History Taking

HistoryTaking

InstitutionAffiliation

HistoryTaking

Whendealing with patients with different conditions and different agegroups, communication varies. The first questions should establishthe age, gender, race and residence of the patients because they areimportant positives and negatives and have different relations todiseases. Different diseases are characteristic of different genders,age, race and living conditions. Their occupation is also importantdue to the relation between diseases and people’s occupations(Glynn &amp Drake, 2012, n.p).

Basedon the age of the patient, a history their lifestyle, occupation andprevious history of the diseases should be reported because they areconnected. Some parts of the history, such as the obstetrics andgynecology are gender specific. Therefore, questions about theirmenstrual cycle, the age of menarche and menopause, parity, gravidityand any obstetric complication should be considered in females.Additionally, past medical history and family history should seek toget information regarding previous gender specific and/or geneticillnesses. Certain diseases are also associated with certain racestherefore, asking questions relating to these diseases help to ruleout the conditions. Populous and crowded areas are closely associatedwith infectious diseases such as tuberculosis. It should beconsidered for the patients living in population-dense areas(Bickley, &amp Szilagyi, 2012, n.p).

Foreach patient, the risk assessment instruments to be used include age,gender, their residence and their occupation. Others include theirpast medical history, any history of surgery or similar illness, anychronic illnesses in the family, recent history of smoking, theliving conditions, any genetic illnesses in the family and assessmentof the other systems except for the primary chief complaint system.

Forthe 55-year old Asian living in a high-density poverty-housingcomplex, his risk factors include his race, age and the residence.Infectious diseases such as tuberculosis and cholera are associatedwith densely populated poverty areas. Cancer, cardiac failure, strokeand diabetes are among the leading causes of death in the Asianpopulation (Lloyd-Jones et al., 2010, n.p). Since the Asian man is athigh risk of developing infectious diseases in relation to hisresidence relevant questions would be:

  • How many people live in the house?

  • Is there a recent history of similar illness in any of the house members?

  • Is the house well aerated? How many doors and windows are present?

  • Do they share their bathroom facilities?

  • Has any of his neighbors had symptoms similar to what he is experiencing at the time of admission?

References

Bickley,L., &amp Szilagyi, P. G. (2012). Bates` guide to physicalexamination and history-taking. Lippincott Williams &amp Wilkins.

Glynn,M., &amp Drake, W. (2012). Hutchison`s Clinical Methods: AnIntegrated Approach to Clinical Practice, 23e (Hutchinson`s ClinicalMethods) 23rdEdition.

Keesing,F., Belden, L. K., Daszak, P., Dobson, A., Harvell, C. D., Holt, R.D., … &amp Ostfeld, R. S. (2010). Impacts of biodiversity on theemergence and transmission of infectious diseases. Nature, 468(7324),647-652.

Lloyd-Jones,D., Adams, R. J., Brown, T. M., Carnethon, M., Dai, S., De Simone,G., … &amp Wylie-Rosett, J. (2010). Heart disease and strokestatistics—2010 update A report from the American HeartAssociation. Circulation, 121(7), e46-e215.