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Download ready-made research on clinical examinations and how to get a reference history: Barbara Bates book in PowerPoint file with editability
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One of the important tasks of nurses is to collect information about the health status of clients. A complete health examination includes a history of health and physical examinations. A health history includes an interview to gather mental information about the client's condition. Physical examinations are performed from head to toe by examining each system of the body to gather objective information about the client. The accuracy of the nursing study is effective in choosing the type of treatment and evaluating the client's response to it. Continuity of health care depends on permanent objective care and complete and comprehensive nursing examination.
Symptoms and behaviors that the nurse observes and judges based on.
Information that the patient gives to the nurse.
When collecting and recording patient information, the nurse must ensure that the information is appropriate, accurate, complete, and true.
Objective information is called explicit or implicit data, and subjective data is called hidden or implicit data.
Data can be variable or constant, such as blood pressure, which varies throughout the day, or date of birth, which is always constant.
The main method of data collection is patient interview.
The interview is a purposeful planned communication in order to:
Gathering information - providing information - identifying problems - evaluating change - providing training - providing support - creating the ground for counseling - creating the ground for treatment.
Preparation - Appropriate environment - Method of starting and continuing the interview - Closing
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