Health History Ch. 4 Flashcards
What is the purpose of health history?
Collect subjective data to combine with objective data from physical exam and lab studies to form the database
Provide complete picture of patient’s past/present health status
Screening tool for detection of abnormalities
What is the Health History Sequence?
Biographic Data (name, DOB)
Source of History (person giving info on the patient)
Reason for seeking care
Present health/history of present illness
Past health
family history
Review of systems
Functional assessment including ADLs
Is the reason for care a diagnostic statement?
No
What is HPI?
History of Present Illness
What is ROS? What is its purpose?
Review of Systems
Evaluate past/present state of each body system
Assess that all pertinent data relative to each body system has been noted
Evaluate health promotion practices
What is the Cephalocaudal approach?
Organized manner proceeding in a logical sequence
What does the functional assessment focus on?
ADLs and how they’re impacted by the present illness