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7 parts of health history - ANSWER-"1.Biographical data
2.Reason for seeking care - C/C
3.Current health or history of current illness - HPI (history of present illness
4.Past health
5.Family history
6.Review of systems - Head to toe
7.Functional assessment or ADLs "
Examples of Biographical data in health hstory - ANSWER-"Name
•Address and phone number
•Age and birth date
•Birthplace
•Sex
•Marital status
•Race
•Ethnic origin
•Occupation—usual and present
•Source of information "
objective - ANSWER-something that can be observed - example vomiting
subjective - ANSWER-something the patient says to me I can debate that. Ex. Nauseas
,Present Health or History of Present Illness (HPI) in health history - ANSWER-PQRSTU
mnemonic:
P: Provocative or palliative
Q: Quality or quantity
R: Region or radiation
S: Severity scale
T: Timing
U: Understand patient's perception "
PQRSTU - ANSWER-P: Provocative or palliative
Q: Quality or quantity
R: Region or radiation
S: Severity scale
T: Timing
U: Understand patient's perception "
Past health in health history - ANSWER-Childhood illnesses
Accidents or injuries
Serious or chronic illnesses
Hospitalizations
Operations
Obstetric history
Immunizations
Last examination date
Allergies
,Current medications
Family History in Health History - ANSWER-Age and health or cause of death of blood
relatives
Health of close family members (spouse, children)
Family history of various conditions such as heart disease, high blood pressure, stroke,
diabetes, blood disorders, cancer, obesity, mental illness, and others
•Family tree (genogram)
The "review of systems" in the health history is:
A) an evaluation of past and present health state of each body system.
B) a documentation of the problem as perceived by the patient.
C) a record of objective findings.
D) a short statement of general health status. - ANSWER-Head to toe assessment A.
Reason for seeking care in health history C/C - ANSWER-a brief, spontaneous
statement in the person's own words that describes the reason for the visit (formerly
called "Chief Complaint" or CC)
Example - "I couldn't eat for two days because I was throwing up." "
Functional Assessment - Including ADLs (Activities of Daily Living) in Health history -
ANSWER-Self-esteem, self-concept
Activity/exercise
Sleep/rest
Nutrition/elimination
Interpersonal relationships/resources
, Spiritual resources
Coping and stress management
Personal habits
Tobacco
Alcohol
Street drugs
Environment/hazards
Occupational health
Intimate partner violence
Perception of Health - ANSWER-How do you define health?
How do you view your situation now?
What are your concerns/goals?
What do you think will happen in the future?
What do you expect from your health care providers?
Why should we have scientific knowledge during hygeine - ANSWER-Before we provide
hygiene care we need to identify any diseases the patient may have that may affect
their skin or their mouth. Take note of any skin abnormalities for allergies in order to
prevent injury.
describe a Normal Nail - ANSWER-normal nail is transparent, smooth, and convex, with
a pink nail bed and a translucent white tip.
Why pay attention to feet, hands and nails - ANSWER-to prevent infection, odor, and
injury. Specially for diabetics and those with circulation issues.