3/ Facteurs de risque et traitements suivis

Facteurs de risque / Habits

Do you smoke ? How many cigarettes a day ? Cigars ? Pipe ? Water pipe (chicha) ? Joints ?

Do you drink alcohol ? How many glasses a day ? Wine ? Beer ? Spirits (alcools forts) ? Since when?

If you do not drink have you ever drunk ?

Are you a drug addict ? Shoot addict ?

If you are not a drug addict now, were you ever one ?

 

Traitements suivis / Drug history

Are you on treatment ? Tablets ? Injections ?

Show me the medicine containers ?

Antibiotics ? Insulin ? Oral antidiabetic drug ? Antihypertensive drug ? Diurectics ? Steroids ? Anticoagulants ? Contraceptive pill ? Penicillin ? Aspirin ? Other medicine (write the name down)

For which part of your body do you take it ? (show me with your hand please)

Have you been under medication (sous traitement) in the past ?

 

Vaccinations / Immunizations

Are you up to date in the immunization against:

Diphteria ? Tetanus ? Whooping cough (coqueluche) ? Poliomyetis ? Typhoid ? Small pox (varicelle) ? Tuberculosis ? Hepatitis ?

Ajouter un commentaire

Code incorrect ! Essayez à nouveau