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Thursday, April 12, 2007

Social History Questions Mnemonic

"Healthy SEEDS":
Substances (alcohol, tobacco, IV drugs?)
Environment (hazards at home or work? feel safe?)
Exercise (what do you do? how often do you do it?)
Diet (any special diet?)
Sex (active with m/f/both? >1 partner? safe sex? STD history? difficulty with arousal or orgasm? history of abuse?)
· I find this order works well: patients most expect to be asked about alcohol and they least want to talk about their STD history, but taking a solid HRB history first reassures them that it's all part of good medical care.

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