What are the Key Components of Medical Evaluation?
Medical evaluation typically involves several key components:
Patient History: Gathering information about the patient's medical history, including past illnesses, surgeries, and family history. Physical Examination: Conducting a thorough physical examination to assess the patient's current health status. Diagnostic Tests: Ordering and interpreting laboratory tests, imaging studies, and other diagnostic procedures. Nursing Assessment: Evaluating the patient's physical, emotional, and social needs through various assessment tools and techniques. Documentation: Recording all findings and interventions in the patient's medical record for continuity of care.
