Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
13 Cards in this Set
- Front
- Back
|
What is the purpose of the health history?
|
gain info for diagnosis and tx
help to prevent an emergency situation appraisal of pt health and nutritional status help pt and physician discover any unrecognized disease |
|
|
Why document records for comparison?
|
update health history
changes in dental tx reeds |
|
|
Why furnish evidence in legal cases?
|
dental chart/records may be subpoena by courts for lawsuits or forensic cases
|
|
|
What are heath history medicolegal notations?
|
must be completed in blue/black ink
must have correct date notation of medical alert signed by pt evidence that health history has been updated |
|
|
What is an example in notation of medical alert?
|
keep records confidential
|
|
|
What are the signature requirements of health history
|
signed by parent or legal guardian if pt is under age 18
|
|
|
How often should the health hist be updated
|
every 6 mo
|
|
|
What should be included in health his updates?
|
tx progress
state if no contraindications ask pt at every apt if any changes this is checked at every apt |
|
|
What are the adv of questionnaire?
|
saves time
consistent since every pt is asked the same questions in pts own handwriting-legal benefit |
|
|
What are disadv of questionnaire?
|
impersonal, inflexible and may not fit every situation
|
|
|
What are the adv of interview?
|
ask pt medical hist questions
more opportunity to get details build rapport with pt |
|
|
What are the disadv of interview?
|
takes longer for interview
mayforget to aks a question some questions may be embarrassing for pt to answer |
|
|
What are including in using both the questionnaire/interview?
|
comment section on forms for DH or DS students to explain any positive or "yes" answers
write a health hist summary for the pt format followed at OUCOD |
