Chapter 12 Intro to Radiologic & Imaging Sciences & Patient Care Graded A+(100% Verified)

Primary medical problem as defined by the patient; important because it focuses the clinical history toward the single most important issue - chief complaint Time element of the history, usually including the onset, duration, frequency, and course of the symptoms - chronology information available regarding a patient's condition; traditionally compromises data on localization, quality, quantity, chronology, setting, aggravating or alleviating factors and associated manifestations - clinical history Undesirable method of questioning that provides information that may direct answers toward a suggested symptom or complaint - leading questions determinations of a precise area, usually through gentle palpation or careful wording of questions - localization Perceptible to the external senses - objective description of the character of the symptoms - for example, the color, quantity, and consistency of blood or other body substances; size or number of lumps or lesions; frequency of urination or coughing; or character of pain - quality Pertaining to or perceived only by the affected individual; not perceptible to the senses - subjective The purpose of patient history is to what? - Provide information to the radiologist during interpretation of imagesable to be measured, signs that can be seen, heard, felt, such as laboratory reports - objective data patients feelings, pain level, attitude, opinion of observer, subject to interpretation - subjective data Accurate _________ and __________ data are necessary to obtain a good history - objective and subjective The use of ________ ________ should be avoided whenever possible because they introduce biases into the history. - leading questions When asking questions: - -Use tact and caution -ask general open ended questions -facilitation -silence -probing questions -repetition -summarization -specific questions for specific exams The interviewers role is to collect a focused history specific to the procedure that is to be performed. Seven elements are recognized for a complete history. These elements are often referred to as the sacred seven: - 1. Localization 2. Chronology 3. Quality 4. Severity 5. Onset 6. Aggravating or alleviating factors 7. associated manifestationsThe _________ of a condition describes the intensity, quantity, or extent of the problem. - severity Describing the ________ of the complaint involves the patient explaining what he or she was doing when the illness or condition began. - onset The circumstances that produce the problem or intensify it should be well defined, including anything that ________, _________ or otherwise modifies it. - aggravates, alleviates It may be necessary to find out whether other symptoms accompany the chief complaint in order to determine whether all of the symptoms related to the chief complaint or are related to separate condition . - Associated Manifestations