Health Assessment--Complete Health History

Question 1

Health History Sequence

Answer 1

Health History Sequence:

1. Biographical data
2. Reason for seeking care CC
3. Present health or history of present illness
4. Past history
5. Family history
6. Review of the systems
7. ADLs or functional assessment

Question 2

1. Biographic Data

Answer 2

Biographic data:

Name, adress, phone number, age and birth date, birthplace, gender, marital status, race, ethnic origin, and occupation

Question 3

Source of HIstory

Answer 3

Source of History:

1. Record who gives the info
2. Judge how reliable the info seems and how willing is to communicate
3. Note any special circumstances (ex: interpreter)