health assessment across the lifespan Flashcards
good at the beginning of the interview
can lead to a lot of info
questions are unbiased
can lead to pts going off on tangents
open-ended questions
good for specific details
useful to fill in gaps
can be used to expedite interview
close ended questions
encourages further information
it shows an interest in the information being shared, which will promote storytelling
facilitation
useful after open ended questions
maintain good eye contact
try not to interrupt
watch for non verbal cues
silence
repeat part of what the pt said to allow them to expand on it
expand on a impt concept
specifically focus on an emotional aspect of what pt has said
reflection
gives the pt a sense of feeling understood
can promote the therapeutic relationship
gives them the green light to the pt to talk about their thoughts and feelings
empathy
what are the different areas of the complete health history?
biographical data
reason for seeking care
present health or history of the present illness
past history
family history
review of all systems
functional assessment or ADLs
PQRSTU
what is PQRSTU?
provocative or palliative
quality or quantity
region or radiation
timing
understanding
values
what should the behaviour assessment include?
consciousness
facial expression
speech
mood
attention
memory
intellectual function
insight and judgement
thought process
thought content
perception
what are the assessment techniques?
inspection
palpation
percussion
auscultation
art of touching the body to assess the skin and the underlying organs, as well as any abnormalities
palpation
listening to body sounds through a stethoscope
auscultation