purpose of a complete health history
collect subjective data and combine it with objective data from physical examination and diagnostic tests
8 characteristics to describe present health
location - precise site of pain character/quality - description ex: burning, stabbing, throbbing quantity or severity - quantify symptoms, quantify pain (1-10) timing - onset, duration, frequency setting - triggers aggravating and relieving factors associated factors - symptoms that accompany the primary patient's perception - how pt feels about issue
P - provocative or palliative Q - quality or quantity R - region or radiation S - severity scale T - timing/onset U - understand patient's perception
goal of review of systems
1. evaluate past and present health state 2. double-check in case significant data was omitted 3. evaluate health promotion practices
Method of interviewing adolescents that focuses on: Home environment Education/employment Eating Activities, peer-related Drugs Sexuality Suicide/depression Safety from injury/violn
Assessment for older adults with focus on "marker conditions" for increased death rates, hospitalization, costs: Sleep problems Problems with eating/feeding Incontinence Confusion Evidence of falls Skin breakdown
disease burden
the impact on ADL's of older adults
two sections of child's health history that become separate sections b/c of importance to current health status
developmental and nutritional history
Assessment of self-esteem and self-concept is part of the functional assessment. Areas covered under self-esteem and self-concept include:
Functional assessment measures a person's self-care ability. The areas assessed under the self-esteem and self-concept section of the functional assessment include education, financial status, and value-belief system.