THE MERCK MANUAL: The Merck Manual of Diagnosis and Therapy
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Introduction

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Social issues influence an elderly person's risk and experience of illness as well as a health care practitioner's ability to deliver timely and appropriate care.

A social history helps members of the interdisciplinary team evaluate care needs and social supports. It should include questions about the following:

  • Marital or companion status
  • Living arrangements
  • Financial status
  • Work history
  • Education
  • Typical daily activities (eg, how meals are prepared, what activities add meaning to life, where problems may be occurring)
  • Need for and availability of caregivers (to help plan care)
  • Patients' own caregiving responsibilities (which may make patients reluctant to report their own symptoms lest their symptoms or any resulting interventions interfere with caregiving)

Last full review/revision September 2009 by Barbara J. Berkman, DSW/PhD; Daniel B. Kaplan, MSW

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