SOLUTION 2025
Subjective Data - answer information perceived by the patient, up to determination eg.
Pain Scale
Objective Data - answer what the health professional observes by Inspecting, Palpating,
Percussing, and Auscultating during the physical examination (measured, factual)
Perception of Health - answer How do you define/view health?
(Biomedical or holistic model)
A patient has their own views + expectations
4 Types of Data Bases - answer Complete- full health history assessment, long
interview
Episodic- 1 body system issue, is problem centered
Follow Up- Post-surgery, progress of health update
Emergency-Seen faster, time critical issue
OPQRSTU – answer O-Onset(when did it start?)
P-Provocative or Palliative (what makes it better/worse)
Q-Quality or Quantity (please describe the pain to me)
R-Region or Radiation (point to where the pain is)
S-Severity Scale (1-10 pain ranking)
,T-Timing(what time of day, how often, intermittent/constant)
U-Understanding patients perception (what does it mean to the pt)
Techniques of communication - answer Introducing the interview,
Working phase,
Closing the interview
Introduction of interview - answer Introduce self, confirm name DOB, pt preferred name,
explain what will be talked about, estimate of how long the interview will be.
10 Traps of Interviewing - answer1. Providing false assurance or reassurance
2. Giving unwanted advice
3. Using authority
4. Using avoidance language
5. Engaging in distancing
6. Using professional jargon
7. Using leading or biased questions
8. Talking too much
9. Interrupting
10. Using "why" questions
IPPA - answer Inspection(no touching)
Palpation(touching)
Percussion(touching)
Auscultation (touching, with stethoscope)
, What is Inspection? - answer Visual examination of the body, looking for visual
abnormalities (comparisons)
No touching occurs
What is Palpation? - answer Examination technique done by touching the pt., pressing
or applying pressure
Used to feel the texture, tenderness, and temperature of parts of the body.
What is Percussion? - answer Tapping on the surface of a pt to determine the
differences in sound
Tapping with the fingers to detect sounds in various areas.
Done to listen for abnormalities from the surface eg. Fluid or air sounds
What is Auscultation? - answer Listening with a stethoscope for abnormalities asses the
functions of internal organs and breathing patterns.
Touch from the stethoscope required, but is mainly the listening of sounds.
How is Inspection performed? - answer Common Inspections:
Symmetry
Colour
Posture
Patient Gestures
How is Palpation performed? - answer Use of nurses hands to determine:
Temperature
Moisture