A comprehensive assessment involves several steps:
Interview: Gather subjective data directly from the patient. Ask about their medical history, current symptoms, lifestyle, and any concerns they might have. Physical Examination: Conduct a head-to-toe physical exam to collect objective data. Check vital signs, inspect, palpate, percuss, and auscultate as needed. Diagnostic Tests: Order and interpret relevant diagnostic tests like blood work, X-rays, or other imaging studies to gather more information. Documentation: Record all findings accurately in the patient's medical record for future reference.
