chap 17 Flashcards
clinical decision making
a process that is evolving using all tools a medic has to select an evidence based choice of action
clinical reasoning
use of results of questions to think about associated issue with the patients chief complaint
differential diagnosis
weighing of one disease vs another possibly accounting for the patients illness
things that are received through history taking
ID life threatening issues
appropriate care
issues of the patients past
opening questions
determine why the patient called 911
chief complaint
can lead an underlying problem with patient that causes the chief complaint
present illness
is the cause of the chief complaint and is used to find out why the patient is having these issues
sensitive topics
privacy is essential, be direct and firm, avoid confrontation, nonjudgmental, easily understood language, encourage and document
process of clinical reasoning
take al the things the medic does know and narrow it down to what might be the issue, which forms a working hypothesis and leads to a differential diagnosis