Author Question: What does social history reflect? a. The patient's planned activities after the clinical ... (Read 33 times)

SO00 · **on:** Jun 27, 2018

What does social history reflect?

a. The patient's planned activities after the clinical appointment
b. The patient's willingness to engage the physician in conversation during the appointment
c. The patient's ability to effectively conform to social norms and standards
d. The patient's social activities and how these social activities may impact the patient's health

Question 2

In your own words, explain the type and level of this documented past, family, and social history. Explain your rationale.

What will be an ideal response?

chloejackso · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D

Answer to Question 2

This 17-year-old patient presents to this pediatrician clinic for an initial visit. Patient's primary complaint is persistent heartburn. Medical record documents recurrent stomach pain but no diagnosed peptic ulcers. Record indicates the patient experienced a history of domestic abuse prior to the age of 12, which culminated in a severe concussion and a three-day hospital stay. The patient's mother is a recovering alcoholic and both the patient and entire family is currently undergoing talk therapy to deal with the mother's abusive behavior of the past. The patient denies alcohol use. The patient currently lives with both parents and admits to smoking tobacco cigarettes.
This documentation supports a new complete PFSH because the following elements are documented:
Past: Medical record documents recurrent stomach pain but no diagnosed peptic ulcers. Record indicates the patient experienced a history of domestic abuse prior to the age of 12, which culminated in a severe concussion and a three-day hospital stay.
Family: Mother is a recovering alcoholic.
Social: The patient denies alcohol use. The patient currently lives with both parents and admits to smoking tobacco cigarettes