Evidence Based Assesment

1. The Best Evidence from critical review
2. Patients own preferences or values
3. Clinicians experiences or expertise
4. physical exam or assesment

To diagnose and treat disease

to diagnose and treat human responses to actual or potential health problems

1. Assessment
2. Diagnosis
3. Outcome identification
4. Planning
5. Implementation
6. Evaluation
(ADOPIE)

Patient-centered
Action-oriented
Holistic
Goal directed
Dynamic

Actually giving physical exam

Observational skills, Ability to distinguish relevant from irrelevant, the important from the unimportant.

Indentifying and prioritizing what is going on next, can be actual, potential("risk for") or collaborative problems.

A: Airways
B: Breathing
C: Cardiac/circulation
V: Vital signs

Pain or abnormal lab values

Education, collaborative, Usually long term problems

Setting goals and outcomes, Establishing a individualized plan or care for patient. must communicate plan to all invloved

The intervention phase or "Doing" phase

Asking yourslef did you meet the goals and outcomes, determining the effectiveness of the plan

The Scientific method for problem-solving and Diagnostic reasoning skills,

A piece of information, A sign or symptom, or a piece of lab data