diagnostic reasoning Correct Answer a scientific process in which the practitioner suspects the cause of a patient's symptoms and signs based on previous knowledge
Character-how does it look/feel/smell/sound
Onset-wh
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diagnostic reasoning Correct Answer a scientific process in which the practitioner suspects the cause of a patient's symptoms and signs based on previous knowledge
Character-how does it look/feel/smell/sound
Onset-when did it start
Location
Duration-how long does it last, recurrent
Severity- scale 0-10
Pattern- what makes it worse/better
Associated factors-other symptoms, interfere w/ ADLs Correct Answer What is symptom analysis using COLDSPA
clinical reasoning Correct Answer situation, practice-based form of reasoning that acknowledges the many variables that are present in an actual clinical situation, such as social relationships/situations involving family, community and team of healthcare providers
evidence-based practice Correct Answer integration of clinical expertise with the most current, relevant, and sound research evidence to guide clinical practice decisions
comprehensive assessment Correct Answer all the elements of the health history and complete physical examination
focused/problem oriented assessment Correct Answer addresses focused concerns/symptoms, restricted to body system, applies examination methods relevant to assessing the concern
subjective data Correct Answer what the patient tells you; symptoms and history from chief complaint through review of systems
objective data Correct Answer what you detect during examination, lab findings, and test data. all physical exam findings.
identifying data/source of history and reliability, chief complaint, present illness, past history, family history, personal and social history, review of systems Correct Answer components of the comprehensive health history
location, quality, quantity/severity, timing, setting, relieving and aggravating factors, associated manifestations Correct Answer 7 attributes of a symptom
inspection Correct Answer close observation of the details of the patient's appearance, behavior, and movement
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