What types of questions should be asked to assess a client's physical health?
Types of Questions to Ask When Assessing a Client's Physical Health Status
1. Medical History-Related Questions
- Past medical history: e.g., chronic conditions (diabetes, hypertension), infectious diseases, major illnesses.
- Surgical history: Including types of surgeries, dates, and recovery outcomes.
- Allergy history: Medications, foods, environmental allergens, and severity of reactions.
- Vaccination history: Recently administered vaccines and records.
2. Family History-Related Questions
- Family history of genetic diseases: e.g., heart disease, cancer, diabetes in immediate family members.
- Health status of family members: Disease history and causes of death among parents and siblings.
3. Lifestyle-Related Questions
- Dietary habits: Daily diet composition, specific dietary preferences, water intake.
- Exercise habits: Frequency, type, duration, and intensity of physical activity.
- Tobacco, alcohol, and substance use: Smoking quantity, alcohol consumption frequency, use of illicit drugs.
- Sleep quality: Sleep duration, presence of insomnia or sleep disorders.
4. Current Symptom-Related Questions
- Physical discomfort symptoms: e.g., pain, fatigue, dizziness, shortness of breath.
- Symptom characteristics: Duration, frequency, triggers, and alleviating factors.
5. Medication Use-Related Questions
- Current medications: Names and dosages of prescription drugs, over-the-counter medications, supplements.
- Medication adherence: Whether medications are taken as prescribed, presence of side effects.
6. Social History-Related Questions
- Occupation and environment: Nature of work, exposure risks (e.g., chemicals), stress levels.
- Living situation: Housing environment, social support networks, economic status.
7. Psychological History-Related Questions
- Mental health: Presence of anxiety, depression, history of stressful events or psychotherapy.
- Emotional state: Daily mood fluctuations, coping mechanisms.
8. Systems Review-Related Questions
- Screening of body systems: e.g., Cardiovascular (chest pain, palpitations), Respiratory (cough, wheezing), Gastrointestinal (abdominal pain, bowel movements), Genitourinary (urinary abnormalities), etc.