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⩥ Focused patient assessment. Answer: appropriate for established patients, during routine or urgent care visits addresses focused concerns or symptoms assess symptoms restricted to a specific body system applies exam methods relevant to assessing the concern or problem as thoroughly and carefully as possible ⩥ Subjective info. Answer: symptoms which are health concerns that the patient tells you
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⩥ Focused patient assessment. Answer: appropriate for established patients, during routine or urgent care visits addresses focused concerns or symptoms assess symptoms restricted to a specific body system applies exam methods relevant to assessing the concern or problem as thoroughly and carefully as possible ⩥ Subjective info. Answer: symptoms which are health concerns that the patient tells you includes feelings, perceptions, and concerns obtained from the clinical interview
⩥ Objective info. Answer: physical exam findings or signs you detect during the exam lab findings test data ⩥ What are the components of the comprehensive adult health history?. Answer: initial info chief complaints history of present illness past medical history family history personal and social history review of systems ⩥ CC or presenting complaint. Answer: term used to describe the primary problem or condition of the patient promoting the clinician visit ⩥ History of present illness. Answer: the story of the patient's problem
⩥ Pertinent negatives. Answer: Expected signs or symptoms with negative findings that warrant no care or intervention. facts that you would expect to find if a possible cause for a patient's problem were true, which then weaken this diagnosis by their absence ⩥ Past medical history. Answer: Includes all health problems, major illnesses, surgeries the patient has had, current medications complete with reasons for taking them, and allergies. immunizations, age-appropriate preventive measures patient's general state of health ⩥ Adverse drug reaction. Answer: noxious, unintended and undesired effect that occurs at normal drug doses ⩥ Allergy. Answer: adverse reaction caused by an antigen-antibody response ⩥ Side effect. Answer: expected and known effect of a drug that is not the intended therapeutic outcome ⩥ Family history. Answer: record of health info about the patient and his or her immediate relatives
lists the age and health, or age and cause of death, of each immediate relative including parents, grandparents, siblings, children, and grandchildren ⩥ Social history. Answer: includes the patients personal history which captures their personality and interests, coping style, strengths, and concerns includes their sexual orientation and gender identification, place of birth, personal environment, occupation and education, relationships- including safety, home environment, life experiences, leisure activities, sexuality, spirituality, and social support systems tobacco, illicit drug and alcohol use lifestyle habits that promote health or create risk ⩥ CAGE questions. Answer: CUT DOWN ANNOYED GUILTY EYE OPENER