1
Q
5 Process of assessment
A
Health hx taking > General Survery > Physical Exam > Investigation > Documentation
2
Q
2 data source
A
Primary: client
Secondary: relatives, healthcare team, medical records
3
Q
COLDSPA
A
Characteristics, Onset, Location, Duration, Severity, Pattern, Associated factor
4
Q
What are subjective & objective data
A
Subjective: symptoms
Objective: signs
5
Q
5 subjective data in health hx taking
A
- Biographical data
- Reason of seeking health care: chief compliant
- Present Health Concern: COLDSPA
- Review Body System
- Lifestyle
6
Q
3 Objective data
A
- General survey
- Physical Exam
- Investigation: Lab test & Diagnostic test
7
Q
4 Physical Assessment
A
Inspection > Palpation > Percussion > Ausculation
8
Q
Documentation
A
Situation > Background > Assessment > Recommendations
