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HEALTH HISTORY > Personal Health Profile > Flashcards

Personal Health Profile Flashcards

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1
Q

11 personal health profile

A
  1. Biographic Data
  2. Present health/ History of present health/ chief complaint
  3. Medical history
  4. Family health history
  5. Psychosocial history
  6. Asking about abuse
  7. Activities of daily living
  8. Diet and elimination
  9. Exercise and sleep
  10. Work and leisure
  11. Use of tobacco, alcohol, and other drugs
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2
Q

Biographic Data of client (11)

A
  • name
  • address
  • phone number
  • gender
  • birthdate
  • age
  • marital status
  • religion
  • nationality
  • educational level
  • person to contact or next kin
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3
Q

The process of determining the client’s culture, ethnicity, and subculture begins with collecting data about:

A
  1. Date and place of birth
  2. Nationality and ethnicity
  3. Marital status
  4. Religious or spiritual practices
  5. Primary and secondary languages
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4
Q

2 questions included in present health

A
  1. What is your major health problems or concerns at this time?
  2. How do you feel about having to seek health care?
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5
Q

A brief assessment of client’s problem for which client seeks medical care

A

Present health

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6
Q

PQRTSU Mneumonic device

A

Provocative or Palliative
Quality or Quantity
Region or Radiation
Severity
Timing
Understanding

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7
Q

What provokes or relieves the symptoms?
Do stress, anger, certain physical positions or other factors trigger the symptoms?

A

Provocative or Palliative

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8
Q

What does the symptoms feel like, look like, or sound like?
Are tou having symptoms right now? If so, is it more or less severe than usual?

A

Quantity or Quality

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9
Q

Where in the body does the symptoms occur?

A

Region or Radiation

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10
Q

How would you rate it in scale of 1-10?
Does the symptom seem to be diminishing, intensifying, or staying the same?

A

Severity

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11
Q

When did rhe symptoms begin?
Was the onset sudden or gradual?
How often and how long does the symptom occur?

A

Timing

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12
Q

What do you think is the cause?
How do tou feel about the symptoms? Do you have fears associated with it?

A

Understanding

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13
Q

Being account of all medical event and problems a person has experienced is an important tool in the management of the patient

A

Medical history

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14
Q

Examples of medical history (10)

A
  1. Immunization status
  2. Known allergies
  3. Childhood illness
  4. Adult illness
  5. Psychiatry illness
  6. Injuries
  7. Hospitalization
  8. Surgical aand diagnosis procedures
  9. Medication history
  10. Use of alcohol and other drugs
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15
Q

Helpful for nurses to be aware of other health problems that may affect the client and includes many genetic relative as the client can recall

A

Family health history

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16
Q

Considered as generic relatives of the client

A
  • maternal and paternal grandmother
  • aunts and uncles
  • parents
  • siblings
  • client’s children
17
Q

Diseases to check (12)

A
  1. Cancer
  2. Hypertension
  3. Heart disease
  4. Diabetes
  5. Epilepsy
  6. Mental illness
  7. Tuberculosis
  8. Kidney disease
  9. Arthritis
  10. Asthma
  11. Alcoholism
  12. Obesity
18
Q

Evaluating client’s social status and past or oresent status, health, and social well-being

A

Psychosocial history

19
Q

Assess the perception of self and is the ability to function in a community

A

Psychosocial history

20
Q

Psychosocial history covers areas related to:

A
  • psychological or mental health
  • health employment
  • finances
  • education
  • religion
  • stress and support network
21
Q

Nurse should find out how the client:

A
  • feels about himself
  • place in society
  • relationship with others
  • past and present occupation
  • education
  • economic status
  • responsibilities if client
22
Q

Ask thew oatien what he does for a living and what he does during his leisure time. Does he have hobbies?

A

Work and leisure

23
Q

Ask client if he smokes, drink alcohol, uses illicit drugs

A

Use of tobacco alcohol and other drugs

24
Q

Forms of abuse

A

Physical, psychological, emotional, and sexual

25
Q

Find out what is normal for the patient by asking him to describe his typical day

A

Activities of daily living

26
Q

Ask client about his appetite, special diets, and food allergies

A

Diet and elimination

27
Q

Ask exercise program and what is his sleep pattern like

A

Exercise and sleep

28
Q

Maintaining a professional attitude

A
  • Do not let your personal opinions interfere with this part of assessment
  • maintain a professional, neutral approach and do not offer advice
  • avoid making paternalistic statements
  • do not ise leading questions
29
Q

Aspects of psychosocial history

A

Psychosocial aspects
Social aspects

HEALTH HISTORY (2 decks)

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