Clinical Manual for Management of the HIV-Infected ... - myCME.com

Social History
Relationship Situation What is your relationship status (single, married, partnered, divorced, widowed)?
Do you have children?
Living Situation Do you live alone or with others? With whom?
Support System Who knows about your HIV status?
Which individual is the most supportive of your HIV diagnosis?
Who is the least supportive of your status?
Employment Are you currently employed?
Have you used any community support services such as support groups?
Where do you work?
Describe your job task(s).
What setting do you work in on a daily basis?
Does your employer provide health insurance?
If on disability: How long have you been on disability?
What medical condition has made you disabled?
Travel Where have you traveled outside the United States?
When did travel take place?
Diet Tell me what you eat during a typical day.
Section 1—Testing and Assessment | 1–5
Do you consume raw (unpasteurized) milk, raw eggs, raw or rare meat, deli meats, soft cheeses, or raw fish?
How much water do you drink during the day?
What is your source of water?
How much caffeine do you drink during a typical day?
Pets Do you have or have you had any pets?
What kind of pets, and who cleans up after them?
Exercise What kind of physical exercise and recreational activity do you participate in?
How often?