Essay on Health History and Screening of an Adolescent or Young Adult Client.

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Health History and Screening of an Adolescent or Young Adult Client

Student Name:

Biographical Data
Patient/Client Initials: Phone No:
Address:
Birth Date: A Years Sex :Female
Birthplace: Marital Status: Single
Race/Ethnic Origin:
Occupation: High School Student Employer: Unemployed
Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?) She receives health insurance from parents. She is depended, and covered by her mother’s health insurance. Her parents financially support her.
Source and Reliability of Informant:
Source is the patient. Patient is very reliable, alert …show more content…
Number of years of education completed?
Fourteen years. I am about to complete my senior year of high school.
Occupation?
If employed, how long? I am currently unemployed.
Are you satisfied with this work situation? N/A Do you consider your work dangerous or risky? N/A Is your work stressful? N/A

Over the past 2 years, have you felt depressed or hopeless?
No

Biophysical Content and Questions

Have you smoked cigarettes? Yes_______ No X____

How much?
Less than ½ pack per day_____ About 1 pack per day?______ More than 1 and ½ packs per day______

Are you smoking now? Yes_______ No X____ Length of time smoking? ______________

Have you ever smoked illicit drugs? Yes__________ No X_____

If yes, for how long? ___________ Do you smoke these now? Yes__________ No __________

Do you ingest illicit drugs of any kind? Yes_________ No X_________
If so, what drugs do you use and what is the route of ingestion?_________
How long have you used these drugs _________________

Biophysical Content and Questions

Have you smoked cigarettes? Yes_______ No X____

How much?
Less than ½ pack per day_____ About 1 pack per day?______ More than 1 and ½ packs per day______

Are you smoking now? Yes_______ No X____ Length of time smoking? ______________

Have you ever smoked illicit drugs? Yes__________ No X_____

If yes, for how long? ___________ Do you smoke these now? Yes__________ No __________

Do you
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