Complete Health History

Question 1

Biographic

Answer 1

name, address, phone #, age, birth date, borth place, gender, marital status, race, ethnicity

Question 2

Source of care

Answer 2

self or family member

Question 3

Reason for seeking care

Answer 3

sign v. symptom

Question 4

Present health or illness statues

Answer 4

8 characteristics of symptom; PQRSTU

Question 5

Past history

Answer 5

childhood illness, accidents/injuries, serious/chronic illnesses, hospitalizations, operations, OB hx, medications, allergies, last routine exam

Question 6

family hx

Answer 6

genogram

Question 7

Review of body systems individually

Answer 7

refer to pages 54-56

Question 8

Functional Assessement

Answer 8

ADL (Activities of Daily Living), includes self-esteem/self-concept, activity/exercise, sleep/rest, nutrition/elimination, interpersonal relationships/resources, spiritual resources, coping management, personal habits, alcohol, illicit drug use, environment/hazards, intimate partner violence, occupational hazards

Question 9

Perception of health

Answer 9

how do they define health

Question 10

ADL

Answer 10

bathing, toileting, dressing, feeding, mobility, communication, living environment; can they perform their activities of daily life