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It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]
This is the patient's description of the pain. Questions can be open ended ("Can you describe it for me?") or leading. [9] Ideally, this will elicit descriptions of the patient's pain: whether it is sharp, dull, crushing, burning, tearing, or some other feeling, along with the pattern, such as intermittent, constant, or throbbing. Region and ...
The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient's chart, along with other common formats, such as the admission note.
subjective, objective, assessment, plan (how physicians’ notes may be organized) SOB: shortness of breath (see dyspnea) SOBOE: shortness of breath on exertion: SOL: space-occupying lesion Sol: solution SOOB: send out of bed sitting out of bed SOP: sterile ophthalmic preparation SORA: stable on room air SOS: if needed (from Latin si opus sit ...
The AVPU scale (an acronym from "alert, verbal, pain, unresponsive") is a system by which a health care professional can measure and record a patient's level of consciousness. [1] It is mostly used in emergency medicine protocols, and within first aid.
This is a list of mnemonics used in medicine and medical science, categorized and alphabetized. A mnemonic is any technique that assists the human memory with information retention or retrieval by making abstract or impersonal information more accessible and meaningful, and therefore easier to remember; many of them are acronyms or initialisms which reduce a lengthy set of terms to a single ...
Pink, warm, and dry (skin assessment) PWP: pulmonary wedge pressure: Px px: physical examination prognosis patient: P-Y: Pack-year (years of smoking multiplied by average number of packs, or fraction thereof, per day) PZA: pyrazinamide
SOCRATES is a mnemonic acronym used by emergency medical services, physicians, nurses, and other health professionals to evaluate the nature of pain that a patient is experiencing. Uses [ edit ]