DATA Flashcards
The process of gathering information about a client’s health status
Data collection
it includes the health history, physical examination, results of laboratory and diagnostic test, and materials contributed by other health personnel
Data collection
what are the 5 methods of data collection?
- Interview
- Observation
- Palpation
- Percussion
- Auscultation
what are the 3 methods of data collection?
- Observing
- Interviewing
- Examining
What are the two types of data?
a. Subjective Data (symptoms)
b. Objective Data (signs)
can we describe only by the person experiencing it
e.g. pain, tinnitus
Subjective Data (symptoms)
can be observed and measured
e.g. pallor, BP, urine
Objective data (signs)
source of data
- patient-client
primary
source of data
- indirect, significant others, patients record/chart, heath team members, related literature
secondary
it is the gathering data using the senses
Observing
it is a planned communication or a conversation with a purpose
interview
Interviewing is used to:
• Get or give information
• Identify problems of mutual concern
• Evaluate change
• Teach
• Provide support
• Provide counseling or therapy
What are the two types of interviewing?
directive interview and non-directive interview
what type of question?
are you having pain now?
Closed questions
what type pf question?
What brings you here today?
Open ended questions
what type of question?
How do you feel about that?
neutral questions
what type pf question?
You’re stressed about surgery tomorrow, aren’t you?
leading questions
Stages of an interview
• Establish rapport
• Orient client
The opening
Stages of an interview
• Client communicates
• Midwife asks questions
The body
Stages of an interview
• Midwife ends interview when necessary information is collected
The closing
A systematic data collection method. It uses observation and inspection, auscultation, palpation and percussion.
- vital signs, height and weight
examining
