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The Chief Complaint is found in the Subjective section of the SOAP progress medical notes. This section includes the patient's own words regarding their symptoms, concerns, and reasons for seeking medical attention. It provides context and insight into the patient's experience and helps guide the clinician's assessment and plan.

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What is a statement describing the reason for encounter and is a history element?

Chief Complaint


What does chief complaint mean in medical terms?

Chief Complaint in medical terms means the reason for the patient's visit, usually in the patient's own words or in the words of a caregiver for family member.


What is the chief complaint of patient with jaundice?

If that's what the patient said, it could be a chief complaint. Traditionally, the chief complaint is in the patient's own words.


What is a statement describing the reason for the encounter and is a history element?

The reason for the encounter is a history element because it provides context and background information about why the individual is seeking medical attention. It helps the healthcare provider understand the patient's current symptoms, concerns, and medical history to make an accurate diagnosis and treatment plan.


What is the chief complaint?

The chief complaint is the primary reason a patient seeks medical attention, typically expressed in their own words. It serves as a crucial starting point for healthcare providers to assess the patient's condition and guide further evaluation and treatment. Understanding the chief complaint helps in prioritizing clinical issues and tailoring the approach to the individual's needs.


What is icd-9 780.7?

ICD 9 780.7 is the code for malaise and fatigue. It's not a medical diagnosis, but reflects the patient's chief complaint.


How will the duration of chief complaint be determined?

Since the chief complaint is in the patient's words, his or her account of her illness or symptom will determine the duration of the complaint. If someone says, "I've had this rash since I came back from Aruba three weeks ago," the duration of the chief complaint is three weeks.


What does the medical abbreviation CC mean?

CC can mean cubic centimeter, which is equivalent to a milliliter, carbon copy, or Chief Complaint if you are referring to a specific case.


What does the abbreviation cc mean medical?

CC can mean cubic centimeter, which is equivalent to a milliliter, carbon copy, or Chief Complaint if you are referring to a specific case.


What is a statement describin the reason for encounter and is a history element?

A statement describing the reason for encounter, often referred to as the "chief complaint," is a brief summary of the patient's primary concern or symptom that prompted them to seek medical attention. This element typically includes the patient's own words about their condition and may encompass details about the duration, severity, and nature of the issue. It is a crucial part of the patient's medical history and guides the clinician in determining the appropriate evaluation and treatment.


What part of the patient assessment process focuses on obtaining additional information about the patient's chief complaint and any medical problems he or she may have?

History Taking: This is a step within the patient assessment process that provides detail about the patient's chief complaint and an account of the patients signs and symptoms. This is usually the time when you use SAMPLE to get the info needed.


Why is it important to consider a patient's polypharmacy when obtaining a chief complaint or medical history?

Considering a patient's polypharmacy is crucial when obtaining a chief complaint or medical history because multiple medications can lead to drug interactions, side effects, and complications that may influence the patient's presenting symptoms. Understanding a patient's complete medication regimen helps clinicians identify potential adverse effects or interactions that could be relevant to the chief complaint. Additionally, it aids in making informed decisions about diagnosis and treatment while ensuring patient safety. Overall, it promotes a holistic approach to patient care.