Prior to Physical Assessment Flashcards
1
Q
History Taking
What is the chief complaint?
How to obtain it?
A
the specific reason for the visit –> most immediate concern
Ask open-ended question
Avoid labeling questions
2
Q
History Taking
History of present illness (HPI) details?
A
- onset
- complete interval history
- present status
- reason for help-seeking
Pain –> PQRST
3
Q
History Taking
Family history used to
A
discover genetic of chronic diseases
4
Q
Interval history components
A
Diet Previous illnesses, injuries, or operations Allergies Medications (Vtis, ABX, herbs) Immunizations Growth and development