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Key Terms

bedside assessment
systematic exam of all patient body systems
body language
type of nonverbal communication based on physical movement and expression
chief complaint
reason the patient is currently seeking care
comprehensive physical assessment
detailed, inclusive assessment of body systems to provide a big-picture, broad view of a patient’s overall health
constitutional
relating to the whole body
focused assessment
physical examination centered on a patient’s chief complaint
intuition
“sixth-sense” of knowing that largely comes from years of education and problem-solving in real-world patient situations
medication reconciliation
process of reviewing a patient’s medications listed in their medical record and comparing that list to what the patient is actually currently taking at home
negative
used to note when signs or symptoms in a system are absent
nonverbal communication
physical movements or motions, including body language, that convey thoughts, attitudes, and sentiments
patient-centered
decisions made with respect for the patient’s interests, needs, culture, values, and preferences
PERRLA
eye assessment that determines if pupils are equal, round, reactive to light and accommodation
poikilothermia
inability to regulate core temperature
positive
used to note when signs or symptoms in a system are present
professional boundary
clear separation between personal and work life when interacting with patients
verbal communication
spoken word, in whatever language the patient can best communicate and understand
visual communication
strategies like return demonstration that can confirm a patient’s understanding
written communication
reinforcement of verbal information given to the patient in a format they can read
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