General Survey Flashcards
Phases of Interview
Orientation and setting an agenda
Working phase and collecting data
Termination phase
ASSURE CONFIDENTIALITY
Chief Complaint
Brief spontaneous statement in person’s own words describing reason for visit
Objective
Observations - see, hear, smell, touch, taste
Measurements-Temperature, pulse, respirations
Laboratory resuls
Inspection
Palpation - depth
Auscultation
Symptom
Sign
subjective
objective
Past Health
Allergies, Immunizations, Childhood illnesses, hospitalizations, surgeries, current medications, serious or chronic illnesses, Accidents or injuries, Obsterical history
Family Medical History
Blood relatives, parents, siblings, grandparents, family tree(genogram), to show this information
Developmental consideration
Considering the age group and what they would know
Ask adolscents questions without parent in the room