Lecture 4 Health history Flashcards
1
Q
The Complete Health History
A
To collect subjective data in order to combine with the physical exam
- record what they’re doing good
- chronological
2
Q
Signs
A
Objective
Put it into quotation marks
3
Q
Symptoms
A
Subjective
Put it into quotation marks
4
Q
Current Health or history of current illness
PQRSTU
A
Provocative or palliative Quality or quantity (dull sharp) Region or radiation severity scale Timing Understand
5
Q
Review of Systems
A
- Evaluate past and current health of each body system
- ensure significant data wasn’t missed in current illness section
- Evaluate health promotion practices
6
Q
Functional assessment or ADLs (activities of daily living)
A
How well they can take care of themselves
7
Q
Past Health
A
Childhood illness (polio, phenomena, asthma, measles or chicken pox)
Accidents
Chronic illness
Surgeries
Obstetrical history(female # of pregnancies)
Immunizations
Allergies (reactions)(Very important)
Medications
8
Q
Developmental considerations INFANTS
A
CLAMPEDS
9
Q
CLAMPEDS
A
Chief complaint Immunizations Allergies Medications Past medical history Events surrounding illness Diet/diapers Signs and Symptoms
