Chapter 3

Collecting Subjective Data

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Chapter 3
• Interviewing
– Phases of the Interview
•Introductory
•Working
•Summary and Closing

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Chapter 3
• Communication during the interview
– Nonverbal
•Appearance
•Demeanor
•Facial expression
•Silence

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Chapter 3

• Communication during the interview

– Verbal
•Open-ended questions
•Closed-ended questions
•Laundry list

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Copyright © 2007 Lippincott Williams & Wilkins.
Chapter 3

• Communication during the interview

– Verbal, continued
•Rephrasing
•Well-placed phrases
•Inferring
•Providing information
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Chapter 3

• Special considerations during the

interview regarding communication
– Gerontological variations
– Cultural variations
– Emotional variations

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Chapter 3

• Complete Health History

– Biographic data
– Reasons for seeking health care
– History of present health concern
– Past health history

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Chapter 3

• Complete Health History, continued

– Family health history
– Review of body systems (ROS) for
current health problems
– Lifestyle and health practices profile
– Developmental level
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Chapter 3

• Complete assessment of the sign,

symptom, or health concern

–COLDSPA

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Chapter 3
• COLDSPA:Mnemonic device
– Character
– Onset
– Location
– Duration
– Severity
– Pattern
– Associated symptoms
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Copyright © 2007 Lippincott Williams & Wilkins.
Chapter 3

• ROS for current health problems

– Skin, hair, nails
– Head, neck
– Eyes
– Ears
– Mouth, throat, nose, sinuses
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Chapter 3

• ROS for current health problem, cont.

– Thorax, lungs
– Breasts, regional lymphatics
– Heart, neck vessels
– Peripheral vascular

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Chapter 3

• ROS for current health problem, cont.

– Abdomen
– Genitalia
– Anus, rectum, prostate
– Musculoskeletal
– Neurologic
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Chapter 3

• Lifestyle and Health Practices

– Nutrition and weight management
– Activity level and exercise
– Sleep and rest
– Medication and substance use

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Chapter 3

• Lifestyle and Health Practices, cont.

– Self-concept and self-care
responsibilities
– Social activities
– Relationships
– Values and belief system
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Chapter 3

• Lifestyle and Health Practices, cont.

– Education and work
– Stress levels and coping style
– Environment

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