General Survey and Collecting Data Flashcards
What is the general survey?
An overview of the patient; begins at first meeting and ends at closing
What are the first pieces of a general survey? (3 answers)
- Appearance
- Behavior
- Mobility
What are the componants of initial data? (3 answers)
- Anthropometric measurements (height, weight, etc.)
- Vital signs
- Nutrition and hydration
What is the Framingham risk score?
A score determining risk for a cardiac event based on blood pressure, age, sex, and cholesterol
What is metabolic syndrome?
Condition related to the clustering of three or more of the following conditions: abdominal obesity, high blood pressure, high blood sugar, high serum triglycerides, and low serum HDL
What are the goals of an interview? (4 answers)
- Collect data and gain insights
- Continue General survey
- Determine evaluation
- Establish theraputic relationship
What are the types of data sources? (2 answers)
- Primary (from the patient)
- Secondary (from family members, friends, charts)
What are the componants of the interview? (7 answers)
- Demographic data (name, DOB)
- Chief concern (+LATERSNAPS)
- Health history (personal and familial)
- Current medication (what and why)
- Personal and social history (marital status, travel history)
- Review of systems
- Functional health questions
What is the interview process? (4 answers)
- Handwashing and don PPE
- Introduce self and establish rapport
- Invite patient to speak (request consent)
- Establish agenda
When should uncomfortable topics be brought up?
End of the interview, with patient alone if accompanied
What are the LATERSNAPS components?
L - location
A - associated symptoms
T - timing
E - environment
R - relieving factors
S - severity
N - nature
A - aggravating factors
P - patient perspective
S - significance to patient
What are the PAMFROSSTI components?
P - patient history
A - allergies
M - medications
F - family history
R - review of systems
O - occupation
S - social history
S - safety
T - travel
I - immunizations
Should supplements be included in medications?
Always