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Joinville Pediatric Dentistry Rama Estonian, DMD, Preoperative Health History and Physical Exam General Anesthesia SedationPatient Name: Age: DOB: Sex: M F Date of H&P exam: Current medications: Past
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How to fill out pre-operative health history and

01
Obtain a copy of the pre-operative health history form.
02
Gather the necessary information, such as previous medical conditions, surgeries, allergies, medications, and family medical history.
03
Start filling out the form by providing personal details like name, date of birth, and contact information.
04
Proceed to fill out the section about previous medical conditions, including any chronic illnesses or diseases you have had.
05
Fill in the section about previous surgeries or procedures you have undergone, including the dates and details.
06
Provide information about any allergies you have, including allergies to medications, food, or other substances.
07
List all the medications you are currently taking, including prescription drugs, over-the-counter medications, and supplements.
08
In the next section, include any family medical history that may be relevant.
09
Finally, review the completed form to ensure accuracy and make any necessary corrections.
10
Submit the filled-out pre-operative health history form to the healthcare provider.

Who needs pre-operative health history and?

01
Anyone who is scheduled to undergo a surgical procedure needs to fill out a pre-operative health history.
02
This includes both elective surgeries and emergency surgeries.
03
The purpose of the pre-operative health history is to gather information about the patient's medical background and current health status.
04
This information is crucial for the healthcare provider to assess the patient's risk factors and make informed decisions regarding the surgery.
05
By understanding the patient's medical history, the healthcare provider can take necessary precautions and tailor the treatment plan accordingly.
06
The pre-operative health history helps ensure the safety and well-being of the patient during the surgical procedure.
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Pre-operative health history is a comprehensive assessment that captures a patient's medical history, current medications, allergies, and previous surgeries to ensure safe surgical intervention.
Typically, the patient undergoing surgery is required to file their pre-operative health history, often with assistance from healthcare providers.
To fill out pre-operative health history, individuals should provide accurate and complete information about their medical background, including chronic conditions, medications, and allergies, often using forms provided by the healthcare facility.
The purpose of pre-operative health history is to identify any potential risks, complications, and necessary precautions related to anesthesia and surgery, ensuring patient safety.
Patients must report any past medical conditions, current medications, allergies, previous surgeries, family medical history, and any other relevant health information.
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