Patient History LOC-Q-SMAT Dr Vizniak

Описание: Learn more prohealthsys.com - Save time and work smarter with this framework for taking a patient's chief concern history using the LOC-Q-SMAT mnemonic. The key points are:

Location: Determine the specific location of the issue, including whether it radiates and the exact aspect or surface affected.

Onset: Identify when and how the problem started, including the mechanism of injury.

Chronology/Timing: Establish the pattern of symptoms, whether they are constant or intermittent, associated circumstances, frequency, duration, diurnal patterns, and prior history.

Quality: Have the patient describe their symptoms in their own words, focusing on the nature of the pain or symptoms.

Severity/Effect on ADLs (Activities of Daily Living): Assess the severity of pain and its impact on daily activities, including hobbies, work, and sexual activity.

Modifying Factors: Determine what increases or decreases the symptoms or pain.

Associated Symptoms: Ask about other symptoms that might be related to the chief concern.

Previous Treatment: Review any past treatments, diagnoses, and their effectiveness.

Relevant Injuries/X-rays: Document any relevant injuries or x-rays, including their outcomes.

Review of Systems: Conduct a review of systems if indicated.

Goals: Clarify the patient's treatment goals and reasons for seeking care if it's a longstanding problem.

The aim is to create a differential diagnosis list to guide the physical exam, select special tests, or consider referral for co-management.