original patient reports migraine report of patient

What is a patient medical report?

A patient medical report is a comprehensive document that contains the medical history and the details of a patient when they are in the hospital. It can also be given as a person consults a doctor or a health care provider. It is a proof of the treatment that a patient gets and of the condition that the patient has.

Who has the access to the patient medical report?

The health care providers have the access to the patient medical report. They keep the medical report as a history of medical records. Also, patients’ access to the patient medical report is a must.

What are the signs and symptoms of a migraine headache?

My primary clinical impression would be a migraine due to the accompanying symptoms of nausea and photophobia. A migraine is characterized by a unilateral pulsatile pain accompanied by nausea and sensitivity to light and sound. The pain can last between 4-72 hours and is lessened after sleeping.

What did the therapist ask the patient about her headaches?

The therapist asks the patient if she has noticed any other changes lately that could be increasing the stress. The patient reports that in the past few weeks, the patient reports that she has also started to experience severe throbbing headaches on the right side of her forehead and above the ear.

What is migraine?

Migraine is a neural condition characterized by recurrent headache and may be accompanied by nausea, noise sensitivity, and photophobia, sometimes preceded by sensory disturbances (aura). Triggers of migraine episodes vary widely and may include allergic reactions, diet, alcohol, and bright lights.

Common symptoms reported by people with migraine

Reports may be affected by other conditions and/or medication side effects. We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition.

Treatments taken by people for migraine

Data from patients with migraine, who have ever reported treatments, ordered by their reporting frequency during the last 5 years.

Compare treatments taken by people with migraine

Data from patients with migraine, who have ever reported treatments, ordered by their reporting frequency during the last 5 years.

Who makes the patient medical report?

Health care providers do the patient medical report. The health care professionals make the documentation for a patient. It includes all the physicians, nurses, and doctors of medicine. It also includes the psychiatrists, pharmacists, midwives and other employees in the allied health. It is part of their job to make a patient medical report because the health condition of all the patients should be documented. Hospitals keep history of medical records. The functions of medical records are more than important, so they continually keep track on the patient’s health conditions.

Why should medication be documented in a medical report?

The treatments or medications should also be documented because it can provide a good information about the medical history of a patient. Put the names of the medicines and tell how often did the patient takes it. You can also document its effect and tell whether it is effective for them.

Why should you ask a patient about his medical history?

Ask the patient about his medical history. You should put it to have a better analyzation of the medical condition of the patient. It can also make the doctors to be careful with the medication that they can give to the patient. Whatever is the sickness that a patient has before he is admitted to the hospital should be written in the patient medical report.

Why should a patient's medical report include lab results?

It is also needed because sometimes the laboratory and the test results are the proof of the sickness of the patient. For example, if the patient has a blood cancer, it can be seen with the blood tests. If the patient has a brain tumor, it can be seen through a brain CT scan. A CT scan for the body can also tell whether we have a fracture or not.

Is a medical report a legal document?

If it is signed by a health care professional, then it is a legal document. It is permissible in any court of law. It is an evidence that the patient is under your care. Thus, it can be used in court as an essential proof. So, keep a patient medical report because you may need it in the future.

Do health care providers have access to patient medical records?

The health care providers have the access to the patient medical report. They keep the medical report as a history of medical records. Also, patients’ access to the patient medical report is a must. It is their right to see their medical report. It is against the law not to show them their medical report. It can be a proof if there is any doctor withholding treatments. So, to avoid conflict, the patient medical report should be shown to the patients. HIPAA (Health Insurance Portability and Accountability Act) has been passed in the Congress of United States. Passed in 1996, it specifies who can have an access to all the health information. You can research for that law, so you can have the exact details to who can have an access to a patient medical report. It is better because you can have a legal source. It can tell you all the things that you need to know about it.