Perform a health history on an older adult. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual).

Perform a health history on an older adult. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual).

2. Complete a physical examination of the client using the “Individual Health History and Examination Assignment” resource. Use “Functional Health Pattern Assessment” as a guideline to assist you in completing the template.

3. Document findings of complete physical examination in Situation-Background-Assessment-Recommendation Format(SBAR) by using the SBAR format. Refer to the “SBAR Template,” located on the National Nurse Leadership Council website at http://www.ihs.gov/NNLC/documents/resources/SBARTEMPLATE.pdf as a guide. Document the findings of the physical examination in the assessment worksheet.

4. Using the “Individual Health History and Examination Assignment,” provide the physical examination findings summary with planned interventions for the client. Include any community services in the interventions.

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