Admin Table of Contents
- 1 What type of information is included in a patient social history?
- 2 What kind of information is collected while taking patients history?
- 3 What should be included in a social history medical?
- 4 What is social history assessment?
- 5 What is a detailed assessment of a patient’s medical history?
- 6 What is social history in health assessment?
- 7 What is social history in healthcare?
- 8 What is a social assessment in nursing?
- 9 What is the updated social history section on the patient summary?
- 10 How can I gather information about an older patient?
A social history may include aspects of the patient’s developmental, family, and medical history, as well as relevant information about life events, social class, race, religion, and occupation.
What kind of information is collected while taking patients history?
This collects detailed information about a patient – including their biographical data, present health status, past medical history, family history, personal situation and a review of all body systems. It is usually completed on admission to a health care facility and during a general health check-up.
Social history
- Description: a part of a medical history that addresses social aspects (e.g., occupation, socioeconomic status, drug use) of the patient’s life that might be pertinent to the current medical condition.
- Goals. Getting to know a new patient as a person.
- Key elements.
What information must be included in the health history of a patient?
A personal medical history may include information about allergies, illnesses, surgeries, immunizations, and results of physical exams and tests. It may also include information about medicines taken and health habits, such as diet and exercise.
Why is obtaining information about a patient’s medical history an important part of the assessment process?
The purpose of obtaining a health history is to gather subjective data from the patient and/or the patient’s family so that the health care team and the patient can collaboratively create a plan that will promote health, address acute health problems, and minimize chronic health conditions.
A social history report is a professional document that is frequently prepared by social workers in a variety of direct practice settings. The essence of the report documents the social aspect of the past and current life experience of the client.
What is a detailed assessment of a patient’s medical history?
A medical chart is a complete record of a patient’s key clinical data and medical history, such as demographics, vital signs, diagnoses, medications, treatment plans, progress notes, problems, immunization dates, allergies, radiology images, and laboratory and test results.
In medicine, a social history (abbreviated “SocHx”) is a portion of the medical history (and thus the admission note) addressing familial, occupational, and recreational aspects of the patient’s personal life that have the potential to be clinically significant.
Which information should the nurse obtain when conducting a health history assessment?
Patient history Nursing staff should discuss the history of current illness/injury (i.e. reason for current admission), relevant past history, allergies and reactions, medications, immunisation status, implants and family and social history.
Why is obtaining information about a patient’s medical history an important part of the assessment process quizlet?
Within the context of health promotion, social assessment refers to a process in which objective and subjective information are used to identify high-priority problems, or assets, that affect the common good.
The updated Social history section on the patient Summary includes improvements to smoking status, which has been renamed “Tobacco Use”, and additional data elements to support recording alcohol use, financial resources, education, physical activity, stress, social isolation and connection, and exposure to violence.
What can a medical history reveal about a patient?
Obtaining a medical history can reveal the relevant chronic illnesses and other prior disease states for which the patient may not be under treatment but may have had lasting effects on the patient’s health. The medical history may also direct differential diagnoses.
What is social history in nursing?
Social history is a broad category of the patient’s medical history but may include the patients smoking or other tobacco use, alcohol and drug history and should also include other aspects of the patient’s health including spiritual, mental, relationship status, occupation, hobbies, and sexual activity or pertinent sexual habits.
How can I gather information about an older patient?
Some involve a single investment of time. Other healthcare professionals in the office or home may assist in gathering the information. You may want to get a detailed life and medical history as an ongoing part of older patients office visits and use each visit to add to and update information.