Essay on Journal Article Review

1529 Words Nov 24th, 2013 7 Pages
A Journal Article Review #1
Andrea Corza
Chamberlain College of Nursing
NR 305 Health Assessment
Professor Ava Farahany
January 14, 2011

Journal Article Review #1
“A guide to taking a patient’s history” is an article found in the December 2007 issue of the Nursing Standard which was written by, Hilary Lloyd and Stephen Craig. In this article Lloyd and Craig create an outline of sorts that can be followed in order to obtain a more thorough patient history. Throughout the article, Lloyd and Craig take us through this outline which includes topics such as preparation of the environment, use of communication skills and applying order and structure as a means of acquiring a comprehensive health history while also providing us with
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By looking at all the cardinal symptoms we can arrive at a more accurate conclusion of the patient’s problem. When the presenting symptom has been completely explored we move on the past medical history. The past medical history provides the interviewer with a background. This background information can be very helpful when looking at the presenting complaint and provides a bigger picture of the patient’s overall health.
Next is the discussion of mental health issues and medication history. Most times discussing issues of mental health can be uncomfortable for both the nurse and the patient, but nonetheless they are a vital part of the history. When inquiring medications history it is necessary to ask about current prescription medication, any medications which the patient may have recently stopped or dosages which may have been changed, over the counter and homeopathic or herbal remedies. Inquire about allergies, if the patient has a positive allergy “it is important to find out what the patient experienced, how it presented in terms of symptoms, when it occurred and whether it was diagnosed (Lloyd & Craig, 2007, p. 46).
To conclude we are to review family, social, sexual, occupational histories and perform a systemic enquiry. Family history usually pertains to immediate family as in mother, father and siblings. Some conditions are genetically predisposed such as diabetes and heart…