HEALTH ASSESSMENT MIDTERM STUDY GUIDE
1-5 questions
Building A Complete Health History (Week 1) Chapters 1 & 26
• Communication techniques
... [Show More] used to obtain a patient’s health history Chapter 1
- Open ended questions: gives the patient discretion about the extent of the answer
- Direct question: seeks specific information
- Leading question: most risky, may limit information
- Courtesy, comfort, connection, confirmation
- CAGE questionnaire screening: designed to help diagnose alcoholism
- CRAFT screening: ETOH and substance abuse in adolescents (Car, Relax, Forgot, Friends, Trouble)
- TACE screening: drinks does it take to feel high, people Annoyed you about your drinking, Cut back drinking, Eye opener drink in the AM
- Partner violence screen (PVS): hit kicked or punched, feel unsafe…
- Domestic Violence (HITS): Hurt you physical, Insult you, Threaten you, Scream at you?
- Spirituality (FICA): Faith, Importance, Community, Address
- Types of histories: Complete, inventory (touches up on major points), Problem (focused, acute life-threatening problem), Interim (designed to chronicle events that have occurred since last meeting)
• Recording and documenting patient information Chapter 26
- Write out abbreviations Copy and paste or carry forward (CPCF)
- International Classification of Disease (ICD): diagnostic coding system that classifies diseases and injuries and u used to track mortality and morbidity
- Geriatric screening tool: Katz Index consists of six items (bathing, dressing, toileting, transferring, continence and feeding
- Geriatric screening tool: Lawton Instrumental ADL-scale consists of eight items in women (ability to use the telephone, shopping, cooking, housekeeping, doing laundry, taking own medication, making transports, and ability to handle finances)
§ Functional impairment was defined as dependency on at least one domain of ADL (score <6) or IADL (a score <8 from women or <5 for men). Functional decline was defined as deterioration on at least one domain of ADL or IADL compared to baseline (decline ≥1 point). [Show Less]