CHAPTER 1: PREOPERATIVE HEALTH STATUS EVALUATION
Taking medical history, physical examinaton and laboratory evaluaton is a must before
going on through a procedure to be aware of the patentts physical and health status. These
examinatons are also take to know if the patent is safe for the needed procedure and if there
are presence of medical problems that will afect the procedure that was planned by the
clinician.
BIOGRAPHIC DATA
- This is the first informaton to obtain from a patent. This include the patentts full
name, home address, age, gender and occupaton. Itts important that the clinician
make sure that all the informaton provided by the patent are reliable to avoid
future problems. If there is suspicion about the data, the clinician can try using some
alternatve methods in obtaining informaton.
CHIEF COMPLAINT
- This porton is where you can see the patentts reason why he is seeking for care.
Having patents formulate chief complaint encourage them to clarify for themselves
and the clinician why they desire treatment. This contains the exact words from the
patent. Is also serves as a guide on what type of treatment the clinician should do.
HISTORY OF THE CHIEF COMPLAINT
- Contains the What, When, Why and How. For example, What is it looked like at first?
When does the concern first appeared or experienced? Why it happened? (if the
patent is aware How painful is it? The clinician can also ask about t5he signs and
symptoms.
MEDICAL HISTORY
- Most dental practtoners find health history forms to be an efcient means of
initally collectng the medical history. To avoid inaccurate responses from the
patent, the clinician must inform them that these are confidental and the two of
them are the only person who can have access to the data. It is also helpful to know
about medical problems that may alter the dental management.
- This also include hospitalizaton, past diseases or illnesses, medicatons (if therets
any of the patent and also the family.
REVIEW OF SYSTEMS
- Review of the medical history of the patent (sometmes writen by his atending
physician is needed before performing any procedure to avoid complicatons,
Taking medical history, physical examinaton and laboratory evaluaton is a must before
going on through a procedure to be aware of the patentts physical and health status. These
examinatons are also take to know if the patent is safe for the needed procedure and if there
are presence of medical problems that will afect the procedure that was planned by the
clinician.
BIOGRAPHIC DATA
- This is the first informaton to obtain from a patent. This include the patentts full
name, home address, age, gender and occupaton. Itts important that the clinician
make sure that all the informaton provided by the patent are reliable to avoid
future problems. If there is suspicion about the data, the clinician can try using some
alternatve methods in obtaining informaton.
CHIEF COMPLAINT
- This porton is where you can see the patentts reason why he is seeking for care.
Having patents formulate chief complaint encourage them to clarify for themselves
and the clinician why they desire treatment. This contains the exact words from the
patent. Is also serves as a guide on what type of treatment the clinician should do.
HISTORY OF THE CHIEF COMPLAINT
- Contains the What, When, Why and How. For example, What is it looked like at first?
When does the concern first appeared or experienced? Why it happened? (if the
patent is aware How painful is it? The clinician can also ask about t5he signs and
symptoms.
MEDICAL HISTORY
- Most dental practtoners find health history forms to be an efcient means of
initally collectng the medical history. To avoid inaccurate responses from the
patent, the clinician must inform them that these are confidental and the two of
them are the only person who can have access to the data. It is also helpful to know
about medical problems that may alter the dental management.
- This also include hospitalizaton, past diseases or illnesses, medicatons (if therets
any of the patent and also the family.
REVIEW OF SYSTEMS
- Review of the medical history of the patent (sometmes writen by his atending
physician is needed before performing any procedure to avoid complicatons,
