Foundations of Health Assessment 2 Flashcards
1
Q
S.O.A.P stands for?
A
- Subjective
- Objective
- Assessment
- Plan
2
Q
OPPPPQQRRSTTA stands for?
A
- O;onset
- P; palliate
- P; provoke
- P; previous
- P; progression
- Q; quality
- Q; quantity
- R; region
- R; radiation
- S; severity
- T; timing
- T; treatment
- A; associated symptoms
3
Q
CODIERS
A
C: Chronology O: Onset D; Description I; Intensity E: Exacerbating factors R; Remitting factors S: Symptoms associated
4
Q
OLD CARTS
A
Onset Location Duration Character Aggravating or alleviating Radiation Timing Severity
5
Q
7 attributes of symptom
A
Location Quality Quantity Timing Setting Factors Associated issues
6
Q
Must haves for medication documentation
A
name dose number of tablets route frequency last dose taken
7
Q
Allergies types and documentation
A
drugs environment foods what type of reaction side affect versus allergy
8
Q
Big 8 for past medical history
A
THE CHADS: Thyroid Hypertension Emphysema (COPD) Cancer Heart disease/Coronary artery disease Asthma Diabetes Stroke
9
Q
Past surgical history
A
Type of surgery reason for surgery date hospital complications
