Intro to Social History

Question 1

Mnemonic for taking social history

Answer 1

O-occupation
L-lifestyle
D-developement and upbringing
R-relationshios
I- important values
C-changes/stresses
E-expectations

Question 2

Asking about tobacco

Answer 2

What use (cigarettes, cigars, chew, SNUs, e cigarettes)
How much per day?
How many years?

Question 3

Asking about alcohol

Answer 3

CAGE questions (or RAPS-4)

1. Have you ever felt you should Cut down on your drinking?
2. Have people Annoyed you by criticizing your drinking?
3. Have you ever felt Guilty about your drinking?
4. Have you ever taken a drink first thing in the morning (Eye-opener) to steady your nerves or get rid of a hangover?

Question 4

How many positive CAGE questions indicates alcohol misuse?

Answer 4

2+

If you detect misuse, consider further intervention

Ask about blackouts, seizures, accidents/injury while drinking, job and personal relationship issues

Question 5

RAPS-4 (alcohol)

Answer 5

Have you had a feeling of guilt or Remorse after drinking?

Has a friend or family member ever told you about things you said or did while you were drinking that you couldn’t remember?

Have you failed to do what was normally expected of you because of drinking?

Do you sometimes take a drink when you first get up in the morning?

Question 6

Asking about family history

Answer 6

Ask about at least 2 generations past patient (e.g. children, siblings, parents, grandparents)