Document the history of an injury.
Documentation should include acquiring information by asking both open-ended and closed question regarding
- pre-existing conditions
- related prior injury and/or treatment
- the event of injury.
Process/Skill Questions:
- What is the purpose of obtaining a history?
- What are some components of taking a significant history?
- What is the difference between an open-ended and a closed question? Why and when would one use open-ended vs. closed questions?
- How are pre-existing conditions, related prior injury and/or treatment, and the event of injury relevant to history?