Flashcards in Family & Social History, ROS Deck (14):
What are important things to note when taking a family history?
Health details of immediate family, living and dead (systemic illnesses)
Genetic predispositions, cancers, addictions (drug, alcohol)
Environmental aspects of family (jobs, hobbies, etc)
Age and cause of deceased family members
Which types of cancers are genetically linked across families?
What are important things to note when taking a social history?
Occupation, hobbies, etc
Drug use (scripts and recreational)
What is the mnemonic for taking a social history?
F - food
E - exersize
D - drugs
T - tabacco
A - alcohol
C - caffeine
O - occupation
S - sexual history
When taking the "food" part of the social history, what questions should you ask?
Are you on a specific diet?
OBESITY - caloric intake?
CHOLELOTHIASIS (gallstones)- fat intake?
CORONARY ARTERY DISEASE - cholesterol intake?
DIABETES - carbohydrate restriction and intake?
HYPERTENSION - salt restriction and intake?
When taking the "drug" part of the social history, what questions should you ask?
What drugs do you take? Scripts? Recreational?
(Note: Anxiety and pain medication often misused)
When taking the drug portion of the history, what is important?
DO NOT PASS JUDGEMENT. YOU'RE JUST GETTING A HISTORY.
When taking the "tobacco" part of the social history, what questions should you ask?
How many packs per day?
How many years?
What time of day do you usually have your first cig? Breakfast?
Have you made any efforts to quit? Were they successful?
When taking the "alcohol" part of social history, what questions should you ask?
How much do you drink per week? Per day?
(Note: Pancreatitis and hepatitis can be alcohol induced)
When taking the "caffeine" part of the social history, what are important things to keep in mind?
Ask how much? Per week? Per day?
Cardiac arrhythmia or palpitations could be the result of too much caffeine in diet
Insomnia can be caused by caffeine
When taking the "occupation" part of the social history, what should you inquire about?
Toxin or allergen exposure?
Work at computer/keyboard?
Healthcare? At increased risk for exposure to pathogens. Cough, fever, chills
When taking the "sexual" part of the social history, what should you inquire about?
Are you sexually active?
Do you use condoms?
How many parters do you have?
Have you been tested for STDs? When was the last time? Have your partners changed since testing?
When taking a review of systems, what regions should you cover?