NURSING C350 Carolyn Cross Ihuman Carolyn Cross 41 y.o. F 5’3” 155 lb CC: well-woman evaluation Which of the following topics may be included in the we... [Show More] ll-woman evaluation of females age 40 – 64 years? • Reproductive health • General medical status and current impact of past medical history • Psychosocial and occupational concerns • Fitness and nutrition • Risk management: disease, lifestyle, habits, environment • Immunization status How can I help you today? – wellness visit; risks for breast cancer; mother 63 and 1st cousin mothers side dx with breast cancer; wants to know if it increases her risk and by how much Do you have any other symptoms or concerns we should discuss? – physical exam, nothing more Do you have pain anywhere? If so, where? – no, nothing unusual for me PMHx Can you tell me about any current or past medical problems you have had? Any new medical issues or diagnoses since your last visit? – cousin and mother Do you have a history of recent or current infectious disease? – no Have you had chicken pox, mumps, measles, or rheumatic fever? – no Do you have high blood pressure? – no Do you have high cholesterol? – no Have you ever had hormone replacement therapy? – no Have you had any recent blood or lab tests? What were the results? – no Any previous medical, surgical or dental procedures? – normal deliveries, tubal ligation, dental procedures, regular teeth cleanings Have you had any hospitalizations? – deliveries Have you had any significant traumatic injuries or accidents? – no What childhood illnesses have you had? – coughs, colds, tummy aches Do you have any allergies, such as medications, food, and/or latex, for example? – no Are you taking any prescription medications? – in chart Are you taking any OTC medications? – Vitamin E and ibuprofen When was your last physical? – a year or so ago Are you immunizations up to date? Yes Have you had a flu shot? YesNURSING C350 Carolyn Cross Ihuman Carolyn Cross 41 y.o. F 5’3” 155 lb CC: well-woman evaluation Which of the following topics may be included in the well-woman evaluation of females age 40 – 64 years? • Reproductive health • General medical status and current impact of past medical history • Psychosocial and occupational concerns • Fitness and nutrition • Risk management: disease, lifestyle, habits, environment • Immunization status How can I help you today? – wellness visit; risks for breast cancer; mother 63 and 1st cousin mothers side dx with breast cancer; wants to know if it increases her risk and by how much Do you have any other symptoms or concerns we should discuss? – physical exam, nothing more Do you have pain anywhere? If so, where? – no, nothing unusual for me PMHx Can you tell me about any current or past medical problems you have had? Any new medical issues or diagnoses since your last visit? – cousin and mother Do you have a history of recent or current infectious disease? – no Have you had chicken pox, mumps, measles, or rheumatic fever? – no Do you have high blood pressure? – no Do you have high cholesterol? – no Have you ever had hormone replacement therapy? – no Have you had any recent blood or lab tests? What were the results? – no Any previous medical, surgical or dental procedures? – normal deliveries, tubal ligation, dental procedures, regular teeth cleanings Have you had any hospitalizations? – deliveries Have you had any significant traumatic injuries or accidents? – no What childhood illnesses have you had? – coughs, colds, tummy aches Do you have any allergies, such as medications, food, and/or latex, for example? – no Are you taking any prescription medications? – in chart Are you taking any OTC medications? – Vitamin E and ibuprofen When was your last physical? – a year or so ago Are you immunizations up to date? Yes Have you had a flu shot? YesNURSING C350 Carolyn Cross Ihuman Carolyn Cross 41 y.o. F 5’3” 155 lb CC: well-woman evaluation Which of the following topics may be included in the well-woman evaluation of females age 40 – 64 years? • Reproductive health • General medical status and current impact of past medical history • Psychosocial and occupational concerns • Fitness and nutrition • Risk management: disease, lifestyle, habits, environment • Immunization status How can I help you today? – wellness visit; risks for breast cancer; mother 63 and 1st cousin mothers side dx with breast cancer; wants to know if it increases her risk and by how much Do you have any other symptoms or concerns we should discuss? – physical exam, nothing more Do you have pain anywhere? If so, where? – no, nothing unusual for me PMHx Can you tell me about any current or past medical problems you have had? Any new medical issues or diagnoses since your last visit? – cousin and mother Do you have a history of recent or current infectious disease? – no Have you had chicken pox, mumps, measles, or rheumatic fever? – no Do you have high blood pressure? – no Do you have high cholesterol? – no Have you ever had hormone replacement therapy? – no Have you had any recent blood or lab tests? What were the results? – no Any previous medical, surgical or dental procedures? – normal deliveries, tubal ligation, dental procedures, regular teeth cleanings Have you had any hospitalizations? – deliveries Have you had any significant traumatic injuries or accidents? – no What childhood illnesses have you had? – coughs, colds, tummy aches Do you have any allergies, such as medications, food, and/or latex, for example? – no Are you taking any prescription medications? – in chart Are you taking any OTC medications? – Vitamin E and ibuprofen When was your last physical? – a year or so ago Are you immunizations up to date? Yes Have you had a flu shot? Yes [Show Less]
