Paramedic- History taking
Terms
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- Active Listening
- Process of responding to your patients statement with words or gestures that demostrate your understanding.
- Chief complaint
- Reason ambulance was callled.
- Delirium
- An acute alteration in mental functioning that is often reversible.
- Dementia
- Deterioration of mental status, usually associated with a neurologic disease.
- Depression
- A mood disorder characterized by hopelessness and maliaise.
- Differential field diagnosis
- List of possible causes for your patients symptoms
- Diuretic
- Medication that stimulates the kidneys to excrete excess water.
- Dysmenorrhea
- Menstrual difficulties
- Dyspnea
- Difficulty breathing
- HEENT
- Head, eyes, ear, nose, & throat
- Hematemesis
- Vomiting of blood
- Hematuria
- Blood in urine
- Hemoptysis
- Coughing up blood
- Intermittent Claudication
- Calf pain while walking that subsides with rest
- Nocturia
- Excessive urination at night
- Orthopnea
- Difficulty breathing while lying supine
- Paroxysmal nocturnal dyspnea
- Sudden onset of shortness of breath at night
- Polyuria
- Excessive urination
- Primary problem
- Underlying cause of patients symptoms
- Referred pain
- Pain felt at a location away from its source
- Review of symptoms
- A list of questions categorized by body system
- Tenderness
- Pain that is elicited through palpation
- Tinnitus
- Sensation of ringing in ears
- 3 techniques of history taking
-
*Set the stage
*Language & Communication
*Sensitive topics - Set the Stage
-
*read report/ Listen to information
*Avoid tunnel vision
*Establish first impression
*Proper use of questions - Language & Communication
-
*Facilitation-Express interest
*Reflection-Repeat pt words
*Clarification-Ask for specific detatils
*Empathy-Understand feelings of pt.
*Confrontation-Confront pt with observation
*Ask about feelings - Sensitive topics
- *Be professional
-
O-Onset
P-Provacation/palliation
Q-Quality
R-Radiate/region
S-Severity
T-Time
A-Associated
S-Symptom
P-Pertinent
N-Negative -
S-Sign/symptom
A-Allergies
M-Medication
P-Past History
L-Last intake, cycle, etc..
E-Event
H-Hobby
O-Occupation
T-Travel