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5 Cards in this Set
- Front
- Back
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Domestic violence screen questions
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'SAFE GARD'
# S- Safety @ home # A- Afraid of Hubby? # F- Family ? Friends aware ? # E- Emergency plan? # G- Gun @ home? # A- Alcohol? # R- Relationship with Hubby? # D- Drugs? Depression ? |
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Depression screen questions
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"FACE SLIPS"
Yeah...when depressed and sad , did your face not slip into your hands ? Arrite..here we go : F - Feelings of : Guilt, anger and worthlessness ? A - Appetite (include diet , weight history) ? C - Concentration levels ? E - Energy levels in daily activities ? S - Sleep disturbances ? L - Libido Levels ? + Loneliness ? I - Interests , hobbies ? P - Psychomotor symptoms ? Pleasure Levels ? S - Suicidal Ideation: Two Question Series - Question 1: "Have you ever felt like you don't want to ever get up from sleep" OR "Have you ever had thoughts about ending your life" Question 2: "In the recent weeks, did you make any plans or attempts on hurting yourself or killing yourself" |
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Social history questions
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TP SHOE
T - Tobacco/EtOH/Drugs P - Pets (allergy case) S - Sexual activity, Contraception, Partners, STDs and TX of self and partner, HIV testing H - Housing O - Occupation E - Exercise, Eating |
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History questions
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PAM HUGS FOSS
P - PMH A - Allergies (drug) M - Medications H - Hospitalizations U - Urinary sx G - GI sx S - Surgeries F - Family hx O - Occupation S - Social hx |
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Constipation HX
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STOOLED
Surgery, multiple Sclerosis, Spinal cord trauma Thyroid Oxycodone Occult blood Low fiber diet Excess calcium Diabetic gastroparesis |
