nursing history


history

 [his´to-re] a systematic account of events.case history see case history.health history a holistic assessment of all factors affecting a patient's health status, including information about social, cultural, familial, and economic aspects of the patient's life as well as any other component of the patient's life style that affects health and well-being. The health history is designed to assess the effects of health care deviations on the patient and the family, to evaluate teaching needs, and to serve as the basis of an individualized plan for addressing wellness.medical history information obtained from the patient to aid in establishing a medical diagnosis and developing a treatment plan.nursing history a written record providing data for assessing the nursing care needs of a patient.

nurs·ing his·to·ry

(nŭrs'ing his'tŏr-ē) A comprehensive set of information about a patient's medical history, including the history of the present illness, as well as the person's psychosocial and spiritual history; used as the basis for nursing diagnosis and development of a care plan.

nursing history

The first step of the assessment stage of the nursing process that leads to development of a nursing care plan. Valuable information can be obtained from this history, and reactions to previous hospitalization can be recorded and utilized in managing the patient's care during the current stay. See also: history