PBS 2.1.1/ 2.1.2
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Medical history
record of past and current health problems and family history
chief complaint
The patient’s description of what they feel their main health problem is
physical signs
observable signs of illness
syptoms
any evidence, such as a disease, that will help tell what is wrong.
Diagnosis
identification of a patient’s disease or injury
4 tips for how to effectively interview a patient
eye contact, ask questions one at a time, be respectful and open-minded, have a positive relationship
current history
current health issues/symptoms
previous history
any past health issues, procedures, medications, vaccinations, and previous hospital visits
social history
addresses aspects of the patient’s life, living conditions, school, travel
family history
medical information on relatives
Tact
communicating with consideration of anothers feelings
Demeanor
how a person act/ look to carry out themsleves to others
empathy
understand and share the feelins of another person
What are vital signs
signals of the body’s ability to maintain homeostasis.
Examples of vital signs
respiratory rate, weight,blood pressure, height, temp, oxygen saturation
at what temperature does a fever become a concern
100 and above
hypothermia
95 degrees, a serious condition that affects how your organs and body systems work
respiratory rate
number of breaths per minute.
what is a normal Sp02 range,
95-99%
Systolic pressure
force of blood flow when blood is pumped out
diastolic
measured between heartbeats when the heart is filling with blood
normal respiratory rate
12-20 breaths per minute
mild illness, oxygen saturation
90-94%
urgent problem oxygen saturation
below 90%