507 assessment int Word Scramble
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Question | Answer |
phases of interview | *introductory (explain, pt at ease) *working (data collection, longest) *termination (summarize, restate findings) |
Health histary starts with with these 4 topics | *biographical datae *source of referral *source of history *reason for seeking care/chief complaint |
critical characteristics of a symptom | PQRSTU where U is understand pts perception |
past health laundry list includes | childhood illness, immunizations, allergies, current medications, last exam dates, recent travel, military service...amongst similar |
family history provides clues to genetically linked or familial diseases | the usual list of heart disease, HTN, diabetes et al |
family history should include | same subjects on as genogram (extended blood family) |
two methods for obtaining family history | list and genogram |
Review of Body systems - review, but you know them | 1-general 2-integumentary 3-head 4-eyes 5-ears 6-nose/sinus 7-mouth/throat 8-neck 9-breast, axilla 10+ resp, CV, PV, GI, UG, sexual, musculoskelatal, neuro, hematlological, endocrine, psychiatric 8 |
functional assessment indicators | self-esteem/concept---health practicies/beliefs---activity/exercise/leisure---sleep/rest---nutrition/tobacco/alcohol/street drugs---physical violence, SES, env hazards, occ health, saffety, rltnshps, coping/stress mgmt |
when documenting | summarize pertinent findings, don't use normal, record pertinent negatives, date/sign |
ends with summary | which is a subjective data base from which we bridge into phpysical assessment and helps develop successful plan of care |
Created by:
lorrelaws
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