HEALTH ASSESSMENT AND HEALTH PROMOTION
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LONG ISLAND UNIVERSITY
HARRIET ROTHKOPF HEILBRUNN SCHOOL OF NURSING
BROOKLYN, NEW YORK
NUR 220L ASSESSMENT AND HEALTH PROMOTION LAB
*To be completed as Homework and submitted in Lab. Student will perform a Comprehensive Health History on an adult/older adult who has a medical condition and taking prescribed medications.
Student Name: ___________________________________ Date: ________________
Client’s Initials ________ Gender________ DOB________ Age________ Race_________________
Marital Status________ Nationality ________ Culture ________ Primary Language ________________
Religion ______________ Occupation____________________ Education________________________
Sexuality _____________ Height___________ Weight____________ BMI _________________
Source of Data________________________________ Reliability of Source ______________________________
Contact Person (Include relationship)
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