Chapter Four The Complete Health History

Chapter Four The Complete Health History - Chapter Four The...

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Chapter Four The Complete Health History The Health History 1. Biographical data 2. Source of history 3. Reason for seeking care 4. Present health or history of present illness 5. Past health 6. Family history 7. Review of systems 8. Functional assessment including activities of daily living (ADLs) Biographical data Name Address and phone number Age and birth date Birthplace Sex Marital status Race Ethnic origin Occupation Cultural practices Source of history Who’s giving you info? Is source reliable? Reason for seeking care Brief statement- why did patient come in today? Symptom vs Sign Present health or history of present illness Symptom? Location Character or quality Quantity or severity Timing Setting Aggravating or relieving factors Associated factors Patient’s perception PQRSTU P = Provocative or palliative Q = Quality or quantity R = Region or radiation S = Severity scale: 1 to 10 T = Timing or onset
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  • Fall '13
  • Cannon
  • complete health history, Family History, biographical data, past health

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