Chapter 1: Evidence Based Assessment

Clinical Database

Patient data, health records, and labs

Social Determinants of Health

Factors that influence a patient’s health and well being, includes environment, access, community, education, and economics

First Level Priorites

Immediate, life threatening problems, think ABCs

Second Level Priorites

Acute issues requiring prompt intervention

Third Level Priorities

Important issues, but can be addressed after urgent ones

Complete Database

Comprehensive health history and physical, sets baseline

Focused Database

Narrow scope, centered on a specific short term problem

Follow Up Database

Evaluating the status of a previously identified problem

Emergency Database

Rapid, crucial data collection concurrently with life saving measures

Subjective Data

What a person says

Objective Data

What is observed

Abductive Reasoning

Thinking to determine the best explanation with the info at hand

Deductive Reasoning

Using principles from class to determine diagnosis

Inductive Reasoning

Using signs and symptoms as a guide for diagnosis

ADPIE

Assessment, diagnosis, planning, implementation, and evaluation