PMH Flashcards
What does the PMH display?
informs the reader of current or chronic illnesses being managed
*Stable vs unstable
*Controlled vs uncontrolled
How should the PMH be ordered?
List form: can be numbered or bullet points
Lister in chronological order
*most recent to least
What is the Preferred way to document PMH?
Use subheadings EX:
1. Adult illnesses
2. Childhood illnesses
3. Accidents/injuries/transfusions/hospitalizations
4. Health Promotion
5. Developmental history
6. OBGYN
7. Psych history
What can go with Adult illnesses?
- Any chronic condition
- Any condition currently being managed
What can go under childhood illnesses?
- Chicken pox
- Measles
- Mumps
- Rheumatic fever
- Rubella
What can go under accidents/injuries/transfusions/hospitalizations
- MVA
- Fractures
- Hospitalization
*Chronological order
What goes under OBGYN?
- Age of menarche
- Age of menopause
- Duration of cycles
- TPAL
- Health promotion
*PAP, mammogram, colonoscopy
What goes under Psych/Mental health?
- History of anxiety or depression
- Sleep disturbance
- ADHD