Write History Physical Assignment Help: How to Answer This Question

This question tests key academic concepts commonly covered in coursework.

What This Question Is About

This question relates to write history physical and requires a structured academic response.

How to Approach This Question

Start by identifying the main issue, then apply relevant academic frameworks.

Key Explanation

This topic involves write history physical. A strong answer should include explanation, application, and examples.

Original Question

write up a history and physical assessment and patient-centered care plan for the integumentary and gastrointestinal systems. Use the assessment templates below to guide your work. The written template is where you describe your findings. Do not write in complete sentences, but document like writing a nurse’s note: for example: Skin, warm, dry and smooth. Instant recoil. Weekly Systems Assessment SOAP Template Integumentary and Gastrointestinal Systems Past Medical History Ask about any concerning symptoms: Gastrointestinal: pain, heartburn, nausea/vomiting, vomiting blood, jaundice, change in appetite, diarrhea, constipation, flatus, change in bowel habits Skin: change in skin color/texture excessive bruising, itching, skin lesions, sores that do not heal, change in mole, recent hair loss, change in nails or hair texture Pertinent Family History Lifestyle, Personal, Social, Environmental Social Determinants of Health Medications SUBJECTIVE: CHIEF COMPLAINT (In the patient’s own words) Review of Systems ALLERGIES: HISTORY OF PRESENT ILLNESS Complete, clear, and chronologic account of the problems prompting the patient to seek care related to this body system. SYMPTOM ANALYSIS ITEM QUESTIONS TO ANSWER PATIENT RESPONSE Onset When did (does it start)? Setting in which it occurs including environmental factors, personal activities, emotional reactions, or other circumstances that may have contributed. Location Where is it? Does it radiate? Duration How long does it last? Characteristics What is it like? How severe is it? Associated Manifestations Have you noticed anything else that accompanies it? Relieving/Exacerbating Factors What makes it better? What makes it worse? Treatment What have you done to treat this? Was it effective? OBJECTIVE: VITAL SIGNS TEMPERATURE PULSE RESPIRATIONS BLOOD PRESSURE SP02 PAIN (Numeric Scale of 0-10 with 10 being the worst) DIAGNOSTICS (Labs) NURSE PHYSICAL FINDINGS FROM EXAM INTEGUMENTARY ASSESSMENT SKIN INSPECT General Color Variations in Color Lesions (Must Describe a mole/lesion with write up using ABCDEFs. See text for details) PALPATE Texture Temperature Moisture Mobility Turgor HAIR INSPECT: Hair on head, eyebrows and face, body, extremities and digits for type, color, thickness, alopecia Scalp for: Lesions Flaking Infestations Hair (Head, Eyebrows, Face, Extremities, Digits) for: Type Color/Thickness Alopecia Length PALPATE Hair for: Texture Thickness General Health Scalp for: Depressions or masses NAILS INSPECT: Shape, color, lateral fold, nail angle-Shamoth Sign, paronychia, leukonychia, pitting, spoon nails, Beau’s lines Shape Color Lateral Fold Nail Angle Paronychia, Leukonychia Pitting Spoon Nails Beau’s Lines PALPATE: Texture Capillary Refill Time (CRT) Skin Blanching GASTROINTESTINAL ASSESSMENT ABDOMEN INSPECT Observe general behavior and position Inspect the abdomen for skin color, surface characteristics, contour and surface movements Contour Symmetry Masses, peristalsis, pulsations AUSCULTATE Auscultate for bowel sounds Auscultate for bruits over the aortic, renal, iliac and femoral arteries 4 Quadrants Bruits: Aorta, Renal, Iliac, Femoral PERCUSS Percuss for general tones Percuss liver (6-12 cm midclavicular and 4-8 midsternal) 4 Quadrants PALPATE Palpate the abdomen lightly for muscle tone and surface characteristics Palpate deeply for tenderness and masses Palpate the lower liver border Palpate the spleen Light Palpation Deep Palpation Liver Border Femoral pulses Inguinal nodes ASSESSMENT: SUMMARY OF MAJOR PROBLEMS (Provider narrative of relevant information gathered from analysis of the Subjective and Objective sections above. Must include all aspects of system assessment provided) PLAN: PLAN FOR THE PATIENT BASED ON THE PROBLEMS IDENTIFIED IN “ASSESSMENT” (Provide the priority nursing interventions that would be performed for this patient next. Rationale for each nursing intervention needs to explain why this is the best intervention for this patient scenario, and must be evidence based.) 1. Rationale: 2. Rationale:

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."