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C H A P T E R18Medical History and
Patient AssessmentLearning
Outcomes
Cognitive Domain
1. Spell and define key terms
2. Recognize communication barriers
3. Identify techniques for overcoming
communication
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How to fill out medical history and
01
To fill out a medical history, you need to follow these steps:
02
Start by providing personal information such as your name, date of birth, and contact details.
03
Mention any previous medical conditions or illnesses you have experienced.
04
Include details about any surgeries or medical procedures you have undergone in the past.
05
Provide a list of all medications you are currently taking or have taken in the past, including dosage and frequency.
06
Mention any known allergies or adverse reactions to medications.
07
Include information about your family medical history, such as any hereditary diseases or conditions.
08
Provide details about your lifestyle habits, such as smoking, alcohol consumption, and exercise.
09
Mention any current symptoms or complaints you have, along with their duration and severity.
10
Finally, review the completed medical history form for accuracy and ensure all necessary information has been included.
Who needs medical history and?
01
Medical history is important for everyone, but it is particularly crucial for:
02
- Patients visiting a new healthcare provider for the first time.
03
- Individuals with chronic medical conditions who require ongoing care.
04
- People undergoing elective surgeries or medical procedures.
05
- Those interested in participating in clinical trials or medical research studies.
06
- Individuals seeking medical advice or second opinions from different healthcare professionals.
07
- Patients who want to maintain a comprehensive record of their health for future reference.
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What is medical history and?
Medical history is a record of a person's health including past illnesses, surgeries, treatments, and family medical history.
Who is required to file medical history and?
Anyone seeking medical treatment or undergoing a medical procedure may be required to provide their medical history.
How to fill out medical history and?
Medical history forms are typically filled out by the patient or their guardian and include details about current and past health conditions.
What is the purpose of medical history and?
The purpose of medical history is to provide healthcare providers with important information about a patient's health to assist in diagnosis and treatment.
What information must be reported on medical history and?
Information such as past surgeries, medical conditions, medications, allergies, and family medical history should be reported on a medical history form.
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