Medical Sociology Flashcards

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.

Classic Questions for Social History

• 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.

Additional Social History Questions

• 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.

Eliciting Social History

• 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.

Pediatric Social History Concerns

• 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.

Social History Aspects for Seniors

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

Social History for Patients with Disabilities

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

Social History for Pregnant Women

• 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.