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What data do nurses document under the category of past health history?Categories included in past medical history include current health, medications, childhood illnesses, chronic illnesses, acute illnesses, accidents, injuries, and obstetrical health for females.
Which information should the nurse obtain when conducting a health history for a patient?Patient history
Nursing staff should discuss the history of current illness/injury (i.e. reason for current admission), relevant past history, allergies and reactions, medications, immunisation status, implants and family and social history. Recent overseas travel should be discussed and documented.
Which information should you include when documenting a history source quizlet?Which of the following is included in documenting a history source? The source of history is a record of who furnishes the information, how reliable the informant seems, and how willing he or she is to communicate. In addition, there should be a note of any special circumstances, such as the use of an interpreter.
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Under which section of the health history would the nurse record pain severity quizlet?
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