Chapter 4 Flashcards
Purpose of Health History
Collect subjective data to combine with objective data. Provides a picture of patients past and present health. Used as a screening tool.
Components of Health History
Biographic data (name, address, gender, etc.). Source of history (Who tells you, reliability of person). Reason for seeking care (Not a diagnostic statement, brief statement in patients own words providing reason for visit). Present health history or history of illness. Past health. Family history.
PQRSTU
Provocative or palliative. Quality or quantity. Region or radiation. Severity scale (1 to 10). Timing or onset. Understand the patient’s perception of the problem.
Sign vs Symptom
A symptom is a manifestation of disease apparent to the patient himself, while a sign is a manifestation of disease that the physician perceives