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Q: What four questions should the patient be asked to obtain an accurate chief complaint for documentation?
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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.


Astatement or complaint made by a patient is an example of?

objective observation


Written information documenting facts and events that were rendered as patient care is referred to as a?

Patient care documentation.


The reason given by a patient for seeking health care is referred to as the?

Chief Complaint.


What is a synonym for Complaint?

Synonyms for complaint include protest, objection, grievance, charge, grumble, criticism, moan, lament, grouse, or gripe. Medically, the word complaint refers to a symptom (as reported by a patient).


What is a medical record?

Documentation of services provided by a health care provider to a patient


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.


Is chief complaint same as presenting problem?

If you come across the term 'chief complaint', this relates to what the patient is complaining about. Presenting problem is what you note and what presents the problem. The difference is one is from the patient's point of view while the other is yours.


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.


Why chief complaint should be recorded in the patient's own words?

to gain confidence in the doc..


What is a legal medical record?

Documentation of services provided by a health care provider to a patient


Where does a doctor examen a patient?

A doctor asks the patient to describe the reason for their visit. From that information, the doctor will examine the areas of the body pertinent to the complaint.