The article has focused the sequential nature for capturing history where the author has described presenting complaint and different types of histories which are necessary to evaluate a patient. The rationale for taking a comprehensive history is also discussed. Knowledge obtained from the detailed investigation would help the incorrect diagnosis and treatment of the patient. Over the years the nursing field has developed in countless ways in terms of challenges and roles leading to enhancement in nurses’ assessment skills. Grabbing accurate information from the patient about the underlying problem in a systematic, sensitive and professional manner is one of the important health assessment tools. The description of the problem given by the affected individual may reflect the different underlying mechanism of the medical condition of the patient. Due to the inept method of treatment for a patient without knowing his history can give rise to a medical error and fatal medical mishaps. Therefore, it is necessary to have a full and comprehensive approach while taking the history of a patient. The nurse should begin the study of past events with setting the appropriate comfortable environment, self-introduction, stating the purpose of taking history and obtaining consent from the patient (Lloyd amp. Craig, 2007). Then, connect with the patient should be commenced with basic knowledge of demographic details, such as name, age, and occupation of the patient. The article has also focused on the sequential nature of the history taking process. History taking should start with the presenting complaint with an open question, which could be narrowed down to specific details according to the manifestations to get a clear picture. Then the attempt should be made to know past medical history and mental health status of the patient. This should be followed by enquiring about medication history, family history, social history, sexual history, occupational history. The narrative from the patient should be ended with the systematic inquiry.
Analysis of Guide to Taking a Patient’s History Article by H Lloyd and S Craig and Assessing and Managing Patients with Musculoskeletal Conditions Article by Nicola Judge