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October 17, 2024

Religious, Cultural, Spiritual Beliefs, History Taking, Physical Exam, & Documentation Strategies

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases You will be building a health history for 2 different patients. The rationale behind it’s for you to get familiar interviewing and examining patients from different backgrounds, ethnicity and age groups.

Case study

1. 55-year-old Asian female living in a high-density poverty housing complex.

2. Pre-school aged white female living in a rural community.

answer the following questions:

1. What are the barriers to interpersonal communication?

2. What are the procedures and examination techniques that will be used during the physical exam of your patient?

3. Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are.

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