Final answer:
The medical assistant can chart the patient's complaint of a headache in the medical record, using objective and concise language. They should document the details of the headache and its impact on the patient's daily activities.
Step-by-step explanation:
The medical assistant can chart the patient's complaint of a headache by recording it in the patient's medical record. They can use phrases such as 'patient reports headache for several days' or 'patient complains of persistent headache.' Additionally, the medical assistant can document the details of the headache, including its severity, location, duration, and any associated symptoms.
In the patient's medical record, the medical assistant can create an entry under the subjective section, which includes the patient's complaints and history. They can document the patient's description of the headache, its onset, any triggers or relieving factors, and the impact it has had on the patient's daily activities.
For accurate charting, the medical assistant should use objective and concise language, avoiding speculation or personal opinions. Their goal is to provide clear information for healthcare providers to understand the patient's condition and determine the appropriate course of action.