Personal Health Profile

In: Science

Submitted By maddog1505
Words 386
Pages 2
Kaiser Foundation Health Plan of the Northwest  Kaiser Foundation Hospitals

HR #: DOB: Clinician:

Personal Health Profile
Medications (Prescription and over-the-counter drugs) Drug Names Strength Frequency

Medical Office: Occupation: Medication Allergies Drug


Major Surgeries or Injuries (Include year if known)

Other Hospitalizations (Include year)

Have you been treated for any of the following? Yes No Yes No Yes   Diabetes   High Cholesterol    High Blood Pressure   Heart Disease    Thyroid Disease   Lung Disease   Other (Explain) Does your mother, father, sister or brother have any of the following? Yes No Yes No Yes   Diabetes   High Cholesterol  Alcohol/Drug Abuse Have you been sexually active in the past 6 months? No  Do you use birth control? No  Yes  Method: When was your last tetanus shot?   High Blood Pressure  

No  

Cancer Mental/Emotional Problems

Heart attack before age 55   Breast, Colon or Prostate Cancer Yes  If yes, how many partners? No  Yes 

No 

If over 65, have you had a pneumovax vaccine?

Have you ever smoked? No  Yes  Do you smoke or use smokeless tobacco? No  Yes  Do you use alcoholic beverages? No  Yes  If yes, how many drinks on an average per week (1 drink=1glass beer/wine or 1 shot hard liquor)  1 to 5  6 to 10  11 to 20  More than 20 Do you exercise regularly? If yes, what type? No  Yes  Do you use recreational or “street drugs”? No  Yes 

12803 6/09 HAP Administration/MPO


Kaiser Foundation Health Plan of the Northwest  Kaiser Foundation Hospitals

HR #:

Personal Health Profile
WOMEN ONLY: Have you gone through menopause? No  Yes  If yes, when? If not, when was the first day of your last period? Date of last pap smear Date of last mammogram Review of Systems: WT: HT: Vision: Uncorrected…...

Similar Documents

Releasing Personal Health Information

...Releasing Personal Health information By: Serena O’Horo HCR 210 In order to fully understand when it is ok for government agencies, legal agencies or representatives, and research groups to release information with or without patient consent, we need to have a full understanding of what protected health information is. Protected health information also known as PHI, is any type of information such as the patients name, date of birth, or social security number, that can be used to identify the patient. Protected health information can also include; telephone numbers, address, employer information, insurance ID numbers (includes Medicaid and Medicare), and the patient’s medical record file number. Protected health information must never be given out without the consent of the patient. Patients must fill out the paper consent form and sign and date the paperwork in order for the information to be released. HIPAA provided the guidelines that must be followed in order for the form to be used for authorization. According to the AMA website, a valid release typically includes the” patient’s name and other identifying information, the address of the health care professional/institution, description of the information that is being released, the identity of the party that the information is being sent to, language authorizing the release of the information, the signature of the patient or authorized individual, and the time period for which the release remains......

Words: 971 - Pages: 4

Personal Profile Plan

...Personnel Profile Plan HSM/220 Personnel Profile Plan For this assignment I will be discussing the four steps that an organization should take to change its personnel profile. These steps include; performance appraisal, staff training and development, career development, and termination. The first step I will be talking about is performance appraisal. This is usually an annual event for every employee, and sometime contains quarterly and Simi-annual progress reports. It’s useful to mangers and administrations because they are able to determine employee skills and productivity profiles. This helps supervisor and employees to get the highest performers in the main positions. For example, a supervisor would be able to look at; an employee’s work performed strengths, weakness, and level of performance though scoring systems, charting, and comparisons. The second step is staff training and development. This contains the options of in-service training provided by the agency, or out-services training workshops and institutes, which is earned through professional organizations and other groups. The third step is career development. This is set out to assist employees in achieving higher level responsibilities through on the job training and monitoring. This is done by a supervisor and employee coming together, and planning the employee’s short and long term career goals. Fourth, is termination, and is to be used in extreme circumstances. If not done correctly, it can......

Words: 345 - Pages: 2

Personal Profile

...unit 6: personal and professional development in Health and Social Care P2: Assess own knowledge, skills, practice, values, beliefs and career aspirations at the start of the programme. My name is , I am sixteen years old and currently attend North East Worcestershire College where I am a full time student; studying as hard as i possibly can to gain my level three diploma in health and social care. This essay is going to identify my career aspirations and the skills required to fulfil my dream of becoming a social woker. In order to become a successfull social worker I need to be well equipped with all the relevant experience required. I currently have a fair bit of experience in a variety of social care settings such as Woodlands House, which is a care home for people with learning disabilities and challenging behaviours. My role at Woodland House is an activity worker. I keep the residents entertained by playing board games and a variety of other activities to keep them as active as possible. I have also taken part in babysitting for close friends and relatives. This was an excellent opportunity for me as they put all their trust in me to look after their childeren; which boosted my confidence. Combining both of my experiences together with not only adults, but children too. This enabled me to widen my knowledge about different types of care work available to people of all different ages. I believe that everybody should be treated equally and fairly. Also each......

