Taking 2024 100% Sure
When would you conduct a comprehensive assessment vs focused? -ANS-*Comprehensive*
-> new pt.
-> very sick
-> strengthen pt-ph relationship
-> get baselines for future reference
*Focused*
-> established pt. routine visit
-> focused concerns/symptoms
Subjective vs Objective data -ANS-*subjective*
-> what the pt. tells you, chief complaint, history etc
*objective*
-> what you detect during the exam
7 components of the adult health history? -ANS-1) Identifying Data and Source of the History
2) Chief Complaint
3) Present Illness
4) Past History
5) Family History
6) Personal and Social History
7) Review of Systems
What comprises the 1) Identifying Data and Source of the History? -ANS-*Identifying data* - such as age,
gender, occupation, marital status
*Source of the History* - usually pt., may come from family, from referral
*Reliability* - varies according to pt. memory, mood etc