Complete Health History Flashcards
Patient identification, primary language, marital status, race, ethnic origin, occupation
Examples of biographical data
What are the 8 characteristics of history of present illness (HPI)?
PP, QQ, RR, SS, T, U, O
What does the acronym PP, QQ, RRR, SS, T, U, O mean?
Provocative and palliative
Quality and quantity
Region, radiation, and related symptoms
Severity scale and setting
Timing (onset, duration, frequency)
Understanding patients perception of the problem
Open-ended question
8 characteristics of Past Health or Past Medical History (PMH) include?
Childhood illnesses, accidents/injuries, hospitalizations/surgeries, obstetric, chronic or serious illnesses, immunizations, allergies, and medications
Number of pregnancies
Gravida
Number of full term pregnancies
Term
Number of premature pregnancies
Preterm
Incomplete pregnancies (abortion or stillborns)
Ab
6 characteristics of medication reconciliation
Drug name
Dosage
Route
Start date
Frequency
Indication (why are they taking this medication)
Arthritis, gout, pain or stiffness, muscle pain or cramps, gait problems
Possible musculoskeletal system problems
Coldness, numbness or tingling, swelling of legs, discoloration in hands or feet, varicose veins
Peripheral vascular system problems
Name 4 parts of the neurological system
Motor function, sensory function, cognitive function, mental status
Weakness, ticks or tremors, paralysis, or coordination problems
Examples of motor function
2 examples of sensory function
Numbness or tingling
Having a memory disorder is a problem in ___ ___
Cognitive function
