Adult Health History
Adult health history
Running Head Adult Health History
Adult Health History and Examination
Michelle Pierson, RN
Grand Canyon University
Health Assessment
NRS 434-V
Lisa Zamudio
September 29, 2012
Health History and Examination
|Michelle Pierson |9/26/2012 |
|Client/Patient Initials: JP |Sex:F |Age: 62 |
|Occupation of Client/Patient: Retired |
|Health History/Review of Systems |
|(Complete and systematic review of systems) |
|Neurological System (headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty |
|swallowing, etc., medications): Neurologically JP is intact. She speaks clearly, denies headaches, dizziness, and weakness. She admits that |
|she often forgets where she has left her car keys or glasses, but feels it is due to her busy lifestyle. |
|Head and Neck (pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications): JP has chronic neck pain |
|related to a career of dancing. In 2010 after an x-ray and a MRI she was diagnosed with torticollis. . At times, she needed to take Flexeril |
|5mg orally as needed, and Lortab 5/500mg orally as needed, to alleviate spasms and pain. |
|She sees now a chiropractor twice a month, and denies any problems for 2 years, since beginning her chiropractic
Running Head Adult Health History
Adult Health History and Examination
Michelle Pierson, RN
Grand Canyon University
Health Assessment
NRS 434-V
Lisa Zamudio
September 29, 2012
Health History and Examination
|Michelle Pierson |9/26/2012 |
|Client/Patient Initials: JP |Sex:F |Age: 62 |
|Occupation of Client/Patient: Retired |
|Health History/Review of Systems |
|(Complete and systematic review of systems) |
|Neurological System (headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty |
|swallowing, etc., medications): Neurologically JP is intact. She speaks clearly, denies headaches, dizziness, and weakness. She admits that |
|she often forgets where she has left her car keys or glasses, but feels it is due to her busy lifestyle. |
|Head and Neck (pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications): JP has chronic neck pain |
|related to a career of dancing. In 2010 after an x-ray and a MRI she was diagnosed with torticollis. . At times, she needed to take Flexeril |
|5mg orally as needed, and Lortab 5/500mg orally as needed, to alleviate spasms and pain. |
|She sees now a chiropractor twice a month, and denies any problems for 2 years, since beginning her chiropractic
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