Medical Sociology Flashcards

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Questions and Answers

What are the two components of the Patient History that can be gathered solely by the medical student?

Patient History, Social History

What is the patient's favorite and least favorite part of the health care interaction?

social history

What are the Classic 3 questions for a social history?

How much do you smoke? How often do you drink? Do you use any drugs?

List the order of components in a patient record from first to last.

Chief Complaint, History of Present Illness, Past Medical History, Past Surgical History, Family History, Social History, Allergies, Medications, Review of Systems Signup and view all the answers

Besides tobacco, alcohol, and drugs, what other questions are typically asked during a social history?

Living situation, occupation/exposure, diet/exercise, hobbies/interests, safety, activities of daily living Signup and view all the answers

What do ADL and IADL stand for?

Activities of Daily Living, Independent Activities of Daily Living Signup and view all the answers

What are 3 common tactics for eliciting social history?

Open-ended questions, Focused Directed Questions, Framing the Context Signup and view all the answers

What should you assess if a patient admits to tobacco use?

Assess willingness to quit Signup and view all the answers

How do you calculate pack years in smoking?

Pack years = #packs/day x #years smoking Signup and view all the answers

Patients sometimes downplay how much they smoke.

True Signup and view all the answers

How do you quantify alcohol use?

1 drink = 1.5 oz shot glass of spirits, 6 oz wine, 12 oz beer Signup and view all the answers

What is the amount of alcohol considered binge drinking for males?

More than 3-5 drinks at one time Signup and view all the answers

What is the CAGE screen for Alcoholism?

Concern, Annoyed, Guilty, Eye Opener Signup and view all the answers

Why is it important to ask about living situation during social history?

To assess exposure to safety risks or triggering environments Signup and view all the answers

What are the main questions in the Pediatric Social History?

Safety, Diet and Exercise, Behavior/Discipline Signup and view all the answers

What does HEAADDSSSS stand for?

Home, Education, Alcohol, Activities, Drugs, Depression, Suicide, Sex, Smoking, Safety Signup and view all the answers

What are the main occupational exposures that should be considered?

Asbestos, Farm work, Laboratory work, Medical/Nuclear work Signup and view all the answers

What are the 6 main categories of ADLs?

Hygiene, Continence, Dressing, Eating, Toileting, Transferring Signup and view all the answers

What are the main aspects of social history for seniors?

ADLs, IADLs, living situation, depression, loneliness, abuse, safety Signup and view all the answers

What are the main aspects of social history for people with disabilities?

Level of function, Communication, Baseline functions, Caregivers, Community resources Signup and view all the answers

What are the main aspects of social history for pregnant women?

Alcohol, Drugs, Tobacco, Feelings about pregnancy, Domestic violence screen Signup and view all the answers

In Illinois, at what age does one entitled to privacy regarding reproductive/mental health?

12 Signup and view all the answers

Study Notes

Patient History Components

Patient History and Social History are the only two components documented solely by medical students.

Patient Interaction Preferences

Social history includes the patient's favorite and least favorite aspects of healthcare interactions.

Essential questions to ask include smoking frequency, alcohol consumption, and drug use.

Order of Patient Record Components

The proper order includes Chief Complaint, History of Present Illness, Past Medical History, Past Surgical History, Family History, Social History, Allergies, Medications, and Review of Systems.

In addition to substance use, inquire about living situation, occupation, diet and exercise, hobbies, safety, and activities of daily living (ADLs).

Definitions of ADL and IADL

ADL stands for Activities of Daily Living; IADL stands for Independent Activities of Daily Living.

Use open-ended questions, focused directed questions, and contextual framing to gather social history information.

Tobacco Use Inquiry

If a patient denies smoking, ask if they have ever smoked in the past; if they do smoke, assess their willingness to quit.

Smoking Pack Year Calculation

Calculate pack years by multiplying packs smoked per day by years smoked (e.g., 3 packs/day for 4 years = 12 pack years).

Smoking Habits of Patients

Patients often underestimate their smoking habits.

Quantifying Alcohol Use

Define one drink as 1.5 oz of spirits, 6 oz of wine, or 12 oz of beer; ask about the amount and frequency.

Binge Drinking Guidelines

Binge drinking is defined as more than 3-5 drinks for males and more than 2-4 drinks for females within two hours.

CAGE Screening for Alcoholism

The CAGE acronym stands for Concern, Annoyed, Guilty, and Eye Opener, used to screen for alcoholism.

Importance of Living Situation

Assessing living situations can reveal exposure to unsafe environments or smoke exposure affecting children’s health.

Key areas include safety measures, dietary habits, and behavioral discipline attitudes from parents.

HEAADDSSSS Framework

An acronym for adolescent social history covering Home, Education, Alcohol, Activities, Drugs, Depression, Suicide, Sex, Smoking, and Safety.

Occupational Exposures

Occupational risks include asbestos (lung cancer), pesticides (farm work), formaldehyde (laboratory work), and radiation (medical/nuclear settings).

Categories of ADLs and IADLs

ADLs focus on basic activities necessary for daily living; IADLs include more complex tasks like meal preparation and financial management.

Key concerns include ADLs, IADLs, living situation assessments, instances of depression, social isolation, abuse, and safety.

Important aspects include developmental function, communication abilities, caregiver support, community resources, and abuse screening.

Collect information about substance use, emotional responses to pregnancy, domestic violence, depression, social support, and guidelines from ACOG/AAFP.

Privacy Laws in Illinois

In Illinois, individuals over 12 years old have privacy rights regarding reproductive and mental health, with exceptions for suicide.

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Description

Test your knowledge with these flashcards focused on social history in medicine. Understand the components and significance of patient social history and its impact on healthcare interactions. Perfect for medical students and healthcare professionals.