Description

A medical history is often essential in the care of a patient. Failure to have adequate information can result in all sorts of problems. This can be a particular problem when dealing with a patient in the Emergency Room.


 

Hazards:

(1) failure to receive an essential medication

(2) withdrawal reaction

(3) history of toxic exposure

(4) history of trauma

(5) history of allergies

(6) relapse of pre-existing condition

(7) failure to recognize a complication of a condition

(8) failure to get informed consent (religious beliefs, unwanted care, etc)

 

People at risk:

(1) unconscious

(2) inability to communicate (incoherent, foreign language, etc)

(3) unwillingness to communicate (criminal, psychiatric disorder, etc)

 

Sources of patient information if the patient is unable to provide it:

(1) family and friends

(2) medical record

(3) health bracelet or card

 


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