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What is subjective data?
it is information collected during the patient interview with the
patient or significant other. it is their words. It can include
symptoms, sensations,
feelings, perceptions, desires, preferences, beliefs, ideas, values,
personal information, ROS, complete health history
What is objective data?
it is the information that can be physically seen by the provider
and tested against. It can include the physical exam, lab analysis, x
rays, and professional consults.
,How do you approach sensitive issues when interviewing a
patient?
Provide privacy, be direct and firm, don't ask leading
questions, use open-ended questions, don't apologize for
asking questions, don't preach, avoid confrontation, use
understandable language, watch medical jargon, document
carefully using the patient's words.
How do you measure distance vision for visual acuity?
by using a snellen chart and having the patient cover one eye
and read the lowest line that he can see clearly and then
alternate eyes
How do you document distance vision?
the numerator is 20 and the denominator is the distance at which
the average eye can read the line.
,What does it mean to be culturally aware?
It is the deliberate self-examination and in depth exploration of
one's own biases, stereotypes, prejudices, assumptions that one
holds about people different than them.
What does it mean to be culturally competent?
It requires the provider to be sensitive to a patient's heritage,
sexual
orientation, socioeconomic situation, ethnicity, and cultural
background
What are examples of questions that explore the patient's culture?
"what do you call your problem?"
"What do you think caused it?"
"What does your sickness do to
you?" "Why do you think it started
when it did?" "What should be
done to get rid of it?"
"Who else or what else might help you get better?"
, What are the components of a cultural response to a patient?
the response should include modes of communication to
include speech, space, and body language, awareness of the the
patients health beliefs, diet and nutritional practice, and the
nature of relationships with their family
How do you measure visual acuity and test CN II
by measuring distance, near vision , and peripheral vision
What is CN II?
optic nerve
How do you measure near vision?
by using a rosenbaum pocket screener and have the patient hold it
about 14 inches from eyes and read the smallest line possible
with one eye and then the other