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4 Cards in this Set

  • Front
  • Back
Subjective vs objective data
Subjective
what the person says about himself or herself
Objective
from the physical examination & laboratory studies to form a database
What is a database for?
Used to make a judgment or diagnosis about the health status of the individual
Signs vs symptoms
Signs
Objective abnormality that you as the examiner could detect on pyhsical examination or in laboratory reports
Symptoms
subjective sensation that the person feels the disorder
What are the 7 history forms?
1. Biographical data
2. Reason for seeking care
3. Present health or history of present health
4. Past history
5. Family history
6. Review of systems
7. Functional assessment or ADLs