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Terms in this set (21)
Established chief complaint Finding:
Reports recent "fender bender"
Empathize:
Model Statement: "I'm sorry to hear that you were
in a car accident, and that you're experiencing pain
and headaches. Because car accidents can cause
injury to your head and neck, it's important that I
learn about how the injury happened and your
symptoms so that we can determine if you need
treatment."
Model Statement: "I'm sorry. Car accidents can be
stressful and scary, even if they are minor. I'm glad
you are safe."
Finding:
Reports headaches
Finding:
Reports neck symptoms
, Asked about onset of symptoms Finding:
Reports accident occurred 1 week ago
Finding:
Reports symptoms began 2 days after accident
Followed up on details of car Finding:
accident Denies loss of consciousness
Finding:
Reports low vehicle speed
Finding:
Reports wearing seatbelt
Finding:
Reports sitting in front passenger seat
Finding:
Reports no alcohol or drug use during accident
Asked about frequency and duration Finding:
of symptoms Reports headaches are daily since they began
Finding:
Reports headaches last 1-2 hours
Finding:
Reports last headache was yesterday afternoon