Writing a History and Physical

di Greenwald • 2003 • dettagli prodotto

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DESCRIZIONE

Central to providing excellent patient care is excellent communication, for which a well-written History and Physical is crucial. This book is a step-by-step guide to help medical students, nurse practitioners, physician assistants, etc. write a comprehensive, clear, and useful History and Physical. Writing an effective History and Physical is as much an art as science, and this handy guide provides a roadmap for organizing facts in a logical and well-constructed fashion. The text also presents an abridged version for quick reference and a valuable section on how to write daily progress notes. Table of Contents: 1. Source2. Chief Complaint (CC)3. History of the Present Illness (HPI)4. Past Medical History (PMH)5. Medications (Meds)6. Allergies (All)7. Family History (FHx)8. Social History (SHx)9. Review of Systems (ROS)10. Physical Exam (PE)11. Laboratories/Data12. Assessment/Impression/Summary13. The Plan14. Problem List15. Organ System Approach16. Writing a History and Physical: The Abridged Guide17. Writing a Daily Progress