History Taking - Social PDF

History taking - Social Benjamin Tighe FCSP GDC Learning Outcomes 1.1.3 Explain general and systemic disease and their relevance to oral health 1.1.8 Describe the properties of relevant medicines and therapeutic agents and discuss their application to patient management 1.2.2 Recognise the impo...

History taking - Social Benjamin Tighe FCSP GDC Learning Outcomes 1.1.3 Explain general and systemic disease and their relevance to oral health 1.1.8 Describe the properties of relevant medicines and therapeutic agents and discuss their application to patient management 1.2.2 Recognise the importance of and record a comprehensive and contemporaneous patient history Intended learning outcomes Outline the relevance of the pa1ent’s social history to providing oral healthcare Describe how to take a social history e;ec1vely List the relevant social history ques1ons to ask a pa1ent Why do we take a social history? Living arrangements / dependants Ask Implications Do you live local? Ability to get to How long does it take you to get appointments, any here? dependants Do you live alone? Partner? OccupaGon Ask Implications What do you do for work? Assessing commitment to Do you do shift work? treatment, ability to adhere to advice Stress levels Ask Implications On a scale of 1 – 10 how Poor compliance, increase in stressed do you feel now? inflammation, changes in diet Is that normal for you? How long have you felt like this? Smoking history Ask Implications Do you smoke? Risk of oral cancer, caries, What? periodontal disease, wider How often? health problems Advise 4 x more likely to quit with support Act Would you be interested in a referral? Alcohol consumpGon Ask Implications Do you drink alcohol? Risk of oral cancer, caries, periodontal disease, wider Do you know how many units health problems you have a week? How often? What do you drink? RecreaGonal drugs Ask Implications Do you use any recreational Risk of oral cancer, caries, drugs? periodontal disease, wider health problems How often? What do you use? When did you last use it? Diet Ask Implications Would you say you have a well Risk of caries, identify nutritional balanced diet? deficiencies Do you snack? What sort of things do you eat? What sort of things do you drink? What diJculGes might you encounter when taking a social history? Problems taking a SH Embarrassment, shame, stigma Patient omits a significant issue due to not realising its relevance Patient concerns about confidentiality Language incompatibilities Patient mental and physical impairment Summary Summarise the social history taken This is useful for two reasons: You can check the accuracy of the information It shows to the patient you have listened to them