Words: 489 - Pages: 2

Thomas Personal Profile Assessment

...Employment Testing Assignment Test: Thomas Personal Profile Assessment The Contact Process The employer I contacted for this project was Livingston International. It is a North American company that focuses on customs brokerage and compliance, but also offers international trade consulting and international freight forwarding across the world. Livingston International has a workforce of over 3,200 employees and operates along the U.S- Canadian border, with regional air/sea hubs in Los Angeles, New York, and Norfolk (Livingston Int’l 2013). My main contact within the company was (name). Description of the test A test that Livingston International uses in their selection process is a personality assessment that assists in determining whether a candidate fits a position from a behavioural perspective. It is an online tool outsourced through Thomas International, called the Thomas Personal Profile Analysis (PPA). It was originally created between 1928-1931 through the theories of Dr. W.M. Martson, and then further developed by Thomas Hendrickson in the late 1950s and early 1960’s (Thomas Int’l 2013). The test is based on a human behavioural theory where behaviour is a function of 2 different dimensions (external and internal) that form an individual’s pattern of interaction through four characteristics: Dominance, influence, steadiness and compliance (Irvine, Sidney 2013). Consequently, it identifies personality traits and preferences that characterize a person’s......

Words: 2662 - Pages: 11

Personal Health

...Personal Health Assessment Paper John Martin Mubiru SCI/100 - PARADIGMS OF HEALTH September 18, 2010 Personal Health Assessment Paper Personal health assessment is a systematic functional data on health plans. It serves as a foundation of any successful wellness of health practices. Personal health assessment helps people to achieve the best health through proven health support technics, evidence-based actions, and caring coaches. (LM Health Works) Health describes wellness as an important aspect of a human being to live well. Wellness however is the positive approach to living good with a health body, health mind, and more important living without diseases. There are six dimensions of wellness in a healthy lifestyle. Namely, intellectual, emotional, social, physical, spiritual, and environmental. Three of these mentioned dimensions have been elaborated in details below. First, globally, the environmental dimension of wellness determines which kind of life a certain area can harbor. This in turn helps to develop different characteristics of the people and animals. The settlement of human life in an oasis found in a desert-like environment depends on the health of the planet. No human life can avail in the tropical rain forests, because of the abundance big trees, wild inhabitants and a concentration of billion insects. However, food security, water and the presence of penetrable areas enables human life to settle in many parts of the world. Furthermore,......

Words: 991 - Pages: 4

Personal Accident & Health Insurance

...PERSONAL ACCIDENT AND HEALTH INSURANCE OF Course Name: Principles of Insurance Course Code: F-210 Submitted to: Samia Sultana Tani Assistant Professor, Department of Finance, Faculty of Business Studies, University of Dhaka. Submitted by: Group No: Section :B B.B.A 17th Batch Department of Finance University of Dhaka. Date of Submission: 27 November, 2012. A Combined Effort of Sl No. | Name | ID-No. | Remarks | 01 | Rakibul Islam | 17-052 | | 02 | Ivy Akhter | 17-046 | | 03 | Mousumi Saha | 17-154 | | 04 | Morium Sultana Moni | 17-104 | | 05 | Nipul Hosen | 17-058 | | 06 | ShantaDev | 17-086 | | 07 | ShamsunNaher | 17-112 | | 08 | Emaj Sultana | 17-062 | | 09 | FatemaTujJuhura | 17-156 | | 10 | SadiaSharminUrmi | 17-192 | | Letter of Transmittal 27 November, 2012 Samia Sultana Tani Assistant Professor Department of Finance Faculty of Business Studies University of Dhaka Subject: Submission of the Report. Dear Madam, It gives us immense pleasure to submit the report on “personal accident and health insurance of pragati insurance limited” This report is submitted as the requirement to fulfill the course “Principles of insurance”. The experience that we gathered through this research was very interesting, joyful and valuable one. This is an ideal ground......

