NR 302 - Chapter 4 The Complete Health History.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/NR%20302%2
NR 302 - Chapter 4 The Complete Health
History
1. Health History Sequence: biographical data
source of history
reason for seeking care
present health or history of present illness
past health
family history
review of systems
ADL's
2. Biographical Data: name
address and phone number
age and birth date birthplace
sex
marital status
race
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,NR 302 - Chapter 4 The Complete Health History.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/NR%20302%2
ethnic origin
occupation: usual present
3. Source of History: record who furnishes information, usually the person, al-
though source may be relative or friend
judge reliability of informant and how willing he or she is to communicate
note any special circumstances such as use of interpreter
4. Reason for Seeking Care: brief spontaneous statement in person's own words
describing reason for visit
5. Symptom: subjective sensation person feels from disorder
6. Sign: objective abnormality that can be detected on physical examination or in
laboratory reports
7. Present Health or History of Present Illness (HPI): location
character or quality
quantity or severity
timing
setting
aggravating or relieving factors
associated factors
patient's perception
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