PRELIM LEC Flashcards
(41 cards)
Primary medical problem as described by patient
Chief complaint
Time element of history; includes onset, duration,
frequency, and symptoms
Chronology
Information available regarding a patient’s condition.
Clinical history
Provides information that may direct answers towards a
suggested symptom or complaint.
Leading questions
Determination of a precise area, usually through gentle
palpation or careful wording of question.
Localization
Perceptible to external senses; signs
Objective
Perceived only by the affected individual; not perceptible
to the senses; symptoms
Subjective
Description of the character of the senses.
Quality/character
Respecting a person’s right to make their own decisions and act on
their own values
Autonomy
The duty to act in the best interest of others, to prevent harm, and
to help people achieve their full potential
Beneficience
The duty to avoid causing harm, and to do no more harm than
is necessary
Nonmaleficence
The duty to treat people fairly and equally
Justice
Good history taking involves the
collection of accurate _
and _ data.
Subjective & objective
Questioning techniques
Open-ended questions
Facilitation
Silence
Probing questions
Repetition
Summarization
Elements of clinical history
History taking & sacred 7
What are the sacred 7
Localization
Chronology’
Quality
Severity
Onset
Aggravating Factors/ alleviating factors
Associated manifestations
What do you establish with the patients by approaching in a nice manner
Rapport
Gives you the right to control how your
personal information is used. This includes how it’s
collected, stored, and shared.
Privacy
Ensures that sensitive information isn’t
shared with unauthorized people. For example, in
research, confidentiality means that researchers
protect data from being disclosed to people who aren’t
authorized.
Confidentiality
Someone who has been admitted to the hospital for diagnostic studies or
treatment
Inpatient
Someone who has come to the hospital for diagnostic testing or treatments but
does not usually occupy a bed overnight
Outpatient
Exchange for information, thoughts, or messages
Communication
Pertaining to the study of aging; includes psychological, social, and biological
changes that happen as people age.
Gerontology
Application of light pressure with the fingers.
Palpation