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NREMT-P - History Taking
History Taking Techniques
10
Medical
Professional
07/09/2007

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Cards

Term
In terms of history taking, define confrontation.
Definition
To focus on a discrepency between what they say and what is assessed. For example: Patient is constantly rubbing chest, but denies any chest discomfort.
Term
Define: Referred pain
Definition
Pain away from the source (ie spleen pain in Left shoulder.)
Term
When obtaining a patient's use of medications, what is not included?
Definition
Patient's use of illegal substances.
Term
Define the pnuemonic CAGE and explain its use.
Definition
Questioning that evaluates the presence of alcoholism.
-Feel the need to Cut down on drinking?
-Annoyed at criticism of drinking?
-Guilty about drinking?
-Ever taken a drink as an Eye opener?
Term
Define Review of Systems
Definition
Assessment technique used to identify problems not already mentioned by patient. Categorized by body systems. The current condition dictates use of review.
Term
Define the pneumonic GPAL and explain its use.
Definition
Used to evaluate pregnancy History.
-Gravida - # of pregnancies
-Para - # of live births
-Abortions - # of abortions
-Living - # of living children
Term
Define: Gravida
Definition
Number of past pregnancies.
Term
Define: Para
Definition
Number of past live births.
Term
What does the pnuemonic OPQRST assess.
Definition
The history of the present illness or chief complaint.
Term
Define: Current Health Status
Definition
Quality of life besides the chief complaint; ie General Life, Work, Friends, Family, excercise, church
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