Chapter 4 Complete Health History

3. inspect, palpate, percuss, auscultate what you see, hear, smell, touch
9. number of deliveries in which the fetus reached full term
11. Have you thought about cutting down? Have you ever been annoyed by criticism?
12. Onset, exactly when did it first occur? Duration, how long did it last? Frequency, how often does it occur?
14. What brings the pain on?
16. includes all nerve fibers outside the brain and spinal cord; 12 pairs of CN, 31 of SN, and all their branches
17. patient's report about himself
18. number of children living
19. (warrants exploration) "Tell me about your exercise routine?"
20. (and employment) "How many days have you missed from school this month?"
21. last chest x-ray, TB skin test
24. number of preterm pregnancies
25. the patients present health and history of present health is assessed using this
26. includes the brain and spinal cord
27. value-belief system, education, financial status
30. use of antacids, laxatives
32. How bad is the pain? (use the numeric pain scale)
34. number of incomplete pregnancies
36. This is apparent when a person's response is much greater than the expected reaction to a traumatic life event.
39. a comparison of a list of current medications with the previous list
40. How does the pain affect your daily living?
42. height and weight at birth and at 1, 2, 5 and 10 years

1. How does it look, feel, sound?
2. to evaluate the past & present health state of each body system
4. measles, mumps, rubella, chickenpox, pertussis, strep throat
5. What makes the pain better?
6. (relationships), "how would you describe your role in the family?"
7. How intense or severe is the pain?
8. (warrants exploration) "Have you moved recently?"
10. Does the pain spread anywhere?
11. (warrants exploration) "Have you texted photos that you later regret?"
13. (depression, warrants exploration) "Have you ever tried to kill yourself?"
15. number of pregnancies
22. (health) "How do you define health?"
23. tenderness, lumps, swelling
28. (warrants exploration) "Have you ever been seriously injured?"
29. measures the person's self-care ability in the areas of general physical health, ADLs
31. method of interviewing focuses on assessment of the adolescent
33. asthma, COPD, depression, diabetes, HTN, heart disease, HIV, hepatitis, cancer, seizure
35. is a subjective feeling someone feels from a disorder
37. is ab objective abnormality
38. (resources), "To whom you go to for support with a problem at work?"
41. Where is the pain?