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The nurse will obtain a health history of a patient who is admited to a care unit.Tell me about the health status of those you live with. Has anyone been sick recently? If so, do you know the cause? What symptoms have they had?
This information gives your doctor all kinds of important clues about whats going on with your health, because many diseases run in families. The history also tells your doctor what health issues you may be at risk for in the future.
This information gives your doctor all kinds of important clues about whats going on with your health, because many diseases run in families. The history also tells your doctor what health issues you may be at risk for in the future.
Frequently used opening questions include, What problems brought you to the hospital (or office) today? or What kind of problems have you been having recently? or What kind of problems would you like to share with me? These open-ended, nondirective questions encourage the patient to report any and all problems.
Generally speaking, most patient history conversations are as follows: Greet the patient by name and introduce yourself. Ask, What brings you in today? and get information about the presenting complaint. Collect past medical and surgical history, including any allergies and any medications theyre currently taking.
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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. It may also include information about medicines taken and health habits, such as diet and exercise.
History of Present Illness o When did it start / how long has it been going on? o Is this a new problem / first time having this problem? o Intermittent or constant? o What makes it worse Any other symptoms that you have?
Past medical history Childhood illnesses. Major adult illnesses. Past surgical history, including type, date, and location of past surgical procedures. Medications. Prescription drugs. Allergies. Prior injuries (e.g., motor vehicle accidents, falls) Prior hospitalizations and/or transfusions. Immunizations.
Ask questions like: How old are you? Do you or did anyone in our family have any long-term health problems, like heart disease, diabetes, kidney disease, bleeding disorder, or lung disease? Do you or did anyone in our family have any health issues like high blood pressure, high cholesterol, or asthma?

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