Chapter 15 Patient History Flashcards
patient assessment consists of two sets of skills:
- taking an excellent patient history
- doing a good physical assessment
OPQRST
- onset
- provocation
- quality
- region/radiation/referral
- severity
- time
what is OPQRST used for
analyzing the patients chief complaint
constructive communication skills
- facilitation
- reflection
- clarification
- empathy
- confrontation
- interpretation
- acting directly about feelings
chief complaint
the problem for which the patient is seeking help
history of the present illness
elaboration of the patients chief complaint
initial diagnosis
determination of what a paramedic thinks is the patients current problem, usually based on the patient history and chief complaint
patient history
information about the patients chief complaint, present symptoms, and previous illnesses
signs
indications of illness or injury that the examiner can see, hear, feel, smell, and so on
symptoms
the pain, discomfort, or other abnormality that the patient feels