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  2. Calgary–Cambridge model - Wikipedia

    en.wikipedia.org/wiki/Calgary–Cambridge_model

    a physical examination of a patient: [1] [2] This varies based on the purpose of the interview. explaining results and planning: [1] [2] This aims to ensure a shared understanding, and allowing for shared decision-making. [1] closing a session: [1] [2] This may involve discussing further plans. [1]

  3. Physical examination - Wikipedia

    en.wikipedia.org/wiki/Physical_examination

    In a physical examination, medical examination, clinical examination, or medical checkup, a medical practitioner examines a patient for any possible medical signs or symptoms of a medical condition. It generally consists of a series of questions about the patient's medical history followed by an examination based on the reported symptoms.

  4. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    Physical examination The physical examination is the recording of observations of the patient. This includes the vital signs, muscle power and examination of the different organ systems, especially ones that might directly be responsible for the symptoms the patient is experiencing. Assessment and plan

  5. Patient education - Wikipedia

    en.wikipedia.org/wiki/Patient_education

    The role of patient organisations in providing support and structured guidance for people with arthritis is widely valued by professionals [18] and patients. [19] It is important to consider patient factors that may help improve outcomes of patient education patient.

  6. Objective structured clinical examination - Wikipedia

    en.wikipedia.org/wiki/Objective_structured...

    An objective structured clinical examination (OSCE) is an approach to the assessment of clinical competence in which the components are assessed in a planned or structured way with attention being paid to the objectivity of the examination which is basically an organization framework consisting of multiple stations around which students rotate and at which students perform and are assessed on ...

  7. Admission note - Wikipedia

    en.wikipedia.org/wiki/Admission_note

    An admission note is part of a medical record that documents the patient's status (including history and physical examination findings), reasons why the patient is being admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care. [1]

  8. Abdominal examination - Wikipedia

    en.wikipedia.org/wiki/Abdominal_examination

    An abdominal examination is a portion of the physical examination which a physician or nurse uses to clinically observe the abdomen of a patient for signs of disease. The abdominal examination is conventionally split into four different stages: first, inspection of the patient and the visible characteristics of their abdomen.

  9. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    The objective section of the SOAP includes information that the healthcare provider observes or measures from the patient's current presentation, such as: Vital signs are often already included in the chart. However, it is an important component of the SOAP note as well. [13] Vital signs and measurements, such as weight.