Words: 7923 - Pages: 32

Personal Andprofessional Health Are Communication

...Communication “In general, health communication is concerned with the application of communication concepts and theories to transactions that occur among individuals on health related issues” (Northouse & Northouse, 1998, p. 3). Because most health care providers in a given setting share the same patients it is essential for better continuity of care to maintain and practice an open communication among all disciplines. With better multidisciplinary communication, there is better integration of all the aspects of the patient’s health care needs, which are achieved effectively and efficiently. Healthcare communication is fundamentally the pillar of a healthcare facility. It helps to coordinate and manage patient care. An absence of communication among health care providers will create an unsafe environment for all patients. Care would be sporadic and chaotic with no sense of direction and the outcome will be detrimental to the health of the patient and unnecessary financially stressful, thus placing great relevancy on both effective personal and professional healthcare communications. The importance of these issues will be discussed, as well, as the outcome of a lack of communication. Relevancy of Effective Personal Healthcare Communication with other health care professionals, clients, patients. Effective personal healthcare communication is vital between healthcare professionals, clients and patients. Health communication plays a major role in all aspects of health......

Words: 1688 - Pages: 7

Personal Health Responsibility

...students will sometimes focus on and/or concern themselves with nothing but their class assignments and their class tests so much that they'll occasionally forget how much their health can actually affect their performance or even their GPA. Sometimes, students never think to realize that if they would apply a decent portion of their personal responsibility to their health, then they would be more likely to succeed much easier and much more in their life. Obviously, this would also include the time they are working on their educational responsibilities. So, while a healthy lifestyle isn't necessarily the only thing that can affect a student's test scores, college students who dedicate a portion of their personal responsibility to their own health are much more likely to succeed in their educational journey. To every person individually, personal responsibility is dependent on them. To one person, they could focus their personal responsibility on their career, but to another person, they could focus it on their children. Personal responsibility is considered an obligation that a person has to themselves. For students (including but not limited to college students), a portion of their personal responsibility should be centralized on managing their health. This is because too many students often forget to put health into their list of priorities, but then don't quite understand why they are unable to focus as much as they used to or why they aren't getting the good grades that......

Words: 766 - Pages: 4

Personal Health Record

... Personal Health Record (PHRs) Nursing Informatics Oluwatoyin Abolarin Dr. Randolph Schild 11/30/2014 ABSTRACT The purpose of this paper is to generate information in regards to Personal Health Records (PHRs) in relation to the nursing profession. The emergence of PHRs came to light as a collective result of our complex set of medical needs, increasing need for timely access to health information’s without jeopardizing our privacy rights as patients, increasing advancement in technologies and pressure to reduce cost of effectively healthcare delivery. I will be providing different definitions of PHRs, types and general features. I will support my definitions will existing literatures to show how close it is in meaning and features to Electronic Health Records (EHR) as literature has shown preference for PHRs that are tethered to EHR. PHRs have several benefits and barriers with more emerging as new studies are being generated. This paper will also look at ways nurses can contribute to PHRs through the use of standardized nursing language and home education information’s searchable on the PHRs. I will be using online database searches through CINAHL, MEDLINE to support this review. INTRODUCTION Access to the internet has dramatically grown over the years thereby awarding a huge strength to the capacity of the internet to expand health care delivery. Research has shown that, “seeking information related to the users’ health concerns, including disease, disease management...

Words: 3153 - Pages: 13

Personal Career Profile

...Personal Career Profiler Elisa Huggs MGT/521 Management April 02, 2015 Gloria Flores Personal Career Profiler Developing a career profile is not simple, especially when the individual has unclear professional goals. However, if this have an excellent career influence and direction in mind things are easier. Taking into consideration that the University of Phoenix not only encourage its students to meet their goals although provide them with practical and useful tools to achieve those goals. For an undecided student counting with a reliable support and consistent academic advice is a bonus. The career interest profile in the official school site offers a complete set of tools that help to guide the students. The ultimate purpose of these tools is to support the student throughout the scholar journal to become successful professional. With the help of the information discussed during this course and all the available tools Elisa had learned that establishing realistic goals, building confidence and sharpen skills are the first steps to becoming a real professional. She also had learned that creating an excellent resume and craft the personal image is essential; same as learning basics networking skills, maybe finding a mentor, using school connections and writing a good quality cover letter that employees would want to read (Robbins and Coulter, 2012). Elisa states she is well prepared for interviews and...

Words: 370 - Pages: 2

Personal Health Essay

...May 22, 2013 Personal Health Essay Life is a very meaningful thing. Some people are aware of the health issues that can occur later in life and others do not have a clue. There is also an “it will not happen to me attitude.” Some of these issues can be made less serious or even prevented, by making changes in our lives right now. Looking at my family history and thinking about the future, I need to live in the moment, because I will never know when it will be my last. I come from a family that fried everything and used grease for flavor. My mom was never taught about healthy eating and she cooked just like her mother did. My grandmother came from the depression era that didn’t waste anything and had a way to make a meal out of whatever was available. Many of our favorite foods were developed during this time and we’ve been eating that way ever since. I was never encouraged to eat vegetables, in fact the only vegetables I really remember having are potatoes and corn, because those were the only ones the kids would eat. I have two sisters and all three of us were finicky eaters. Because we would only eat certain foods, my mom would cook those items just so we would eat. She never made it the “healthy version” way, because she didn’t know to do that. When I was growing up, there was the food pyramid, but not all the talk about changing recipes to a healthier version or cutting out fat. We ate what we liked and could afford, so most of it was processed and......

