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This is an online one page posting for Health Assessment class:

Category: Coursework

Subcategory: Nursing

Level: College

Pages: 1

Words: 550

Comprehensive Health History
Name:
Institutional Affiliation:
Comprehensive Health History
This article is about a complete health history of a neighbor in California.
Identifying Data:
The name of this patient is Ms. Julie Colburn. She is an 83-year-old retired nurse. Currently, she is a patient who is reliable and an old California Pacific Medical Center (CPMC) chart.
Past Medical History:
Initially, her health was relatively good but with the usual childhood infectious diseases and no history of any rheumatic fever. Besides, she underwent yearly immunizations with the flu vaccine, and in 1996, she was immunized with Pneumovax. However, she became allergic to penicillin, which made her develop a diffuse rash after being injected with it 20 years ago. In 1980, she received four units of blood transfusions for GI hemorrhage. Other than that, she underwent several hospitalizations: 48 years ago for normal childbirth; in 1980 for Gastrointestinal hemorrhage; in 1995 for chest pain; in 1994 for the last mammogram; and in 1997 for Flexible Sigmoidoscopy.
Health Status, Perceived Barriers, and Support:
This patient has a record of congenital heart failure, risk factors of the coronary artery disease in hypertension, as well as the post-menopausal state having substernal pains of the chest.
Chief Complaint (CC):
This is the third time Ms. Julie is being admitted at the CPMC. She has had a long account of hypertension with a CC of a “toothache-like” pain in…

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