Observations and Recording of Signs and Symptoms of the Patient

1. Objective Symptoms (signs):
• Are symptoms, which could be seen by the health personnel?

E.g. swelling, redness, rash, body discharges (defecation, diaphoresis, emesis,)

2. Subjective Symptoms:
Are symptoms, which are felt by the patient

E.g. decrease of appetite, dizziness, deafness, burning sensation, nausea, etc

3. Chart
Definition: it is a written record of history, examination, tests, diagnosis, and prognosis response to therapy

Purpose of Patients Chart
a. For diagnosis or treatment of a patient while in the hospital (find after discharge) if patient returns for treatment in the future time
b. For maintaining accurate data on matters demanded by courts
c. For providing material for research
d. For serving an information in the education of health personnel (medical students, interns, nurses, dietitians, etc)
e. For securing needed vital statistics
f. For promoting public health