12. Qualifying the Health [Script] Flashcards

1
Q

1. Any Major Issues?

A

So that I can figure out what you qualify for, let me ask you [Client Name], do you have any history of:
* Heart
* Kidney
* Liver
* Or any lung issues?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

2. Any History?

A

How about any history of:
* Cancer
* COPD
* Diabetes
* Heart Attack
* Or Stroke?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

3. Cancer

A
  • How long ago?
  • More than one instance?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

4. COPD

A
  • How long ago?
  • Are you on oxygen or use inhalers?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

5. Diabetes

A
  • Do you take insulin?
  • At what age did you start?
  • Do you have neuropathy?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

6. Heart Attack

A
  • How long ago?
  • Do you have CHF?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

7. Stroke

A
  • Do you need HH or can you do all your ADL’s?
  • Cane or walker?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

8. Any Medications

A
  • Are you currently on, or prescribed any medications?
  • What do you take them for?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

9. Hospitalized For Anything?

A

Have you been hospitalized for anything in the last two years?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

10. Height, Weight and Tobacco

A
  • How tall are you?
  • How much do you want to weigh today?
  • Do you use tobacco?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly