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Health History

Preoperative Health History Questions - Table 18-3

QuestionAnswer
Give 7 things we need to ask our preoperative patient about in regards to their health perception/management. Dr. explained surgery? Surgeries before? Reaction to anesthesia (family too)? Smoke, packs/years? Chronic illness? Medications? Food/drug allergies? Alcohol?
Give 7 things we need to ask our preoperative patient about in regards to their health perception/management. Did your dr. explain? Is anesthesia a pain? Food or drug allergies? Any past surgeries? Are you chronically ill? Do you take any pill? Do you drink, smoke, or chew? We won't judge if you do.
Give 7 things we need to ask our preoperative patient about regarding their nutritional-metabolic pattern. height and weight? Recent gain or loss? Food likes/dislikes? Difficulty chewing or swallowing? Vitamins/supplements? Problems healing? Liver problems?
Give 7 things we need to ask our preoperative patient about regarding their nutritional-metabolic pattern. What’s your BMI? Hate broccoli/ Love pie? Can you chuck it on down? Are you narrow or round? Do your sores go away? Do you take 1-a-Day? Recent weight change dramatic? Or problems hepatic?
What questions should we ask our preoperative patient about their elimination pattern? any problems with urinary elimination, diarrhea or constipation?
Name 7 things we should ask our preoperative patient about regarding their activity-exercise pattern. High BP or cardiac disease? Dyspnea, coughing, hemoptysis, COPD, asthma, URTI? Need equipment for ambulation? Limited neck mobility? Musculoskelatal problems that interfere with breathing?
Name 7 things we should ask our preoperative patient about regarding their activity-exercise pattern. heart working fine? body in line? walk with a cane? neck move full range? Is your BP high? Have a URTI? Dyspnea, Asthma, COPD…Coughing, Hemoptysis –got any of these?
What 3things do we ask our preoperative patient about in regards to their sleep-rest pattern? Problems with sleep, sleeping pills, snoring
What do we ask our preoperative patient about in regards to congnitive-perceptual pattern? Do you use glasses, contact lenses or a hearing aid? How would you describe your pain tolerance? What works for pain relief?
What do we ask our preoperative patient about in regards to self concept- Self-perception pattern? How do you feel about this surgery? Any changes in the way you feel about yourself or your body?
What do we ask our preoperative patient about in regards to Role-Relationship pattern? Will this surgery cause problems in your usual roles/relationships? Will you have the needed support following discharge?
What do we ask our preoperative patient about in regards to sexuality-reproductive pattern? Do you expect this surgery to have any impact on your usual sexual activity?
What do we ask our preoperative patient about in regards to coping – stress pattern? How do you feel about this surgery?
What do we ask our preoperative patient about in regards to value-belief pattern? Do you have a conflict between your planned surgery and your value belief system?
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