Bates - Chapter 1 Superior Perception.

Subjective vs Objective data subjective - what the pt. tells you, chief complaint, history etc objective - what you detect during the exam 7 components of the adult health history? 1) Identifying Data and Source of the History 2) Chief Complaint 3) Present Illness 4) Past History 5) Family History 6) Personal and Social History 7) Review of Systems What comprises the 1) Identifying Data and Source of the History? Identifying data - such as age, gender, occupation, marital status Source of the History - usually pt., may come from family, from referral Reliability - varies according to pt. memory, mood etc What comprises the 3) Present Illness symptoms (OPQRST), thoughts and feelings about illness (FIFE), medications, alelrgies etc What comprises the 4) Past History - childhood illness - adult illness - self-care practices