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Patient History Taking
Starting on:
Jun 14, 2024
Ending on:
Jun 14, 2024
Moderator(s):
Dr. JANE IKONYA
MBChB
Venue:
Plainsview Hospital
Max Credits:
3 Points

Provider:
Plainsview Nursing Home
Claim Points

Patient History Taking

Starting on:
Jun 14, 2024
Ending on:
Jun 14, 2024
Venue:
Plainsview Hospital

Description

History taking involves gaining information from patients through directed questioning to aid medical diagnosis and care. It is critical for determining the cause of a patient's illness, as diagnosis is often based on clinical history alone. An accurate history is obtained by addressing key components in order: chief complaint, history of present illness, past medical history, family history, and personal history. Open-ended questions allow patients to provide their own perspective, while closed questions clarify specific details chronologically. History taking is an essential medical skill developed through focused practice and attention to patient communication.

Objectives

A comprehensive history intake includes the patient's medical history, past surgical history, family medical history, social history, allergies, and medications. A standard format is used to record: demographics; active and past medical problems; surgical history; medications, allergies, and drug intolerances; family, social, and sexual history; personal habits; and preventive care services. “What problems have brought you here today?” “Tell me what problems you've been having.” “Tell me what you've come to see me about.” “What's brought you to the hospital today?” “What's been troubling you?” “How can I help you?” “What can I do for you?” “I see that you have backache. Please tell me more about it.”

Presenters

  1. Dr. JANE IKONYA
    MBChB
    General Practise

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