Nurs 5062 final Flashcards
Hx taking approach
-open ended questions
-consider values/preferences
-interviewing techniques
-how to manage difficult patients
Type of outpatient visits
Wellness/comprehensive exam/routine physical
-episodic visit (problem focused)
-chronic care management
Order in which data should be collected
Always start with hx and subjective data collection prior to objective data collection
Subjective data
what the patient tells us
OLD CARTS-used to elicit cardinal aspects of the chief complaint
Onset
Location
Duration
Character
Aggravating/associated symptoms
Relieving factors/radiating
Timing
Setting/severity
Objective data
What the clinician obtains
e.g. physical exam, lab data, vitals, test results
Different approaches to the clinical encounter
Clinician-centered
Patient-centered
effective interviewing involves merging both approaches
5 steps of clinical encounter
- initiating the encounter
- gathering info
- performing physical exam
- explaining and planning
- closing the encounter