1. BIOGRAPHICAL DATA Flashcards
consists of information elicited and verified only by the client.
SUBJECTIVE DATA
Detectable by an observer or can be tested by using an accepted standard
OBJECTIVE DATA
Include info that identifies the client (ex. Name, bday, address, phone number, gender)
BIOGRAPHICAL DATA
“What is your major health problem or concern at this time?” and “How do you feel about having to seek health care?”
Reasons of seeking Health Care
HEALTH HISTORY HAS (__) SECTIONS
8
takes into account several aspects of the health
problem and asks questions whose answers can provide a detailed description of the concern.
History of present health concern (using COLDSPA)
it deals with the client’s human responses, which include nutritional habits, activity and exercise patterns, sleep and rest patterns, self-concept and self-care activities, social and community activities, relationships, values and beliefs system, education and work, stress level and coping style, and environment.
Lifestyle and health practices
increasing number of health problems that seem to run in families and that are genetically based, the family health history assumes greater importance.
Family history
focuses on questions related to the client’s
personal history, from the earliest beginnings to the present.
Personal/Past health history
each body system is addressed and the client is asked specific questions to elicit further details of current health problems or problems from the recent past that may still affect the client or that are recurring.
Review of Systems for Current Health Problems
ISOLATION VS ENVIRONMENT
Developmental Level