health asses chapt 4 Flashcards
comprehensive health history
new patients, provides fundamental and personal knowledge, strengthens relationship, baseline, platform for health promotion
focused
usually returning patients, routine or urgent care, focused concerns or symptoms, assess systems restricted to specific body system
follow up history
always follow up with patient, dont just go off charts from previous shifts.. evaluate problem and treatment
emergency history
focused on emergent problem
parts to a comprehensive adult health history
(know what each are)
identify source and data, chief complaint, history of present illness, past history, family history, review of systems, health patterns
past history
allergies, medications, childhood illnesses, adult illnesses(medical, surgical, accidents, pyschiatric), immunizations, screening tests, safety measures(helmets, fire dectors), risk factors( tabacoo, environmental, substance absue, alcohol)