HISTORY TAKING Medical conditions Hospitalisations Serious illnesses / injuries Operations
HISTORY TAKING Current medications: Prescribed Over-the-counter Name Dose Frequency Recreational drugs
HISTORY TAKING Anyone in family had similar problem? Any serious illnesses in the family?
HISTORY TAKING Current smoker? Past smoker? How many years? Cigarettes/ roll-ups / cigars? How many per day? Who lives at home – partner? Children? Stairs at home? Need help with housework, shopping, cooking? Do you drink alcohol? What? Wine? Beer? How much? Calculate units/week
Couple of questions for each body system e.g: Fits, faints, funny turns Headaches Vision problems Shortness of Breath (SOB) Cough – blood (red flag) Chest pain “Heart fluttering” (palpitations) Ankle swelling Change in bowel habits – blood (red flag) Nausea or vomiting Weight loss – red flag Change in waterworks Blood in urine Menstrual problems Joint or muscle pain Skin rashes Lumps or bumps HISTORY TAKING