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Name: DOB: Actual Age: Language Spoken Interpreter Name Date: 3, 4 MONTHS NURSING INTAKE Height: Weight: Allergies: Abuse: Alternate health care provider: INTERVAL HISTORY Feedings: Illnesses: Accidents:
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How to fill out nursing intake interval history

How to fill out nursing intake interval history:
01
Begin by collecting relevant medical information. This includes the patient's medical history, previous illnesses or hospitalizations, current medications, and any known allergies.
02
Record the patient's vital signs, such as blood pressure, heart rate, respiratory rate, and temperature. Note any abnormalities or concerns.
03
Document the patient's chief complaints or reasons for seeking medical care. This helps in identifying their primary health concerns and guiding further assessments.
04
Conduct a thorough physical examination. This involves assessing different body systems, such as respiratory, cardiovascular, gastrointestinal, and musculoskeletal. Document any abnormalities or findings.
05
Record the patient's current symptoms, including the onset, duration, severity, and any exacerbating or relieving factors. Pay attention to any changes in symptoms since their last visit.
06
Obtain a detailed social history, including lifestyle habits, occupation, living situation, and any significant life events or stressors. This information provides insights into the patient's overall well-being.
07
Gather information on the patient's family medical history, especially any genetic conditions or diseases that might increase their risk.
08
Document the patient's mental health status, including any history of psychiatric illnesses, current medications, and potential risk factors.
Overall, the nursing intake interval history should capture a comprehensive overview of the patient's health status, medical conditions, symptoms, and pertinent information required for providing quality healthcare.
Who needs nursing intake interval history?
01
New patients: When a patient visits a healthcare facility for the first time, it is essential to gather their medical information and establish a baseline for future care. The nursing intake interval history helps in understanding the patient's health status and guiding further assessments and treatments.
02
Existing patients: Regular intervals between healthcare visits require updating the patient's medical history, noting any changes in symptoms or conditions. By comparing the previous nursing intake interval history, healthcare providers can monitor the patient's health progress and make informed decisions on their care plan.
03
Healthcare providers: Nursing intake interval history is critical for healthcare providers to assess and monitor the patient's health. It facilitates the continuity of care, helps in diagnosing medical conditions, and guides appropriate treatment interventions. This information is vital for creating a personalized care plan and ensuring the patient's overall well-being.
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