Collecting Subjective Data:Interview and Health history Flashcards
can be elicited and verified only by the client.
Subjective data
Obtaining valid nursing history required professional interpersonal and interviewing skills
Interview
Nursing interview two focused
Establishing rapport
Gathering information on clients status
Phase of interview
Pre introductory phase
Introductory phase
Working phase
Summary and closing phase
It strongly influences how the client perceived the question you ask
Non verbal communication
-appearance
-deamranor
-facial expression
-attitude
-silence-listening
Essential to a client interview
Verbal communication
- open- ended questioning
-closed-ended questions
_rephrasing
Special considerations during interview
Gerontological Variations in Communications
Cultural variations in communication
Emotional variations in communication
Usually includes information that identified the patients
Biographical data
Why are you here , how can I help you
Reasons for seeking health care
Coldspa meaning
Character( feel, look(
Onset(when did the start)
Location(where is the pain located)
Duration(how long does it last)
Severity(scaling)
Pattern(what make feel worse, what makes feel better)
Associated factor(other symptoms )
Coldspa
History of present health concern
Focuses on questioning related to clients personal history
-Personal health history
Problems at birth
Immunizations
Accidents
Determine genetically based problem, uses genome and to trace family history
Family health History
Skin,hair,nails
Head and neck
Eyes ears
Review of system for current health history
Clients human response which includes nutritional habits,activity and exercise
Lifestyle and health practice profile
Sleep and rest
Social activities
