A | B |
Objective Data | Data found during the physical examination |
Universal Precautions | Designed to prevent transmission of bloodborne pathogens |
Tongue Depressor | Used during the physical assessment to evaluate the back of the throat |
Thermometer | Used to assess a patient's temperature |
Otoscope | Used to evaluate the ear canal |
Personal History | Describes educational level, family of origin, current household, personal interests, and lifestyle |
Identifying Data | Name, Date of Birth, Social Security Number |
Inspection | First step in the assessment process |
Chief Complaint | What brought the patient to the clinical setting |
Focused Assessment | Assesses symptoms restricted to a specific body system |
History of Present Illness | Amplifies the chief complaint; describes how each symtom developed |
Auscultation | The act of listening to different areas of the body |
Standard Precautions | Principle that all blood, body fluids, secretions, exretions may contain transmissible infectious agents |
Percussion | Use of third fingers on each hand to produce a striking sound; used to assess deep organ placement |
Review of Systems | Information provided by the patient that assesses a specific body system |
Stethoscope | Used to listen to different areas of the body |
Palpation | Use of the pad of the fingertips to assess a patient by applying pressure |
Comprehensive Assessment | Includes all elements of the health history |
Subjective Data | Information that is provided by the patient |
Sphygmomanometer | Used to assess blood pressure |