HealthHistory and Physical Examination

Ms.Beatrice was received on the 5th of July 2016, at the emergencydepartment. It is the first admission of the 65-year-old woman whorelates that she was normal until two weeks ago. At that time shenoticed mild abdominal pains. The first episode of pain occurred twoweeks ago when she was watering her flowers in the morning hours. Shereports that the pain pierced her abdomen when she bent to pick apipe. She could not lift it up, and she went to her veranda to take arest. She had barely started to water her flowers. Her condition wasaccompanied by nausea, cough and difficulty to breathe but she didnot vomit. The pain receded 10 minutes after she had taken a rest.She reported that when she pressed the area around her lower abdomen,she identified a swelling.

Sheunderwent a surgery of the appendix in the year 2000, and in the sameyear, she was diagnosed with diabetes and was put on unknownmedication. She stopped the medication in a month because shedeveloped rashes in her posterior aspect of the trunk. She reacts topenicillin, which causes rashes and irritation throughout her body.She consumes a glass of wine daily at the end of her dinner and doesnot smoke. Her mother 75, is deceased and her father 90, is suffersfrom arthritis and is alive. She has a brother and a sister who areyounger than her. Her siblings are twins and are age 55. She has a70-year-old husband who was diagnosed with hypertension. She lives100m from the health center meaning she has easy access to thehealth facilities.

Ms.Beatrice appears alert and synergistic. She is joyful and has a senseof humor. Her skin appearance and texture is normal. Her temperatureis at 37℃. Her scalp is normal, no headaches, reads only in glassesand hearing still normal. No history of pneumonia or asthma. Shedenies the history of depression. No known blood or clottingdisorders. Her neck is easily movable without resistance. A swellingis observed under her abdomen. Her stool is brown and negative forblood.

Healtheducation is significant to the essential mission of schools.Improving student’s health and safety can produce educationalbenefits by growing the students’ willingness to learn andpreventing absenteeism. Health education teaches about physical,emotional, social and mental health. It facilitates students toimprove and maintain their health, avoiding risky behaviors andpreventing disease. Research articles in this field provideinformation and guide on how to determine the health status ofpatients. The articles stipulate the criteria for treatment andstructures within which assessment is to be conducted.

Healtheducation is useful when all the health factors are considered. Forinstance, the psycho-social considerations in the case of a pregnantwoman, are such as family support during pregnancy. If support is notgiven in such situations, it is likely that health education wouldnot be significant in effect. This is to say that there are crucialelements that ensure health education. The involvement of family andfriends in the health status of a patient enhances quick recovery andmakes it simple for a patient to understand matters of healthregarding their condition (Happell &amp McAllister, 2014).

Theenvironment in which the physical assessment is conducted influencesgreatly how the patient responds. The patient should developconfidence in her nurse. The nurse should be receptive andaccommodating but strict in assessment, so as to perform anencompassing evaluation of the patient’s health status. The time ofday the patient is handled is also critical. If there is a lot ofactivity and an outflow in patient admission, the quality of timegiven to patients is low. The nurse should use an understandablelanguage that is kind in nature (Nutbeam, 200). The health careprovider should be able to communicate with the patient otherwise,this will compromise on the service delivered to the patient.


Happell,B. &amp McAllister, M. (2014). Implementing a major stream in mentalhealth nursing: Barriers to effectiveness. InternationalJournal Of Mental Health Nursing,23(5),435-441. http://dx.doi.org/10.1111/inm.12075

Nutbeam,D. (2000). Health literacy as a public health goal: a challenge forcontemporary health education and communication strategies into the21st century. Healthpromotion international,15(3),259-267.