Advanced Physical Assessment Midterm

Advanced Physical Assessment Midterm list and describe general guidelines for recording information r/t health hx documentation organize, synthesize, record the data, record problems, record plan. take brief notes during exam, document full recording asap, dont use abbreviations, write what the pt tells you, not what you perceive. record expected/unexpected findings. what is a soap note? commonly used process to organize pt data obtained during the exam what are the components of a soap note? subjective data, objective data, assessment, plan what are the seven variables of a symptom? location, quality, quantity, timing, aggravating/alleviating factors, setting, associated manifestations what is spirituality? deeply subjective. born out of a person's unique life experience and their effort to find meaning in life what is religion? organized system of beliefs concerning cause, nature, purpose of the universe, especially God. "state of doing" define faith. belief in something that cannot be proven. usually r/t religion or relationship with a higher power. "faith enables action." define hope