Introduction to Radiologic and Imaging Sciences and Patient Care: History Taking Flashcards
Use open-ended questions. Avoid leading questions. Facilitate a response from the patient. Remain quiet to get a response. Use probing questions to focus in on more detail. Repeat patient response to clarify and confirm. Summarize to verify accuracy.
Type data that is perceptible to the senses, is able to be measured, and is often physiologic.
Objective Data can be:
Perceptible to senses Able to be measured Often physiologic Signs that can be seen, heard, felt, and so on
Type data that is subject to interpretation.
Subjective Data can be:
Patient feelings Pain level Attitude Opinion of observer Subject to interpretation
Sacred 7 of medical histories
Localization (area of patient's complaint) Chronology (duration) Quality (Character of symptoms) Severity (intensity, quantity, or extent of problem) Onset (what patient was doing when problem started) Aggrivating/Alleviating factors (what makes it worse/better) Associated manifestations