Shadow Health Week 2 –
Health History: Tina Jones
Study Guide
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HEALTH HISTORY - TINA JONES ACTIVITY DESCRIPTION VIDEO
The purpose of obtaining a health history is to gather subjective data from the
patient and/or their care partners to collaboratively create a nursing care plan
that will promote health and maximize functioning.
GREETING Hi Ms. Jones. My name is [your name] and i will be your nurse for today.
HPI (History of Present Illness) What brings you to the hospital today?
START W/ OPEN-ENDED QUESTIONS (Allow the patient to answer)
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EMPATHIZE - MAKE AN EMPATHETIC STATEMENT I'm sorry your're in so much pain. I'm glad you're here so we can help you.
(Helps to build rapport and trust with the patient.)
QUALIFY SYMPTOMS - GET MORE INFORMATION ON Use O-L-D C-A-R-T-S acronym as a reminder of what to ask.
CONDITION (I.E., INJURY) O - Onset
l - Location
D - Duration
C - Characteristics
A - Aggravating Factors
R - Relieving Factors
T - Treatment
S - Severity
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