What are the 7 components of patient history?

The selection identifies the critical components that need to be gathered during a patient interview to form a comprehensive and effective patient history. Each element contributes to understanding the patient's health status and context.

The chief complaint is the primary concern that prompts the patient to seek medical help, setting the direction for the encounter. Onset and duration provide vital information regarding how long the patient has been experiencing issues, which can influence diagnosis and treatment options. Documenting the pain characteristics, such as quality, intensity, and location, aids in identifying specific conditions or disorders. Functional limitations assess how health issues affect the patient's daily life, providing a clearer picture of their overall well-being.

Additionally, past medical history (PMH) reveals any prior health issues, surgeries, or chronic conditions that may be relevant to the current situation. Social history offers insight into the patient's lifestyle, support systems, and environmental influences that may impact health. Lastly, understanding the patient's goals is crucial for aligning treatment plans with what is most important to them, promoting patient-centered care and better health outcomes.

The inclusion of these elements supports a thorough and holistic understanding of the patient's needs and ensures that healthcare providers can deliver appropriate and tailored care.