L1: overview Flashcards

1
Q

5 Process of assessment

A

Health hx taking > General Survery > Physical Exam > Investigation > Documentation

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2
Q

2 data source

A

Primary: client
Secondary: relatives, healthcare team, medical records

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3
Q

COLDSPA

A

Characteristics, Onset, Location, Duration, Severity, Pattern, Associated factor

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4
Q

What are subjective & objective data

A

Subjective: symptoms
Objective: signs

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5
Q

5 subjective data in health hx taking

A
  1. Biographical data
  2. Reason of seeking health care: chief compliant
  3. Present Health Concern: COLDSPA
  4. Review Body System
  5. Lifestyle
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6
Q

3 Objective data

A
  1. General survey
  2. Physical Exam
  3. Investigation: Lab test & Diagnostic test
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7
Q

4 Physical Assessment

A

Inspection > Palpation > Percussion > Ausculation

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8
Q

Documentation

A

Situation > Background > Assessment > Recommendations

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