Identifying The Components Of A Client s Health History

2. Identify the components included in a client’s health history. Biographic Data-The client’s demographic data, should include the name, address, age, sex, marital status, occupation, religion, health care financing, and their primary care provider. Chief Complaint-The reason for the visit should be obtained and documented in the client’s own words. History of Present Illness-Gather more information about the present illness by asking questions such as: When did the symptoms start? Did it occur suddenly or gradually or increased over time? How often does the problem occur? What is the intensity of the pain? Can you rate it from 0 to 10? How much sputum, vomit, or discharge came up or out? What color was it? Was it watery, thick, or†¦show more content†¦Moreover, diseases that require particular attention includes: heart disease, cancer, diabetes, hypertension, obesity, allergies, arthritis, tuberculosis, bleeding, alcoholism, and mental health disorders. Lifestyles-Ask the client about their personal habits such as the amount of tobacco, alcohol, caffeine, or recreational drugs consumed. Also, obtain their normal daily diets, special diets, or ethnic food patterns; and the amount of meals and snacks per day. Likewise, who cooks and do the shopping? In addition, ask about the client’s sleep pattern. What time do you go to bed/ what time do you wake up? Any you having any problems sleeping? Have you tried anything to correct this problem? Furthermore, ask about the daily living activities. Are you having any problems performing basic activities such as eating, grooming, dressing, elimination, or locomotion? Are you having any problems with preparing foods, shopping, transportation, housekeeping, laundry, or the ability to use the telephone, handle finances, or manage your medication. Finally, ask the client do you exercise and how well do you tolerate the activity? Do you have any other hobbies? Social Data-Ask the client who helps them during times of stress? What effects have your illnesses had on the family and are there any family problems affecting your illness? Do you have any religion or beliefs that could affect your health or recovery? Moreover, find out about the client’s education.Show MoreRelatedIdentifying The Components Of A Client s Health History1864 Words   |  8 Pages1. 2. Identify the components included in a client’s health history. Biographic Data-The client’s demographic data, should include the name, address, age, sex, marital status, occupation, religion, health care financing, and primary care provider. Chief Complaint-The reason for the visit should be obtained and documented in the client’s own words. History of Present Illness-Gather more information about the present illness by asking questions such as: When did the symptoms start? Did it occurRead MoreAn Interview With Personal Statement1139 Words   |  5 Pages I. IDENTIFYING DATA: Name, age, sex, race, marital status, educational level, employment, referring source. James Richard is a 16 years old male, white American, single, still in high school, and living in a foster care home. He was referred by school, due to some mental challenges and the sources of information was through an interview with client. II. CHIEF COMPLAINT: In patient s words, why did patient come to treatment? I don’t even know why am sent here, am no longer staying with my grandmotherRead MoreMental Health Occurrences That Affect An Individual1120 Words   |  5 PagesFirst of all, to have a better understanding for this forum relating to mental health occurrences that affect an individual s health and wellness, I would like to start the definition of mental health, mental illness, and mental disorder. 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It mainly puts an emphasis on facilitating the clients by identifying and prioritizing the solutions. In short, the solution-focused approach is founded on the ground that change can occur over a brief period of time (Hepworth et.al, 2010). Solution-focused Brief Therapy can be represented by three principal components: Making use of dialogue centered on the apprehensions, concerns, and fears of the clients Employment of conversations that mainlyRead MoreBipolar Disorder : The Diagnostic And Statistical Manual Of Mental Disorders1379 Words   |  6 Pagesdifferentiated in terms of clinical presentation, evolution, family history and therapeutic response. 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Will be able to participate in discharge planning 4. Eat food brought in by parents and hospital 5. Starts participating in group activities Nursing Intervention and rationale 1. Orient Alex to the reality with clear and simple Identifying The Components Of A Client s Health History 1. 2. Identify the components included in a client’s health history. Biographic Data-The client’s demographic data, should include the name, address, age, sex, marital status, occupation, religion, health care financing, and primary care provider. Chief Complaint-The reason for the visit should be obtained and documented in the client’s own words. History of Present Illness-Gather more information about the present illness by asking questions such as: When did the symptoms start? Did it occur suddenly or gradually increased over time? How often does the problem occur? What is the intensity of the pain? Can you rate it from 0 to 10? How much sputum, vomit, or discharge came up or out? What color was it? Was it watery, thick, or bloody?