Words: 1606 - Pages: 7

Personal Health Assessment

...Personal Health Assessment and Health Promotion Plan Abstract The purpose of this assignment is to gain a greater understanding of the health promotion concepts through self reflection. I plan to do this by identifying three self-assessment tools; a food journal, exercise log and sleep log, along with providing rationale for the chosen instruments. I will also address the Transtheoretical Model (TM), which stages I have gone through and which stage I am currently in. These tools and stages along with a wellness diagnosis will help me to develop a personal health plan. The outcomes of the interventions will be discussed and will include personal achievements and success. Personal Health Assessment and Health Promotion Plan The definition of health is very subjective; it can vary from person to person. What one person might consider healthy another might consider being average. I define good health as a complete circle of one’s physical, emotional, spiritual and mental well-bring. Personal health assessment is a key building block in understanding your own health. Once there is an understanding one can make plans for improvement. According to Pender “a thorough assessment of health and health behaviors is the foundation for tailoring a health promotion-prevention plan” (Pender, Murdaugh, & Parsons, 2011, p. 89). Once my definition of health was clearly defined, I took a closer look at my personal health beliefs by completing the Health Beliefs Survey (Appendix......

Words: 3454 - Pages: 14

Personal Health

...Freddy Jackson KH 1111 Johnny Cox 1/19/16 Role of Personal History in Career Choice Assignment Throughout the course of elementary school, I wasn’t really sure what I wanted to do. During elementary school the only real exercise I had was through P.E. at school and that was it. I wasn’t active at home too much and I only exercised when I was at school. I went to a private elementary school and our physical activities lasted about 45 minutes to an hour. We did everything from football to basketball, and simply just running around and seeing who the fastest of everyone was. I really enjoyed this but I never really got the opportunity to be more active than this because my family was always working and I was stuck inside the house most of the time. Looking back on it I wish I would have been a lot more active back then, because I would have been in a lot better shape than I am now. The influences during this time were mostly my teachers and my classmates. Whenever I would struggle with a physical activity, they would motivate me and encourage me to do better. Middle school wasn’t too much different for me than elementary school was. The only exercise I would get would be at school for a little while, then I made some friends in my neighborhood, and I found myself becoming more and more active. My parents were always strict with me and didn’t let me get out, but whenever I did I had a lot of fun and made the most of it. There were many different opportunities for me to...

Words: 868 - Pages: 4

Personal Learning Profile

...EXP 105: Week 2 Personal Learning Profile A. LCI Results |Pattern Combination |Dynamic | |Identify the type of learner you are in| | |the box | | | |Sequence |Precision |Technical |Confluence | | | | |Reasoning | | |Record your LCI scores in |23 |28 |13 |22 | |the boxes provided. | | | | | |Record the Level of Use in |As needed |Use first |Avoid |As needed | |the boxes provided | | | | | B. How I Use First, Use as Needed, or Avoid Sequence I use sequence as needed every day at......

Words: 404 - Pages: 2

Personal Health

...Personal Health Assessment Overall, there are six dimensions of health that can be examined to determine if a person is healthy and fit or to see what area in his or her life needs improvement. This includes physical, psychological, spiritual, social, intellectual, and environmental dimensions. “When all of the six dimensions are at high levels and in balance, we have optimal health and well-being” (Blonna & Watter, 2005, p.5). The three dimensions of health that I feel I am strongest at are the physical, social, and intellectual dimensions. Physically, I am contented with how I look and feel. I believe that I am healthy and that I take the proper precautions to take care of my body. Being free from any illnesses does not mean that a person fulfils the physical dimension of health. I think that one has to be satisfied about his or her overall health and body in order for him or her to say that he or she is physically healthy. In addition, being positive about how a person sees his or her body contributes to a better physical health. I would also like to indicate that I fulfil the social dimension of health since I do not have a problem reaching out to people. I have excellent relationships with my friends and family and this helps me grow as a person. I believe that keeping this dimension healthy is important because having people that would support you greatly contributes to a person’s well-being and improvement of the other five dimensions. The third......

Words: 674 - Pages: 3

战争技术战士 | 최고의 요리비결.E3833.181211.720p-NEXT - 토렌트 한국시사/교양 | Watch Van Helsing Online