Medical history
When a client presents himself or herself at a hospital or clinic, the staff will need to obtain a medical history. A medical history can be short or very detailed. Different health professionals may be involved in obtaining different types of information.
Objectives:
- Request a full case medical history
- Use the correct forms of the past tenses + prepositions to describe precise time.
Preparation activity
Review these verb tenses and practice the dialogues.
Simple Past + |
ago |
HP: When did your headache start? |
Present Perfect + |
Since/for |
HP: How long have you had this headache? |
Past Continuous + |
for |
HP: How long were you exercising before your headache started? |
Preparation activity
What do you know about this topic in English?
Match the descriptions with the terms to better understand how to take a complete medical history.
-
Ask the patient their address, date of birth, occupation and marital status.
Personal details
Presenting ComplaintDrug historyFamily historySocial personal historyPatient ideas, concerns, expectationsReview of symptoms -
Ask the patient about drugs, medications, doses, frequency of administration, compliance, allergies, and reactions.
Personal detailsPresenting ComplaintDrug historyFamily historySocial personal historyPatient ideas, concerns, expectationsReview of symptoms -
Ask a patient to describe the pain: how strong is the pain and where is the pain located.
Personal detailsPresenting ComplaintDrug historyFamily historySocial personal historyPatient ideas, concerns, expectationsReview of symptoms -
When taking a social personal history, a health professional may inquire about the following things:
occupation, housing, personal habits, recreation, drugs, alcohol, smoking, problems at work, financial
problems, who shares house, ages.
Personal detailsPresenting ComplaintDrug historyFamily historySocial personal historyPatient ideas, concerns, expectationsReview of symptoms -
Ask the patient about: age, health, siblings, parents, causes of death in the family, illnesses.
Personal detailsPresenting ComplaintDrug historyFamily historySocial personal historyPatient ideas, concerns, expectationsReview of symptoms -
Once you know why they want medical attention, ask about the symptoms. Encourage describing symptoms.
Personal detailsPresenting ComplaintDrug historyFamily historySocial personal historyPatient ideas, concerns, expectationsReview of symptoms -
A health professional will often try to put a patient at ease but giving them a chance to
express their own ideas and concerns as well as determining the patient expectations.
Personal detailsPresenting ComplaintDrug historyFamily historySocial personal historyPatient ideas, concerns, expectationsReview of symptoms
Let’s Listen: Podcast
In this podcast you will hear short dialogues detailing how to ask a patient about their medical history.