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Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
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Nursing Health, & Environment: Strengthening the Relationship to Improve the Public's Health
G
Taking an Exposure History
Appendix G provides two examples of environmental and occupational history-taking forms that could be used by nurses in a variety of practice settings. The first form, Comprehensive Occupational and Environmental History, was created for a faculty development workshop on Environmental and Occupational Health offered by the University of Maryland at Baltimore (June, 1993), the second, Occupational and Environmental Health History Form, is reprinted, with permission, from Alyce B. Tarcher's Principles and Practice of Environmental Medicine (Plenum Publishing Co., 1992). Both forms enable nurses and other health professionals to assess individual risk and the need for prevention, to diagnose and treat occupational and environmental illnesses, and to develop a sensitivity to the environmental conditions in a community that may contribute to ill health. Taking an exposure history also provides an opportunity for nurses to enhance their relationship with patients by learning more about an individual's workplace, home, and community environments.
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Nursing Health, & Environment: Strengthening the Relationship to Improve the Public's Health
Comprehensive Occupational and Environmental History
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Nursing Health, & Environment: Strengthening the Relationship to Improve the Public's Health
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Nursing Health, & Environment: Strengthening the Relationship to Improve the Public's Health
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Nursing Health, & Environment: Strengthening the Relationship to Improve the Public's Health
Key Occupational and Environmental Health Questions to be asked with all histories
What are your current and past, longest held jobs?
Have you been exposed to any radiation or chemical liquids, dusts, mists, or fumes?
Is there any relationship between current symptoms and activities at work or at home?
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Nursing Health, & Environment: Strengthening the Relationship to Improve the Public's Health
Occupational Exposure
Describe any health problems or injuries related to present or past jobs.
Have you or your coworkers had health problems or injuries?
Do you believe you have health problems related to your present or past work?
Have you been off of work because of a work-related illness or injury? If so, describe:
Have you worked with a substance that caused a skin rash? What was the substance? Describe your reaction.
Have you had trouble breathing, coughing, or wheezing while at work? If so, describe:
Do you have any allergies? If so, describe:
Have you had difficulty conceiving a child?
Do you have any children who were born with abnormalities?
Do you smoke or have you ever smoked cigarettes, cigars, or pipes? For how long and how many per day?
Do you smoke on the job?
Have you ever worked at a job or hobby in which you came into direct contact with any of the following substances through breathing, touching, or direct exposure? If so, please place a checkmark beside the substance.
Acids
Halothane
Alcohols (industrial)
Heat (severe)
Alkalis
Isocyanates
Ammonia
Ketones
Arsenic
Lead
Asbestos
Manganese
Benzene
Mercury
Beryllium
Methylene chloride
Cadmium
Nickel
Carbon tetrachloride
Noise (loud)
Chlorinated naphathalenes
PBBs
Chloroform
PCBs
Chloroprene
Perchloroethylene
Chromates
Pesticides
Coal dust
Phenol
Cold (severe)
Phosgene
Dichlorobenzene
Radiation
Ethylene dibromide
Ethylene dichloride
Rock dust
Silica powder
Fiberglass
Solvents
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Nursing Health, & Environment: Strengthening the Relationship to Improve the Public's Health
Styrene
Trinitrotoluene
Talc
Vibration
Toluene
Vinyl chloride
TDI or MDI
Welding fumes
Trichloroethylene
X rays
If you have answered ''yes" to any of the above, please describe your exposure on a separate sheet of paper.
Environmental Exposure
Do you live in the central city or in a rural, urban, or suburban area?
Have you ever changed your residence or home because of a health problem? If so, describe:
Do you live in the immediate vicinity of a refinery, smelter, factory, battery recycling plant, hazardous waste site, or other potential pollution source?
Do you (and your child) live in or regularly visit a building with peeling or chipped lead paint (e.g., built before 1960)? Has there been recent, ongoing, or planned renovation or remodeling of this structure(s)?
Do any members of your household have contact with dusts or chemicals in the workplace that are then brought into the home?
Do you have a hobby that you do at home? If so, describe:
Do you fumigate your home or use pesticides in and around your home and on a pet? Do you use mothballs?
What cleaning agents and solvents are used in your home?
Is there evidence of mold in your home?
Which of the following do you use in your home?
Air conditioner
Humidifier
Electric stove
Wood stove
Air purifier
Gas stove
Fireplace
Unvented kerosene heater or gas heater
What is your source of drinking water?
Community water system
Private well
Bottled water
Representative terms from entire chapter:
comprehensive occupational