Documentation of Normal Findings

  Demonstrate understanding of a comprehensive ROS and physical examination of the focus system. It is essential to understand and recognize what is normal in order to identify abnormal findings. Use the template as a guide. Normal findings change over time. Assume each patient has presented to the clinic for a comprehensive wellness exam. Subjective and objective findings are NORMAL. Demonstrate that you know specific questions to ask to obtain a detailed subjective history for the focus system for a selected (pediatric, adult, OR geriatric) patient, and objective findings for a focused physical examination, including specialty maneuvers for a pediatric, adult, AND geriatric patient. Complete the following for each focus system. Identify the focus system. Subjective Findings - Identify the population (pediatric, adult, OR geriatric patient) Enter data for a comprehensive ROS (Subjective History) for the focus system for the identified patient population. All reported information should be NORMAL. Objective Findings - Determine the age of EACH patient within each category (pediatric, adult, and geriatric). For example, consider that the skin assessment of a newborn versus a teenager is very different.