Health History

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Last updated 2:32 AM on 9/16/26
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8 Terms

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Gender identity

Ask pronouns

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Reason for seeking care

healthy- ask general questions; ill- focus on the issue

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History of Present Illness

OLD CARTS

  • Onset

  • Location

  • Duration

  • Characteristics

  • Aggravating

  • Related symptoms

  • Treatment

  • Severity


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Social Determinants of Health (5?)

Economics stability, Access to quality education, social and community aspects, access to and quality of health care, and the neighborhood and built environment in which the client works and lives.

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Medical history

  • Childhood illnesses

  • injuries

  • chronic illnesses

  • hospitalizations

  • surgeries

  • immunizations

  • health exams and screenings

  • allergies

  • medication reconciliations

  • Nutrition

  • Obstetrical:GTPAL


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<p>GTPAL</p>

GTPAL

gravida (number of pregnancies), term (number of full-term births), preterm (number of preterm births), abortion (number of abortions), and living children.

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Emotional and Psychological

Stress? Support systems? therapist?

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Family history

immediate family have genetic disorders, heart attacks, kidney failure