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HEALTH ASSESS STUDY 1. Subjective vs. Objective data a. Subjective: The health history, symptoms i. What the patient tells you ii. Chief complaint to Review of systems b. Objective: What you detect during the examination, all physical examination findings 2. Attributes of a Symptom c. Onset: when the sign or symptom began d. Location: Where the sign or symptom is located iii. Where exactly is the headache? Can you point to it? Does it radiate? e. Duration: how long the sign or symptom has been going on? iv. Does the headache come and go? Is it nonstop? What time of day is worst? f. Characteristic symptoms: what the symptom feels like, what describes it, and its severity. v. How does the headache feel? Is it throbbing? Sharp? Stabbing? Describe it. Rate it on a scale of 1-10. g. Associated manifestations: what else is going on when the patient experiences the sign or symptom vi. Does anything else happen when you get the headaches? Blurred vision? Nausea? Vomiting? Seizures? h. Relieving factors: anything patient has done to relieve the headache. vii. Have you tried cool compresses? Rest in a dark room? Did it work? i. Treatments: any interventions the patient has previously tried. viii. Has the patient seen a health care provider? Tried any remedies: medications, acupuncture, Did they work? 3. Interviewing technique j. Pre-interview ix. Self-reflection-brings a deepening personal awareness to our work with patients, which is one of the most rewarding aspects of patient care. Must look inward to clarify how our own expectations and reactions may affect what we hear and how we behave. x. Review the medical and nursing records 1. Helps gather info and plan what areas you need...

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