Health Assessment
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| show | Subjective Data, Objective Data, Assessment, Plan
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| show | Health history obtained through questions and explanations. Information the patients relays to the healthcare provider!
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| Objective Data: | show 🗑
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| show | Diagnosis.
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| show | plan care
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| Biographical Data: | show 🗑
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| show | Judge how reliable the informant seems and how willing he or she is to communicate. Note any special circumstances such as use of an interpreter.
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| Reason for Care: | show 🗑
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| show | For the well person, this is a short statement of the general state of health.
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| show | For the ill person, this is a chronological record of reason for seeking care.
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| Present Health or History of Present Illness - Include these eight critical characteristics: Include these eight critical characteristics: | show 🗑
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| show | PQRSTU
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| P: | show 🗑
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| show | Quality or Quantity
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| R: | show 🗑
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| show | Severity Scale
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| T: | show 🗑
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| U: | show 🗑
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| Past Health: | show 🗑
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| Family History: (family tree or genogram) | show 🗑
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| Review of Systems: (head to toe) - subjective data: what the patient tells you | show 🗑
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| show | Self-Esteem/Self-Concept, Activity/Exercise
Sleep/Rest, Nutrition/Elimination, Interpersonal Relationships/Resources, Spiritual Resources, Coping and Stress Management
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| Functional Assessment: continued | show 🗑
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| Children and Adolescents: | show 🗑
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| show | Chief complaint, Maternal/Paternal concerns, Interval history, History of present illness, Past medical history, Prenatal history, Family history, Social history
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| show | Get an assessment of what the parents’ evaluation is of the child’s growth and development. Any weight loss or gain, how much and over what time interval? Any recent illness…etc?
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| The Older Adult - Geriatric Patient: | show 🗑
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
mr209368
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