Question

Health History (5 pts total)

Biographical data: (1 pts)

No name or initial required

Age: ________       Marital status: ____M _____ S   _____Sep. ____Cohab.

Birth date: _____________________    Number of dependents: ___________________

Educational level: ________________________ Gender: _____F _____ M _____Other         

Occupation (current or, if retired, past): ___________________________________­­­­___

Ethnicity/nationality: _____________________

Source of history (who gave you the information and how reliable is that person): _______________________________________________________________________

Present health history: (4 pts)

Current medical conditions/chronic illnesses:

Current medications:

Medication/food/environmental allergies:

Past health history: (10 pts total)

Childhood illnesses: Ask about history of mumps, chickenpox, rubella, ear infections, throat infections, pertussis, and asthma.

Hospitalizations/Surgeries: Include reason for hospitalization, year, and surgical procedures.

Accidents/injuries: Include head injuries with loss of consciousness, fractures, motor vehicle accidents, burns, and severe lacerations.

Major diseases or illnesses: Include heart problems, cancer, seizures, and any significant adult illnesses.

Immunizations (dates if known):

Tetanus _______   Diphtheria ________   Pertussis ________ Mumps ________

Rubella _______   Polio _____________   Hepatitis B ______   Influenza _______

Varicella ______   Other ____________________________________________

Recent travel/military services: Include travel within past year and recent and past military service.

Date of last examinations:

Physical examination _________ Vision ___________ Dental ___________

Family History (Genogram) (10 points)

Mother/Father/Siblings/Grandparents: include age (date of birth, if known), any major health issues, and, if indicated, cause and age at death Present as a genogram.

Review of Systems (12 points total) Be sure to ask about symptoms specifically.

General health status (1 pt): Ask about fatigue, pain, unexplained fever, night sweats, weakness, problems sleeping, and unexplained changes in weight.

Integumentary (1 pt):

Skin: Ask about change in skin color/texture, excessive bruising, itching, skin lesions, sores that do not heal, change in mole. Do you use sun screen? How much sun exposure do you experience?

Hair: Ask about changes in hair texture and recent hair loss.

Nails: Ask about changes in nail color and texture, splitting, and cracking.

HEENT (2 pts):

Head: Ask about headaches, recent head trauma, injury or surgery, history of concussion, dizziness, and loss of consciousness.

Neck: Ask about neck stiffness, neck pain, lymph node enlargement, and swelling or mass in the neck.

Eyes: Ask about change in vision, eye injury, itching, excessive tearing, discharge, pain, floaters, halos around lights, flashing lights, light sensitivity, and difficulty reading. Do you use corrective lenses (glasses or contact lenses)?

Ears: Ask about last hearing test, changes in hearing, ear pain, drainage, vertigo, recurrent ear infections, ringing in ears, excessive wax problems, use of hearing aids.

Nose, Nasopharynx, Sinuses: Ask about nasal discharge, frequent nosebleeds, nasal obstruction, snoring, postnasal drip, sneezing, allergies, use of recreational drugs, change in smell, sinus pain, sinus infections.

Mouth/Oropharynx: Ask about sore throats, mouth sores, bleeding gums, hoarseness, change voice quality, difficulty chewing or swallowing, change in taste, dentures and bridges.

Respiratory (1 pt):

Ask about frequent colds, pain with breathing, cough, coughing up blood, shortness of breath, wheezing, night sweats, last chest x-ray, PPD and results, and history of smoking.

Cardiovascular (1 pt.):

Ask about chest pain, palpitations, shortness of breath, edema, coldness of extremities, color changes in hands and feet, hair loss on legs, leg pain with activity, paresthesia, sores that do not heal, and EKG and results.

Breasts (1 pt.): (Remember men have breasts too)

Ask about breast masses or lumps, pain, nipple discharge, swelling, changes in appearance, cystic breast disease, breast cancer, breast surgery, and

reduction/enlargement. Do you perform BSE (when and how)? Date of last clinical breast examination, and mammograms and results.

Gastrointestinal (1 pt.):

Ask about changes in appetite, heartburn, gastroesophageal reflux disease, pain, nausea/vomiting, vomiting blood, jaundice, change in bowel habits, diarrhea, constipation, flatus, last fecal occult blood test and colonoscopy and results.

Genitourinary (1 pt.):

Ask about pain on urination, burning, frequency, urgency, incontinence, hesitancy, changes in urine stream, flank pain, excessive urinary volume, decreased urinary volume, nocturia, and blood in urine.

