health history additions for a pediatric client Flashcards
The study explores the differences in medical history obtaining in pediatric patients, the impact of age on the process, the role of parents as historians, and the appropriate use of open-ended questions.
HEALTH HISTORY ADDITIONS FOR A PEDIATRIC CLIENT
○ SOB
○ Chronic cough
respiratory system
○ Croup or asthma
○ Wheezing or noisy breathing
respiratory system
Cyanosis
CARDIOVASCULAR SYSTEM
○ Congenital heart problems
○ History of murmurs
○ Limitation and tolerance of activities
Cardiovascular system
○ Dyspnea on exertion
Cardiovascular system
○ Stool color and characteristics
○ Diarrhea and constipation
Gastrointestinal system
○ Abdominal pain
○ Nausea and vomiting
○ History of ulcer
○ Bowel movement patterns
Gastrointestinal system
○ Painful urination
○ Polyuria/Oliguria
○ Narrowed stream
Urinary System
○ Urine color
○ History of UTI
○ Bedwetting
Urinary system
○ Penis or testicular pain
○ Any sores or lesions
○ Discharge
Male Genital System
○ Hernia or hydrocele
○ Changes in the penis and scrotum
Male Genital System
○ Itching
○ Rashes
○ Vaginal discharges
○ Date of menarche and preparedness
Female Genital system
Child’s attitude toward the opposite sex.
Sexual Health
advancement in sec education includes? (name atleast 1)
○ Masturbation
○ Relationships
○ Birth control methods
○ Sexually- transmitted diseases
musculoskeletal system (in _____ ___ ______)
○ Joint pain
○ Stiffness
○ Swelling
○ Limitation of movement
○ Gait strength
○ Coordination
bones and joints
musculoskeletal system (in ______)
○ Pain
○ Cramps
○ Weakness
muscles
musculoskeletal system (in ___ _____)
○ Pain
○ Posture
○ Spinal curvature
○ Any treatment
the back
○ Numbness and tingling
○ Learning disabilities and attention problems
○ Seizure occurrence
○ Motor coordination
NEUROLOGIC SYSTEM
○ Excessive bruising
○ Lymph node swelling
○ Exposure to toxic agents or radiation
HEMATOLOGIC SYSTEM
○ Allergic Rhinitis
○ Asthma
○ Eczema
○ Drugs reactions
Endocrine system
○ Delayed puberty
○ Allergy
○ Urticaria
Endocrine system
○ History of diabetes or thyroid diseases
○ Excessive hunger, thirst, or urinating
○ Abnormal hair distribution
Endocrine System
○ Nutritional state
○ Weight gain and loss
○ Illnesses
○ Energy level
○ Behavioral changes
General
○ Birthmarks
○ Pigment or color changes
○ Mottling
Skin, Hair, and Nails
○ Pruritus, rashes, lesions, & acne
○ Easy bruising or petechiae
○ Easy bleeding
○ Changes in hair or nails
skin, hair, and nails
○ Headache
○ Head injury
○ Dizziness
HEAD
○ Strabismus
○ Diplopia
○ Pain and redness
eyes
○ Discharges
○ Cataracts & vision changes ○ Reading problems
Eyes
○ Earaches
○ Frequency of ear infections ○ Discharge (characteristics) ○ Cerumen
○ Ringing or crackling
○ Attention span of the child
Ears
○ Discharges and characteristics
○ Frequency of colds
○ Nasal stuffiness
○ Nosebleeds
○ Allergies
Nose and Sinuses
○ History of cleft lip or palate
○ Frequency of sore throats
○ Toothache, caries, sores in mouth or tongue
Mouth and Throat
○ Swollen tonsils
○ Mouth breathing
○ Difficulty chewing and swallowing
○ Hoarseness or any voice changes
Mouth and Throat
○ Swollen or tender glands
○ Limitation of movement
○ Stiffness
Neck
● For preadolescent and adolescent girls:
○ Age of thelarche
○ Self-perception of this development
● For older adolescents:
○ Performance of BSE
Breast (females)
TRUE OR FALSE: When obtaining histories for infants and children, gather all or part of the information from the child itself
FALSE: When obtaining histories for infants and children, gather all or part of the information from the PARENT OR GUARDIAN.
TRUE OR FALSE: Adolescents tend to respond best when treated as adults and individuals.
TRUE
● Record the mother’s and father’s occupation.
● Indicate the number of hours each parent is away
from home.
Economic Status
Consider factors like living conditions, safety measures, exposure to environmental hazards, and the overall support system within the home.
Home Environment
● Indicate status of the child in the family.
● Note and describe family cohesion.
● Indicate any repetitive behaviors.
● Methods of discipline used.
● Elicit information about the child’s social roles: playmates.
Interpersonal relationships
Elicit data about employed home precautions and safety measures.
Environmental Hazards
THESE INFORMATIONS ARE NEEDED AND PART OF THE ENVIRONMENTAL HAZARDS EXCEPT:
○ Residence
○ Neighbor
○ Safety precautions used inside the automobile
neighbor
it should be NEIGHBORHOOD
Indicate a child’s ability to adapt to new situations.
COPING/ STRESS MANAGEMENT
● Elicit data about child’s coping mechanisms.
● Indicate behavioral or mood changes of the child.
COPING/ STRESS MANAGEMENT
● Record the child’s play activities.
● Record sleep/rest patterns and characteristics.
● Record school attendance.
● Record school performance.
Activity and rest
● Elicit data about the adolescent’s vices, if there are any, including frequency.
HABITS
these are all part of health promotion except:
● Record child’s primary health provider.
● Elicit data about the child’s last medical
examination.
● Include recent dental check-up visits and
subsequent schedules.
● Elicit data about employed home precautions and safety measures.
● Provide date and result of the child’s screening.
● Elicit data about employed home precautions and safety measures.
Record date of introducing solid foods.
Nutritional History
TRUE OR FALSE: IN Family history, we need to draw a diagram of the child’s family tree, including siblings, parents, grandparents, and great grandparents.
FALSE: Draw a diagram of the child’s family tree, including siblings, parents, and grandparents (GREAT GRANDPARENTS ARE NOT INCLUDED)
MEANING OF HEADSS MODEL
H - Home
E - Education
A - Activities /Alcohol
D - Diet /drugs
S - self-esteem / sexuality
S - Safety Suicide
what model can we use to take a teen’s health history?
HEADSS MODEL
