Health History Cheat Sheet
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Well here is a cheat sheet to keep tucked under your files or on your phone or tablet to refer to. The health history is a series of questions that the nurse asks in order to make the assessment and plan of care as specific to the patient as possible. A cheat sheet also cheatsheet or crib sheet is a concise set of notes used for quick reference.
Cheat sheets are so named because they may be used by students without the instructor s knowledge to cheat on a test however at higher levels of education where rote memorization is not as important as in basic education students may be permitted to consult their own notes crib notes or crib. The health history includes 4 main parts. I am hugely grateful to the individuals who helped by sharing their expert knowledge to create many of the topic sheets.
The composite health care system chcs allows clinicians to electronically perform patient appointment processes and scheduling order laboratory tests authorize radiology procedures and prescribe medications. Have you ever seen a patient client for taking a clinical history and missed out a really important section or question. With a weak or incorrect assessment nurses can create an incorrect nursing diagnosis and plans therefore creating wrong interventions and evaluation.
Tim taylor of imaginative. The information and other content provided here or in any linked materials are not intended and should not be construed as medical advice nor is the information a substitute for professional medical expertise or treatment. Assessment can be called the base or foundation of the nursing process.