Question

What do you need to remember to document in the HPI and ROS for any patient thats unconscious or incapable of providing information?

Answer 1

When documenting HPI and ROS for an unconscious or incapable patient, rely on medical records and information from caregivers or family members. Document medical history, allergies, previous treatments, symptoms observed, and current medications.

Step-by-step explanation:

When documenting in the History of Present Illness (HPI) and Review of Systems (ROS) for a patient who is unconscious or incapable of providing information, it is important to rely on available medical records and information from caregivers or family members. Some key points to document include the patient's medical history, any known allergies, previous medical treatments or procedures, and any symptoms or changes observed by caregivers or family members. It is also important to note any medications or treatments that the patient is currently receiving.