Health History

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Ho to take health history of patient and document them in a well organise manner for the better comprehension of all staff member

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  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    Health & Physical Assessment in Nursing

    First Edition

    Chapter 10

    The Health History

    Donita DAmicoand

    Colleen Barbarito

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE ONE

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE ONE

    Nursing Health History - Definition

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE ONE

    Purpose of the Nursing Health History

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE ONE

    Difference Between the Nursing Health History and the Physician Medical History

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE ONE

    Components of the Health History Wellness assessment

    Nutrition Stress management Social interaction

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

    Communication - Exchange of Information Between Individuals

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    Figure 10.1 The communication process.

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

    Interactional Skills

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    Box 10.1 Guidelines for Interviewing Clients Who Do Not Speak English

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

    Interactional Skills Listening

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    Figure 10.2 The nurse conveys attentive listening through a posture of involvement.

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

    Interactional Skills Attending Paraphrasing Leading Questioning Reflecting Summarizing

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

    Listening - Paying Undivided Attention to What the Client Says and Does

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

    Attending - Giving Full Attention to Verbal and Nonverbal Messages

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

    Paraphrasing - Restating the Clients Basic Message

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

    Leading - Used to Encourage Open Communication Techniques

    Direct leading Focusing Questioning

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

    Questioning - Direct Way of Speaking with Clients to Obtain Subjective Data for Decision Making and Planning Care Closed and open-ended questions

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

    Reflecting - Repeating the Clients Verbal or Nonverbal Message for the Clients Benefit to Show that the Nurse Has Empathy with the Clients Thoughts, Feelings, or Experiences

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE TWO

    Summarizing - The Process of Gathering the Ideas, Feelings, and Themes That Clients Have Discussed Throughout the Interview and Restating Them in Several General Statements

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE THREE

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE THREE

    Barriers to Effective Client Interactions False reassurance Interrupting or changing the subject Passing judgment Cross-examination Using technical terms Encountering sensitive issues

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE THREE

    False Reassurance - Occurs When the Nurse Assures the Client of a Positive Outcome with No Basis for Believing in It

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE THREE

    Interrupting or Subject Changing - Shows Insensitivity to the Clients Thoughts and Feelings, and May Occur When the Nurse Is Not Comfortable with the Conversation

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE THREE

    Passing Judgment - Conveys Messages to Clients That They Are Not Meeting the Nurses Values

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE THREE

    Cross - Examination - Asking Questions During the Interview May Cause the Client to Feel Threatened and Reveal Less Information

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE THREE

    Technical Terminology - Should Be Avoided, as Well as Jargon, Slang, or Clichs, to Facilitate Client Understanding

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE THREE

    Encountering Sensitive Issues - May Make the Client Feel Uncomfortable or Defensive

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE FOUR

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE FOUR

    Diversity and Impact on the Nurse - Client Interactions

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    Figure 10.3 Differences in cultural or regional background may become barriers to effective nurse-client communication.

  • Health and Physical Assessment in Nursing, 1eBy Donita DAmico and Colleen Barbarito

    2007 Pearson Education, Inc.Pearson Prentice Hall

    Upper Saddle River, NJ 07458

    LEARNING OBJECTIVE FOUR

    Diversity and Impact on t

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