Jarvis Chapter 5

Question 0

Biographical Information

Answer 0

Patient’s name, address, phone number, birthday, birthplace, gender, marital status, ethnocultural background, and current and usual occupation

Note primary language and authorizes representatives of any

Note source of data! Who, judge how reliable information seems and willingness to communicate, note special circumstances if any

Question 1

Common parts of a complete health history

Answer 1

Biographical data
Reason for seeking care
Current health or history of current illness
Past history
Family history
Review of Systems
Functional Assessment or activities of daily living

Question 2

Reason for seeking care

Answer 2

Brief, spontaneous statement in patients own words describing reason for visit

Try to quote patients exact words when possible

Question 3

Symptom

Answer 3

Subjective sensation that patient feels

Question 4

Sign

Answer 4

An objective abnormality that you as an examiner could detect with a physical exam or laboratory report

Question 5

Current health or history of current illness

Answer 5

For a well patient, this is a short statement about general state of health

For ill patient this is a chronological record of the reason for seeking care

Note: location, character or quality, quantity or severity, timing(onset, duration, frequency), setting, aggravating or relieving factors, associated factors, patients perception

pqrstu is the common mnemonic

Question 6

What is pqrstu used for and what does it stand for?

Answer 6

Used to explore and document a reason for seeking care

P (provocative or palliative) what brings it on // makes it better or worse // what were you doing when you first noticed it
Q (quality or quantity)
R (region or radiation)
S (severity) scale of 1 to 10
T (timing) onset // duration // frequency
U (understand patient perception)

Question 7

Past Health

Answer 7

Childhood illness
Accidents or injuries
Serious or chronic illness
Hospitalization
Operations
Obstetrical history
Immunizations
Most recent examination date
Allergies
Current medications

Question 8

Family History

Answer 8

Ask about ages and health or ages and cause of death of blood relatives like parents, siblings, etc and about spouse or children

Ask about family history of heart disease, high blood pressure, stroke, diabetes, blood disorders, cancer, sickle cell disease, arthritis, allergies, obesity, alcoholism, mental health issues/illness, seizure disorder, kidney disease, and tuberculosis

Construct family tree or genome