The Health History of a Patient Essay

1079 Words Sep 30th, 2010 5 Pages
The Complete Health History
Virginia G Parrott
Fort Hays State University

Health History
Health history assessment conducted on George on the fifteen of February 2010 at approximately one o’clock. George is a fifty-four year white male married with three adult children and two grand children. He has been working as a teacher for over twenty years a local middle school. This paper will highlight George’s health care issues and will identify five nursing diagnosis for him.
Methods of Health History
Interview Methods Informed consent obtained and applied the principled of privacy and confidentiality in the interview. Some communication skills used the interview such as touching, giving instruction, using a normal voice,
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George had an angioplasty with one vascular stent to the lateral anterior diagonal and one vascular stent to the circumflex in 2005, angioplasty with vascular stent to the right coronary artery in 2008, angioplasty with re-vascular stenting the lateral anterior diagonal and one vascular stent to the distal circumflex in 2009. He also transition to being a insulin dependent diabetic in 2009 and has coronary by-pass graft (CABG) surgery. His surgical history was cholecystectomy in 2007, right knee surgery in 1993, and CABG time five in 2009. He is an ex-smoker who stopped after his CABG in September 2009, 10/day for 30-40 years. His current medication included Metoprolol 25 m BID, Simavastatin 40 mg daily, Lisinopril 5 mg daily, Coreg 12.5 mg daily, Cymbalta 60 mg daily, Metanx tables daily, Novo Log 200units daily, Lantus 160 units daily. George has no known allergic and last examination was with his cardiologist February 4, 2010.
George’s Family History His family history reveals that is father and father’s mother had coronary artery disease. His mother is a diabetic and her mother died of a cerebral vascular accident at the aged of seventy-six. His

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