Female/male reproductive (1 pt.):

Both: Ask about lesions, discharge, pain or masses, change in sex drive, infertility problems, history of STDs, knowledge of STD prevention, safe sex practices, and painful intercourse. Are you current involved in a sexual relationship? If yes, heterosexual, homosexual,, bisexual? Number of sexual partners in the last 3 months. Do you use birth control? If yes, method(s) used.

Female: Ask about menarche, description of cycle, LMP, painful menses, excessive bleeding, irregular menses, bleeding between periods, last Pap test and results, painful intercourse, pregnancies, live births, miscarriages, and abortions.

Male: Ask about prostate or scrotal problems, impotence or sterility, satisfaction with sexual performance, frequency and technique for TSE, and last prostate examination and results.

Musculoskeletal (1 pt.):

Ask about fractures, muscle pain, weakness, joint swelling, joint pain, stiffness, limitations in mobility, back pain, loss of height, and bone density scan and results.

Neurological (1 pt.): Ask about pain, fainting, seizures, changes in cognition, changes in memory, sensory deficits such as numbness, tingling and loss of sensation, problems with gait, balance, and coordination, tremor, and spasm.

Psychosocial Profile (10 pts)

Health practices and beliefs/self-care activities: Ask about type and frequency of exercise, type and frequency of self examination, oral hygiene practice (frequency of brushing/flossing), screening examinations (blood pressure, prostate, breast, glucose, etc.)

Nutritional patterns: Ask about daily intake (24 hour recall) and appetite.

Functional Ability: Ask if able to perform activities of daily living such as dressing, bathing, eating, toileting and instrumental activities of daily living like shopping, driving, cooking.

Sleep/rest patterns: Ask about number of hours of sleep per night, whether sleep is restful, naps, and use of sleep aids.

Personal habits (tobacco, alcohol, caffeine, and drugs): Ask about type, amount, and years used.

Environmental history: Identify environment as urban/rural, type of home (apartment, own home, condo)

Family/social relationships: Ask about significant others, individuals in home

Cultural/religious influences: Identify any cultural and religious influences on health.

Mental Health: Ask about anxiety, depression, irritability, stressful events, and personal coping strategies.

Now answer the question below: (3 pts)

Using the instructions below, identify 1 physical strength, 1 psychosocial/cognitive strength, and 1 weakness in either category. State why you think this to be true.

With the information you collected, you can begin developing an idea of a client’s weakness and strengths. What is a strength? This might be that a person’s nutritional status appears to be excellent. It may be that there is no impairment of mobility. They may have lots of friends with them so be socially active. What is a weakness? This might be that a person does have impaired mobility or perhaps imbalanced nutrition – more than or less than body requirements. It might be that they have a communication issue that you note or perhaps seem to have a depressed mood, seem alone/isolated.

Answer 1

If we are not in good at  something , as is it a weakness , If we're good at something , , is it a strength . No it's not that simple as. There's a difference between natural strength and the things that we learn over time by building skills and knowledge .Strength are our dominant thinkings , feelings and doing patterns that come naturally for us . We grow stronger when we spend time in our strength .A weakness drains us and we no matter how much we work at it , Some things are require skill , knowledge ,and experience

Strength and weakness generally refer to a person's character . often a strength can be a weakness and vice versa , a weakness can be strength , some type strength we all possess are;-Enthusaism , creativity ,Trustworthiness and dicipline ,Patience , respectfulness, determination , dedication , honesty , versatility

One strength of the cognitive approach is that it has many practical application . Generally idea the of cognitive psychology is that , if we would like to know why people think , behave and feel in certain ways then we will need to understand how their minds work from the inside . As the term cognition means that cognitive psychology looks into the act or mental process that aids people in acquiring knowledge . such an approach focuses on how human beings process information and looks at how individual treat information , leading to responses The internal process as such like language , attention , thinking , memory and perception with the main assumption as when information is recieved , it is then processed by the brain that how the individual behave or justify and why they behave in such a way . To know the implication of cognitive psychology , its important to look upon the strength and weakness;-

The strength of cognitive psychology ;-

• It offers a lot of practical application
• It is effective in treating anxiety
• It bases its principles on actual experiments

The weakness of cognitive psychology

• It does not allow for direct observation
• It is not that effective for all types of individual
• It over looks other behavioural factors