1. Preparation: Ensure that all necessary tools and documentation are ready. Explain the procedure to the patient to gain their cooperation. 2. Subjective Data Collection: Ask open-ended questions to gather detailed information about the patient's symptoms. 3. Objective Data Collection: Perform a physical examination focusing on the affected area. For instance, if the patient has abdominal pain, palpate the abdomen and listen for bowel sounds. 4. Analysis: Compare the collected data with normal findings to identify any abnormalities. 5. Documentation: Record all findings accurately in the patient's medical record.
