Ch 4 – The Complete Health History – Flashcards

collect subjective data and combine it with objective data from physical examination and diagnostic tests

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

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

the impact on ADL's of older adults

developmental and nutritional history

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.