Ads
related to: history taking template medical pdfrocketlawyer.com has been visited by 100K+ users in the past month
A+ Rating - Better Business Bureau
- Ask A Lawyer
Get Legal Advice in Minutes. Real
Lawyers. Real Answers. Right Now.
- Business Formations
Protect Your Assets.
Make Your New Venture Official.
- Ask A Lawyer
dochub.com has been visited by 100K+ users in the past month
uslegalforms.com has been visited by 100K+ users in the past month
Search results
Results from the WOW.Com Content Network
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).
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.
The chief complaint, formally known as CC in the medical field, or termed presenting complaint (PC) in Europe and Canada, forms the second step of medical history taking. It is sometimes also referred to as reason for encounter (RFE), presenting problem, problem on admission or reason for presenting.
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]
To change this template's initial visibility, the |state= parameter may be used: {{Medical records and physical exam | state = collapsed}} will show the template collapsed, i.e. hidden apart from its title bar. {{Medical records and physical exam | state = expanded}} will show the template expanded, i.e. fully visible.
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]
Ads
related to: history taking template medical pdfrocketlawyer.com has been visited by 100K+ users in the past month
A+ Rating - Better Business Bureau
dochub.com has been visited by 100K+ users in the past month
uslegalforms.com has been visited by 100K+ users in the past month