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HEALTH AND WELLNESS: WHAT IS HEALTH?
from Home Doctor
by tattooedtech
According to the World Health Organization (WHO), health is defined as a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. This concept is important because it embraces psychological and social well-being, which is not present in other definitions. Therefore, we understand that mental health is an element to be taken into account. As for physical health itself, the concept, which is understood by almost everyone, refers to the absence of visible disease. Through the general physical examination, we can make diagnostic approaches. Semiological evaluation is an assessment we should all be aware of since it is an important tool to establish the diagnosis as the first step in the approach to the disease. A proper evaluation begins with an interview to find out the medical history of the affected person and when the present illness began. It is important to take into account whether the person is allergic to any medication or component in case drugs are administered later. The physical exam is a simple evaluation of the entire body. It is important to be systematic, which means to have a methodical evaluation so nothing is left behind and forgotten. Remember to pay special attention to the part of the body where the patient refers to the symptoms, and focus on that area. Below is an example of a current illness interrogation and a simple way to perform the physical examination in an orderly and efficient way.
In the case of specific pains, I like the patient to point out exactly where the pain is, and I ask them to do so with only one finger. That way I can make sure they point out the place where they have the most pain rather than scattering it.
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PAST
• Cancer or chronic illness in the family • Medical and surgical history • Allergic reactions (to food or drugs). What kind of reaction? Did you need hospitalization? • Use of medication • What kind of work do you do? • Sleeping hours • Physical activity
PRESENT
• When and how did the symptoms start? Do you associate them with anything in particular? • Have you ever had these symptoms before? • Are you taking any medication to improve? Which one? How many times a day? Does it work?