†¦show more content†¦Moreover, diseases that require particular attention includes: heart disease, cancer, diabetes, hypertension, obesity, allergies, arthritis, tuberculosis, bleeding, alcoholism, and mental health disorders. Lifestyles-Ask the client about their personal habits such as the amount of tobacco, alcohol, caffeine, or recreational drugs consumed. Also, obtain their normal daily diets, special diets, or ethnic food patterns; and the amount of meals and snacks per day. Likewise, who cooks and do the shopping? In addition, ask about the client’s sleep pattern. What time do you go to bed/ what time do you wake up? Any you having any problems sleeping? Have you tried anything to correct this problem? Furthermore, ask about the daily living activities. Are you having any problems performing basic activities such as eating, grooming, dressing, elimination, or locomotion? Are you having any problems with preparing foods, shopping, transportation, housekeeping, laundry, or the ability to use the telephone, handle finances, or manage your medication. Finally, ask the client do you exercise and how well do you tolerate the activity? Do you have any other hobbies? Social Data-Ask the client who helps them during times of stress? What effects have your illnesses had on the family and are there any family problems affecting your illness? Do you have any religion or beliefs that could affect your health or recovery? Moreover, find out about the client’s education. What isShow MoreRelatedIdentifying The Components Of A Client s Health History1865 Words   |  8 Pages2. Identify the components included in a client’s health history. Biographic Data-The client’s demographic data, should include the name, address, age, sex, marital status, occupation, religion, health care financing, and their primary care provider. Chief Complaint-The reason for the visit should be obtained and documented in the client’s own words. History of Present Illness-Gather more information about the present illness by asking questions such as: When did the symptoms start? Did it occurRead MoreAn Interview With Personal Statement1139 Words   |  5 Pages I. IDENTIFYING DATA: Name, age, sex, race, marital status, educational level, employment, referring source. James Richard is a 16 years old male, white American, single, still in high school, and living in a foster care home. He was referred by school, due to some mental challenges and the sources of information was through an interview with client. II. CHIEF COMPLAINT: In patient s words, why did patient come to treatment? I don’t even know why am sent here, am no longer staying with my grandmotherRead MoreMental Health Occurrences That Affect An Individual1120 Words   |  5 PagesFirst of all, to have a better understanding for this forum relating to mental health occurrences that affect an individual s health and wellness, I would like to start the definition of mental health, mental illness, and mental disorder. Mental health is an individual with exuberant cognitive functioning in participation with activities, adaptation with changes, recover with any problems and difficulties, able to fulfill relationship and have a sense of well-being (Crist, McVay Marocco, n.d.)Read MoreRespiratory Assessment For Nurses And Care Outcomes For The Acutely Ill Ward Patient1547 Words   |  7 Pages(Jarvis, 20 The 4 major components of the lung exam (inspection, palpation, percussion and auscultation). Learning the appropriate techniques at this juncture will therefore enhance your ability to perform these other examinations as well. A student nurse completed a chest and lung assessment on an 83 year old female patient with the initials, L.B. Health Assessment Interview Data The student nurse started off the assessment by asking the patient a couple health history questions. Questions suchRead MoreSolution-Focused Brief Therapy1557 Words   |  6 Pageson the resolution of the concerns of the client. It mainly puts an emphasis on facilitating the clients by identifying and prioritizing the solutions. In short, the solution-focused approach is founded on the ground that change can occur over a brief period of time (Hepworth et.al, 2010). Solution-focused Brief Therapy can be represented by three principal components: Making use of dialogue centered on the apprehensions, concerns, and fears of the clients Employment of conversations that mainlyRead MoreBipolar Disorder : The Diagnostic And Statistical Manual Of Mental Disorders1379 Words   |  6 Pagesdifferentiated in terms of clinical presentation, evolution, family history and therapeutic response. Their ideas stood the test of time and became assimilated in both the two main modern systems of classification for the diagnosis of mental disorder: the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association and the International Classification of Disease published by the World Health Organization (NCBI, 2006). In 1980, the name bipolar disorder wasRead MoreThe Key Components Of Anxiety Disorders And Cognitive Behavioral Theory ( Cbt ) Essay1630 Words   |  7 PagesAbstract This research paper will explore eight articles that report on results from research conducted online on the key components of anxiety disorders and cognitive behavioral theory (CBT). The articles will explore the treatments and outcomes of CBT on patients, who were diagnosed with anxiety disorders. The research paper will examine the theory, model, and effectiveness of exploration in relation to the other articles to suggest that CBT is a productive form of treatments for anxiety disordersRead MoreMental Health Stigma, Discrimination, and Prejudice1712 Words   |  7 PagesMental Health Stigma, Discrimination and Prejudice Karen Bleicher Spring, 2009 Professor Mark Harris Social Problems 2023 To Fight Stigmas, Start with Treatment Last fall, British television broadcast a reality program called â€Å"How Mad Are You?† The plot was simple: 10 volunteers lived together for a week in a house in the countryside and took part in a series of challenges. The amazing thing was that there were no prizes at the end of the challenges. There was a very interestingRead MoreA Research Study On A Nurse Working Under The Nightingales Theory1670 Words   |  7 PagesPriority Operating on theory by Nightingale the nurse in this situation would need to establish a relationship with the client then through a process of inquiry decipher how to best assist the client (Parker and Smith, 2010). The first priority would be to assist the client to clean herself as well as the children. Cleaning the room would be the next priority and enabling the client to identify how to achieve proper rest and nutrition would also be a priority (Parker and Smith, 2010). Environment TheRead MoreNervous Process And Manifested By Auditory Hallucinations1708 Words   |  7 Pagesof 1 to 10 by third week of treatment 2. Alex will be able to identify and demonstrate a technique to distract him from the voices by the sixth week of treatment Expected outcome 1. Alex states he no longer hear voices 2. Compliant with medication(s) and other treatments 3. Will be able to participate in discharge planning 4. Eat food brought in by parents and hospital 5. Starts participating in group activities Nursing Intervention and rationale 1. Orient Alex to the reality with clear and simple