What This Document Is
This document is a completed Health History Admission Database form for a patient, Angelina Jolie, intended for use in the NUR 220 Health Assessment course at Cleveland State University. It represents a comprehensive collection of subjective and objective patient data gathered as part of a nursing assessment.
Why This Document Matters
This assignment is designed for students learning to collect and document a patient’s health information. It serves as a practical example of a completed health history, demonstrating the types of data points required and how they are organized. It’s used during coursework to analyze a real-world patient case and prepare for clinical practice.
Common Limitations or Challenges
This document is a *sample* health history. It does not represent the full scope of patient care or the complexities of clinical decision-making. Students will still need to learn how to elicit this information from patients themselves and interpret it within a broader assessment framework.
What This Document Provides
The completed form includes details on the patient’s demographic information, reason for visit, medical history (allergies, chronic conditions, surgeries, medications), and social history. It also contains documented patient statements regarding allergies and their impact. This preview *does not* include any instructor notes, grading rubrics, or further analysis of the case. It is a static representation of the collected data.
