Changes must be reviewed before being displayed on this page. This article is about the science and medical herbalism the science and practice of herbal medicine pdf of healing.
Medical availability and clinical practice varies across the world due to regional differences in culture and technology. During the encounter, properly informing the patient of all relevant facts is an important part of the relationship and the development of trust. The medical encounter is then documented in the medical record, which is a legal document in many jurisdictions. Follow-ups may be shorter but follow the same general procedure, and specialists follow a similar process. The diagnosis and treatment may take only a few minutes or a few weeks depending upon the complexity of the issue.
They are in the patient’s own words and are recorded along with the duration of each one. Also called ‘chief concern’ or ‘presenting complaint’. Current activity: occupation, hobbies, what the patient actually does. It is to likely focus on areas of interest highlighted in the medical history and may not include everything listed above. On subsequent visits, the process may be repeated in an abbreviated manner to obtain any new history, symptoms, physical findings, and lab or imaging results or specialist consultations.