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ISBARR
Identify,Situation, Background, Assessment, and Recommendations, Read Back Orders.
PQRST Method
The PQRST method asks questions that will extract more specific answers.
Provocation/Palliation. What were you doing when the pain started? What makes it better? What makes it worse? What triggers the pain? What relieves it?
Quality. Describe the pain. Is it dull or sharp? Is it stabbing, throbbing, or cramping?
Region. Where is the pain? Does it radiate? Is it localized?
Severity. How severe is it? Does it interfere with activities? How long does it last?
Timing. What time did it start? How long does an episode last? Is it sudden or gradual onset? Occur during day? Night?
ADL
Active Daily Living
10 original additional rights (DPMATERFRSD)
Documentation, patient, medication, assessment, time, education, right to refuse, form (of med), route( oral? Iv?), strength or dose
10 traps of interviewing (PGAADPLTIA)
Providing false information, giving unwanted advice, using authority, avoiding language, distancing, profession jargon, leading biased questions, talking too much, interrupting, asking why
ANA
American Nursing Association
SBAR
What you give at the end of a shift: Situation, Background, Assessment, recommendation, request
PQRSTU Mnemonic
Proactive or palliative, quality or quantity, region or radiation, serverity scale, timing onset, understanding pts perception of problem
Family Genogram
This information shows family tree and cross cultural implications for things like nutrition past health and other things that run in the family
CAGE Test
Test that asks questions about alcoholics. Cut down, annoyed, guilty, eye opener.
How far do you go for past health history?
5 years
4 unrelated words test
Memory test where you choose 4 words that do not rhyme then pt recalls those 4 words at 5,10, and 30 mins,
Younger than 60 (<60) 3 or 4 word recall after 5,10,30
Alzheimer’s and dementia cannot recall any or 1 word