social history and sensory information Flashcards
what does a social historu involve *
alchohol
diet
sex
exercise
drugs
travel
occupation
stress
physical activity
wider relationships
living situation
what is the key thing when taking a social history *
dont be judgemental
how do you ask whether someone lives alone *
who is at home wit you
how do you get onto sensitive subject s *
signposting - is it alright if i ask??
sometimes useful to say it is a routine qn but make sure it doesnt look like you dont care about them as an individual
how do you start conversations about work *
do you work
questions for stress *
do you feel much stress in your life
do you enjoy your job
why do we need to ask about alcohol
relates to liver, cns, mental health, behaviour, accidents
who do you ask an alcohol history of *
everyone
questions about alcohol *
how much would you drink on an average week/per day - is that every day
what do you enjoy drinking, what oter drinks do you enjoy
how do you feel about your drinking
give range - is that 2-3 or 5-6 - if give high range they will be more honest because they think that it is ok
ask them to calculate the units with you
investigate patterns - how often do you drink, how many units a day, how often >6/8 units
what is binge drinking
6 unit women
8 unit men
questions about smoking *
do you smoke
have you ever smoked - important, how long ago, how long for, when stopped
how many cigarettes a day
what you smoke - drugs/tabacco - roll up/filter tips
whether any family with resp problems
who do you ask about smoking *
everyone
how do you calculate pack years
packs smoked per day (20 cigarrettes) x yrs as a smoker
what word should you use to describe drugs so it doesnt seem judgemental *
recreational not illicit
questions about drugs *
ok to say routine qn
have you ever taken rec drugs (not used)
keep probing ‘anything else’ to see what taken
