• After completing, a detailed health history and complete physical examination students will document the results of the health history and physical examination using APA The health history form and details on how to complete this activity are found on the Blackboard Course.
Rubric for Health History
Topic Points Criteria
Patient Demographics 5 Gender, age, ethnicity, and other social demographics as indicated.
Chief Complaint / Present Illness 5 Use patient’s own words, followed by brief history of current illness.
Past Medical History 5 Thorough discussion of past illnesses, treatments, surgeries, immunizations, etc.
Current Health Status 5 Summary of general health status related to present illness.
Genogram 10 Grandparents, parents, siblings, children. https://genopro.com/genogram/medical/
Family History 10 Detailed narrative description of genogram.
Personal & Social History 5 Work, family, friends, community support systems, recreation/leisure activities, alcohol/drug/smoking history
Review of Systems 20 Include both subjective data and objective examination findings
Nutritional Assessment 10 24-hr diet intake, calorie count, BMI, mini-nutrition assessment findings & score (pg. 157)
Risk Factors 5 Disease, illness, or injury risk factors (Cardiovascular, Respiratory, Cancer, Safety, etc.)
Health Promotion 10 Prioritize based on risk factors, develop teaching plan with nursing interventions.
APA Guidelines & Writing Style 10 APA (title page, margins, page numbers, headings, subheadings, citations); spelling; writing clear, concise, professional.
Total 100
