Get the free Presenting Problem and History of Present Illness - iuhealth

Indiana University Health Bloomington, Indiana Behavioral Health Outpatient Services PATIENT REASSESSMENT The following questions will help us to get to know you and help in the planning of your care.

How to fill out presenting problem and history

How to fill out presenting problem and history:

1. Begin by gathering all relevant information about the client's presenting problem. This includes details about the issue or concern they are facing, any symptoms or challenges they are experiencing, and any previous attempts at resolving the problem.
2. Take a detailed history of the client's background, including their personal, medical, and family history. This can provide valuable insights into the client's current situation and any underlying factors that may be contributing to their presenting problem.
3. When filling out the presenting problem, be specific and concise. Clearly articulate the main issue or concern in a way that accurately represents the client's experience.
4. Use clear and objective language when documenting the presenting problem and history. Avoid making assumptions or jumping to conclusions.
5. Include any relevant information about the client's emotional or psychological state, as well as any significant life events or stressors that may be impacting their well-being.
6. It is important to obtain the client's consent to collect and document their presenting problem and history. Inform them about the purpose of this information and how it will be used in the therapeutic process.

Who needs presenting problem and history?

1. Mental health professionals: Presenting problem and history are essential for mental health professionals, such as psychologists or therapists, to gain a comprehensive understanding of the client's concerns and develop an effective treatment plan.
2. Medical professionals: Medical professionals, like doctors or nurses, may need the presenting problem and history to better assess a patient's overall health and provide appropriate medical interventions.
3. Researchers: Researchers studying various fields, such as psychology or sociology, may require presenting problem and history data to conduct studies or analyze patterns and trends.
4. Insurance companies: Presenting problem and history can be important for insurance companies to assess and determine coverage or eligibility for certain treatments or therapies.
5. Educational institutions: Schools or educational institutions may request presenting problem and history information to better understand a student's needs and provide appropriate support or accommodations.

Overall, the presenting problem and history are crucial documents that serve as a foundation for understanding a person's concerns, enabling professionals to provide appropriate care, support, and interventions tailored to their needs.

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What is presenting problem and history?

Presenting problem and history refers to a description of the current issue or concern and a background of events leading up to it.

Who is required to file presenting problem and history?

Individuals or organizations involved in the situation or event are typically required to file presenting problem and history.

How to fill out presenting problem and history?

Presenting problem and history can be filled out by providing detailed information about the issue, events, and context in a clear and organized manner.

What is the purpose of presenting problem and history?

The purpose of presenting problem and history is to provide a comprehensive overview of the situation or event, helping in understanding and addressing the issue effectively.

What information must be reported on presenting problem and history?

Information such as the nature of the problem, timeline of events, individuals involved, and any relevant background details must be reported on presenting problem and history.