Chapter 4: The Complete Health History
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What are the 8 ways to obtain the adult health history?
- 1. Biographical data
- 2. Source of history
- 3. Reason for seeking care
- 4. Present health or history of present illness
- 5. Past health
- 6. Family history
- 7. Review of systems
- 8. Function assessment including activities of daily living (ADL's)
Name, age, sex, race, etc. are all examples of _?_.
Record of who furnishes the information is referred to as _?_.
Source of history
A brief spontaneous statement in person's own words describing reason for visit is also referred to as _?_.
Reason for seeking care
Location, timing, setting, aggravating or relieving factors are all examples of _?_.
Present health or history of present illness
Childhood illnesses, immunizations, hospitalizations, allergies are all examples of _?_.
A basis of health within the patient's family is known as the _?_.
General overall health state of all major organs and organ systems of the body is the _?_.
Review of systems
Self esteem, sleep and rest, personal habits (drinking, drugs), intimate partner violence all have to do with _?_.
Functional assessment including activities of daily living (ADL's)
PQRSTU is a mnemonic for same question sequence what does each letter stand for?
- P= Provocative or palliative
- Q= Quality or quantity
- R= Region or radiation
- S= Severity scale: 1 to 10
- T= Timing or onset
- U= Understand patient's perception of problem
What is this diagram referred to as?
Family History Genogram
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