Term
| Components of Health Hx & Interview |
|
Definition
Subjective Data
Objective Data
Verbal & Non-verbal Comm. |
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|
Term
| Interview Reactions: Facilitate |
|
Definition
| encourage your patient to say more |
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|
Term
| Interview Reactions: Silence |
|
Definition
|
|
Term
| Interview Reactions: Clarification |
|
Definition
| use this often; also overlaps with reflection |
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|
Term
| Interview Reactions: Empathize |
|
Definition
|
|
Term
| Interview Response: Confront |
|
Definition
| If the patient's behavior is disturbing |
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|
Term
| Interview Response: Interpret |
|
Definition
| repeat what you have heard; clears us any meaning |
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|
Term
| Interview Responses: Explanation |
|
Definition
| sharing factual information |
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|
Term
| Interview Responses: Summary |
|
Definition
| signals the end of the interview |
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Term
|
Definition
| CC, HPI, PMI, FH, SH, ROS |
|
|
Term
| 9 Critical Characteristics |
|
Definition
|
|
Term
|
Definition
| onset, location, duration, characteristics, aggravating factors, relieving factors, timing, severity |
|
|
Term
|
Definition
| hospitalizations & surgeries, accidents/injuries, childhood illnesses, Last exam dates, any allergies, serious or chronic illnesses, current medications |
|
|
Term
|
Definition
| nutrition habits, activity level/exercise, sleep/rest, medication & substance use, education/work, stress levels & coping styles, environment |
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|
Term
|
Definition
General Overview
Skin
Head/Eyes, Ears/Nose/Sinuses/Mouth
Breast
Respiratory System |
|
|
Term
|
Definition
Cardiovascular System
GI System
Urinary System
Genital System
Musculoskeletal System
Neurological System
Hematologic System
Endocrine System |
|
|
Term
|
Definition
Inspection
Palpation
Auscultation
Percussion |
|
|
Term
| Assessment Techniques w/ abdomen |
|
Definition
Inspection
Auscultation
Palpation
Percussion |
|
|
