What are 4 things included on a health history form?
Reason for seeking health care. Current and past medical history. Family health history. Functional health and activities of daily living.
What should be included in birth history?
Natal: Duration of pregnancy, birth weight, kind and duration of labor, type of delivery, presentation, sedation and anesthesia (if known), state of infant at birth, resuscitation required, onset of respiration, first cry.
What do I list for medical history?
Please list any past medical history below with date of onset or diagnosis. Examples include asthma, diabetes, depression, anxiety, drug or alcohol dependency, high blood pressure, thyroid disease, autoimmune disease, chronic pain, gynecologic disorder. Have you ever had surgery?
What information should be included in your medical history?
A personal health history (conditions, how theyre being treated and how well theyre controlled, as well as important past information such as surgeries, accidents and hospitalizations) Doctor visit summaries and notes. Hospital discharge summaries. Pharmacy printouts that accompanied prescribed medications.
What should be included in a medical history?
A record of information about a persons health. A personal medical history may include information about allergies, illnesses, surgeries, immunizations, and results of physical exams and tests.
What are the 6 components of the medical history?
In general, a medical history includes an inquiry into the patients medical history, past surgical history, family medical history, social history, allergies, and medications the patient is taking or may have recently stopped taking.
What should be included in the social history of a child?
List names, how related (step, half, parent in common), dates of birth, grade level in school, state of physical, emotional health. List with whom they are currently living. Show history of foster home/residential/ institutional placements and other pertinent information.
Why do we need to know the prenatal history of all pediatric patients?
Past History: The past history establishes a complete picture of the childs health to date, and should cover events from the prenatal period until the childs current presentation. The prenatal history includes inquiring about maternal age, and number of previous pregnancies and the outcomes of those pregnancies.
