Health History

Card Set Information

Author:
rbolduc
ID:
103263
Filename:
Health History
Updated:
2011-09-21 03:00:13
Tags:
health assessment
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Description:
complete health history
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The flashcards below were created by user rbolduc on FreezingBlue Flashcards. What would you like to do?


  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

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