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Advanced Health Assessment > Module 1 Interviewing for Health History and Genetics > Flashcards

Module 1 Interviewing for Health History and Genetics Flashcards

1
Q

partnership goals (5)

A 
building rapport
determine patient concerns
discover information
determine diagnosis
negotiate and share in health care management
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2
Q

autonomy

A

self determination

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3
Q

beneficence

A

to do good for the patient

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4
Q

nonmaleficence

A

to do no harm

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5
Q

utilitarianism

A

appropriate use of resource for greater good

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6
Q

fairness and justice

A

equitable treatment of all

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7
Q

deontologic imperatives

A

care delivered according to traditions and cultural context

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8
Q

enhancing partnership (5)

A 
Courtesy 
comfort
connection 
confirmation
confidentiality
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9
Q

Enhancing communication (5)

A

facilitate: open ended questions
reflect: repeat what you heard
clarify
empathize
interpret

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10
Q

Complete Hx

A

used for new patient or consultation

Makes you as thoroughly familiar with the patient as possible

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11
Q

interim hx

A

event since last seeing patient

designed to chronicle events that have occurred since last meeting with pt

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12
Q

problem or focus hx

A

used in urgent care or with sick visit

taken when the problem is acute, possibly life threatening, requiring immediate attention

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13
Q

CC

A

chief compaint/concern

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14
Q

HPI

A

Hx of present illness

- chronological course of events

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15
Q

PMH

A

Past medical hx

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16
Q

FH

A

family hx

17
Q

SH

A

personal and social hx

- socio and economic factors

18
Q

ROS

A

review of systems

- current s/s

19
Q

OLDCARTS

A 
Onset
Location
Duration
Characteristics
Aggravating/Associated
Relieving
Timing
Severity
20
Q

Family Hx

A

3 generations in pedigree

  • self
  • parents/aunts/uncles
  • grandparents
  • 1st cousins (3rd generation)
21
Q

ROS

A 
General/constitutional 
Skin, Hair, Nails
Head and neck
Lymph Nodes
Eyes
Ears
Nose
Throat and Mouth
Chest and Lungs
Breasts
Heart and Blood vessels
Peripheral Vascular
Hematologic
Gastrointestinal 
Endocrine
Genitourinary 
Musculoskeletal 
Neurological 
Psychiatric 
Menses
Diet
Pregnancies
22
Q

Personal and Social Hx

A 
nutrition 
exercise
sleep
substances
sexual hx
 ome conditions
occupation 
environment 
religion 
access to care
23
Q

Spirituality FICA

A

Faith, belief, meaning
Importance and influence
Community
Address/Action in care

24
Q

CRAFFT

A

screening tool for alcohol and substance abuse in adolescents
Car: ever ridden in car driven by individual using
Relax: use alcohol or drugs to relax?
Alone: use alcohol or drugs when alone?
Forget: Do you ever forget things you did while using?
Friends: friends ever tell you you should cut down?
Trouble: ever gotten into trouble while using?

25
Q

CAGE

A 
Screen for alcoholism
Cutting Down
Annoyance by criticism
Guilty feeling 
Eye-openers: need for drink in the am
26
Q

TACE

A 
screening for alcoholism 
Take: how many drinks does it take to feel high
Annoyed by criticism
Cut down
Eye opener
27
Q

HITS

A 
screening for domestic violence
Hurt: you physically
Insult: or talk down to you
Threaten: with physical harm
Scream: or curse at you
28
Q

5 P’s of sexuality

A 
Partners
Practices
Protection from STI's
Past hx of STI
Prevention of pregnancy
29
Q

HEEADSSS

A 
screening tool for Adolescent issues
Home environment
Education, employment
Eating
Activities (peer-related), affect, ambitions, anger
Drugs
Sexuality
Suicide/Depression
Safety from injury and violence
30
Q

PACES

A 
Screening tool for adolescent issues
Parents, peers
Accident, alcohol/drugs
Cigarettes
Emotional issues
School, sexuality
31
Q

inventory hx

A

related to but does not replace the complete hx
touches on the major points without going into detail
- useful when getting a feel for the situation

Advanced Health Assessment (57 decks)

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