the United States three years ago to pursue an education. CM lives at home with her siblings, nieces and nephews, and her parents who just moved to the U.S. five months ago from the DRC. CM works in retail and has been working extra shifts in order to help with the expenses of her extended family. CM made this medical appointment for her annual check-up and also because she reports feeling quite tired lately. CM escaped typical childhood diseases except chicken pox, and she is current on her tetanus shots and MMR immunizations, and a TB test administered last September was negative. Much of CM's health history is unremarkable: she has never had a significant accident, never been pregnant or had an abortion, never been hospitalized, and never had surgery. CM has no known allergies and currently takes OTC ibuprofen (800mg) for an occasional severe headache that she rates as a 7 out of 10 on a pain scale. CM is due in June for her annual pelvic examination and an dental check-up.
Review of Systems
The review of systems (ROS) finders were as follows: Constitutional symptoms -- the patient presented with...
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