History Taking Flashcards
What is patient assessment?
The identification, ranking, and prioritizing goals to determine those problems that can be solved
What is the purpose of patient assessment?
-Helps the radiographic to provide appropriate patient care
-HOW a procedure is performed but WHAT images are obtained
What are the characteristics of assessment?
-Problem thinking
-Critical thinking
-Deductive reasoning
-Analysis
-Evaluative thought
What does the patient assessment include?
-Naturalistic observation
-Physical signs
-Cultural assessment
-Assessment of special needs according to age and disability
What are some limitations of assessment?
-Time constraints
-Patient cooperation
-Experience of the assessor
-Personal bias of the assessor
Objective data
You can see
-Vital signs
Subject data
Not being able to see
-Emotions
-Feelings
-Experiences
What are some questioning skills?
-Open ended questions
-Silence
-Nodding head
-Listening
What is the chief complaint?
The primary medical problem
What is clinical history?
Infromation available regarding the patient’s condition
The Scared Seven are
1) Localization
2) Chronology
3) Quality
4) Severity
5) Onset
6) Aggravated or alleviating factors
7) Associated symptoms
Localization?
The precise area the main complaint
Chronology?
The order in which the symptoms occur
Quality?
Describe the characteristics of the symptom
Severity?
Describe the intensity of the symptoms
