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  2. SAMPLE history - Wikipedia

    en.wikipedia.org/wiki/SAMPLE_History

    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]

  3. Medical history - Wikipedia

    en.wikipedia.org/wiki/Medical_history

    Medical history taking may also be impaired by various factors impeding a proper doctor-patient relationship, such as transitions to physicians that are unfamiliar to the patient. History taking of issues related to sexual or reproductive medicine may be inhibited by a reluctance of the patient to disclose intimate or uncomfortable information.

  4. History of the present illness - Wikipedia

    en.wikipedia.org/wiki/History_of_the_present_illness

    Following the chief complaint in medical history taking, a history of the present illness (abbreviated HPI) [1] (termed history of presenting complaint (HPC) in the UK) refers to a detailed interview prompted by the chief complaint or presenting symptom (for example, pain).

  5. Calgary–Cambridge model - Wikipedia

    en.wikipedia.org/wiki/Calgary–Cambridge_model

    [1] [2] Contextual information may include personal history, social history, and other medical history. [2] 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]

  6. Review of systems - Wikipedia

    en.wikipedia.org/wiki/Review_of_systems

    A review of systems (ROS), also called a systems enquiry or systems review, is a technique used by healthcare providers for eliciting a medical history from a patient. It is often structured as a component of an admission note covering the organ systems, with a focus upon the subjective symptoms perceived by the patient (as opposed to the objective signs perceived by the clinician).

  7. Nursing assessment - Wikipedia

    en.wikipedia.org/wiki/Nursing_assessment

    Medical records of the client assist to determine the baseline measures related to their health. In some instances, the nursing assessment will not incorporate the typical patient history and interview if prioritization indicates that immediate action is urgent to preserve the airway, breathing and circulation.

  8. OPQRST - Wikipedia

    en.wikipedia.org/wiki/OPQRST

    This may also be assessed for pain now, compared to pain at time of onset, or pain on movement. There are alternative assessment methods for pain, which can be used where a patient is unable to vocalise a score. One such method is the Wong-Baker faces pain scale. Time (history)

  9. Chief complaint - Wikipedia

    en.wikipedia.org/wiki/Chief_complaint

    [citation needed] [1] The chief complaint is a concise statement describing the symptom, problem, condition, diagnosis, physician-recommended return, or other reason for a medical encounter. [2] In some instances, the nature of a patient's chief complaint may determine if services are covered by health insurance .

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