Get the free History of Presenting Problem

PSYCHOSOCIAL ASSESSMENTName: ___ Intake Date: ___ Date of Birth___ Email: ___Phone Number: ___ CID ___Mailing Address: ___ City: ___ State: ___ Zip code: ___ Emergency Contact/Relationship: ___ Phone

How to fill out history of presenting problem

How to fill out history of presenting problem

1. Start by documenting the chief complaint or reason for the patient seeking medical attention.
2. Provide a detailed description of the onset of symptoms, including the date and time if known.
3. Document any exacerbating or relieving factors that are associated with the presenting problem.
4. Include a thorough timeline of the progression of symptoms, noting any changes or developments.
5. Document any past treatments or interventions for the presenting problem, along with their outcomes.
6. Include relevant medical history, social history, family history, and medications that may be pertinent to the presenting problem.

Who needs history of presenting problem?

1. Healthcare providers including doctors, nurses, and other medical professionals.
2. Patients who are seeking medical attention and need to communicate their symptoms and concerns effectively.
3. Medical students or trainees learning how to take a thorough patient history.

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What is history of presenting problem?

History of presenting problem refers to the details of the symptoms or issues that led the individual to seek medical attention.

Who is required to file history of presenting problem?

Healthcare professionals such as doctors, nurses, and medical assistants are required to document the history of presenting problem.

How to fill out history of presenting problem?

The history of presenting problem can be filled out by conducting a patient interview, documenting the symptoms, and recording relevant medical history.

What is the purpose of history of presenting problem?

The purpose of the history of presenting problem is to provide healthcare providers with crucial information to determine a diagnosis and create a treatment plan.

What information must be reported on history of presenting problem?

Information such as symptoms, duration, severity, associated factors, and previous treatments must be reported on the history of presenting problem.