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iRubric: Comprehensive Health History rubric

iRubric: Comprehensive Health History rubric

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Comprehensive Health History Comprehensive Health Assessment Rubric for writing up a Comprehensive Health History Rubric Code: V2W45XA By rhondarn Ready to use Public Rubric Subject: Nursing Type: Project Grade Levels: Undergraduate

Comprehensive Health Assessment
	Inadequate effort 1 pts	Fair 3 pts	Good 4 pts	Very Good 5 pts	Score (N/A)
Biographical Data Includes all pertinent objective data.	Inadequate effort Students fails to perform 1 or more required tasks	Fair Student provides few items that involve the biographical data less than 3 items	Good Student provides 3 to to 7 items of biographical data.	Very Good Student includes all nine elements of biographical data.	Score
Reason for Seeking Care Provides clearly written explanation for patient appointment	Inadequate effort Fails to provide a focused statement	Fair Provides a vague statement for seeking care	Good Provides an clearly written statement for seeking care	Very Good Provides a focused clearly written statement regarding the patient reason for seeking care. Places reason in quotations. Provides appropriate probes.	Score
History of Present Illness How they got to this point in their health?<BR> What Signs and Symptoms? <BR> What tests did they have completed?<BR> How many times have they been hospitalized?<BR> What are the patients concerns?	Inadequate effort Students narrative is inadequate with gross deficiencies	Fair Student fails to address all elements in detail or has significant grammatical and spelling errors	Good Student addresses all key elements in narrative with minor grammatical errors, spelling, or fomatting errors.	Very Good Student effectively correctly addresses every key element of the assessment in a narrative having the proper format with no grammatical or spelling errors.	Score
Past Health History General Health<BR> Accidents or Injuries<BR> Chronic Illnesses<BR> Hospitalizations<BR> Operations cardiothoracic surgery:<BR> Immunizations:<BR> Last Health Examinations:<BR> Current Medications/Supplments<BR> Allergies	Inadequate effort Students narrative is inadequate with gross deficiencies	Fair Student fails to address all elements in details or has significant grammatical and spelling errors	Good Student addresses all key elements in narrative with minor grammatical errors, spelling, or formatting errors.	Very Good Student effectively correctly addresses every key element of the assessment in a narrative having the proper format with no grammatical or spelling errors.	Score
Review of Systems Ask patient questions related to each system and get the patient's impression of their health	Inadequate effort Students narrative is inadequate with gross deficiencies	Fair Student fails to address all elements in details or has significant grammatical and spelling errors	Good Student addresses all key elements in narrative with minor grammatical errors, spelling, or formatting errors.	Very Good Student effectively correctly addresses every key element of the assessment in a narrative having the proper format with no grammatical or spelling errors.	Score
Genogram and Family History Includes extended family with ages and diagnoses	Inadequate effort Student provides no genogram	Fair Student provides genogram with minimal information	Good Student provides genogram but missing family history	Very Good Student provides genogram with extended family, ages and diagnoses	Score
Functional Assessment Ask the client how they view themselves, what they do to cope with stress, how they sleep, exercise.	Inadequate effort Student provides no functional assessment	Fair Student provides minimal (less than 4 topical areas) with numerous grammatical errors	Good Student provides a adequate functional assessment with few grammatical errors. Provides information on up to seven areas in functional assessments	Very Good Students provides all nine areas of functional assessment with well thought out with no grammatical errors.	Score
Perception of Health Ask the client about their view of themselves, assess if they are functionally dependent, and if their behavior is appropriate	Inadequate effort Student provides no perception of health assessment.	Fair Student provides up to 2 topical areas of a perception of health assessment with numerous grammatical errors	Good Student provides an adequate perception of health assessment that covers up to 4 topical areas with few grammatical errors.	Very Good Student provides all five areas of a perception of health assessment. Well developed with no grammatical errors.	Score
Health Promotion Lists learning needs based on health history. Identifies ways in which client is actively promoting healthy lifestyle.	Inadequate effort Student provides no health promotion in health history.	Fair Student provides up to 2 areas of health promotion in health history.	Good Student provides up to 5 areas of health promotion in health history.	Very Good Student provides more than 5 areas of health promotion in health history.	Score
Overall Report Report is neat without grammatical or spelling errors.	Inadequate effort Student provides work that is missing key elements of Health History. Numerous grammatical and spelling errors	Fair Student provides work that is complete with few grammatical and spelling errors.	Good Student provides work that is complete with no grammatical and spelling errors.	Very Good Student provides work with details under each sub-section with no grammatical or spelling errors.	Score

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