Description should include
- explaining the purpose (to collect information from a patient, examine a patient, and understand a patient’s problems)
- listing the components
- present illness
- admission notes
- respiratory care orders
- medication history
- progress notes
- diagnoses
- DNR status
- previous patient education.
Process/Skill Questions:
- Why is gathering the history of a patient important?
- What skills do you need to do a good patient interview?
- What are a few key questions to ask patients during the interview?