Health History

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The flashcards below were created by user rbolduc on FreezingBlue Flashcards.


  1. collect subjective data only
    what the person says about himself or herself
  2. 9 sections of the health history
    • biographic data
    • source of history
    • reason for seeking care (symptoms only, not signs)
    • history of present illness
    • past health
    • family history
    • review of systems
    • functional assessment (ADL's)
    • perception of health
  3. 8 critical characteristics of reported symptoms
    • location
    • character/quality
    • quantity/severity
    • timing
    • setting
    • aggravation/relieving factors
    • associated factors
    • patient's perception
  4. history of present illness: PQRST mnemonic
    • Provocative or Palliative
    • Quality or Quantity
    • Region or Radiation
    • Severity scale
    • Timing
    • Understand patient's perception
  5. review of systems
    • skin, hair
    • head, eyes, ears, nose, throat
    • neck
    • breast, axilla
    • respiratory
    • cardiovascular
    • peripheral vascular
    • gastrointestinal
    • urinary
    • genital, sexual health
    • musculoskeletal
    • neurologic
    • hematologic
  6. functional assessment
    • self-esteem, self-concept
    • activity, exercise
    • sleep, rest
    • nutrition, elimination
    • interpersonal relationships, resources
    • spiritual resources
    • coping, stress management
    • personal habits
    • alcohol, street drugs
    • environment, hazards
    • intimate partner violence
    • occupational health

Card Set Information

Author:
rbolduc
ID:
103263
Filename:
Health History
Updated:
2011-09-21 07:00:13
Tags:
health assessment
Folders:

Description:
complete health history
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