In the Patient/Client Management Model, which components form the Examination content?

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In the Examination content of the Patient/Client Management Model, you build a complete picture by integrating information from multiple sources: the patient’s history, the initial observation (how the patient presents and moves at first contact), chart review (existing medical records and prior assessments), and the physical examination (hands-on assessment of body systems and function). The history provides background, symptoms, and context; the initial inspection reveals visible movement patterns, posture, and overall appearance; chart review brings in prior diagnoses, treatments, and test results that inform current evaluation; and the physical examination yields objective data on strength, range of motion, sensation, reflexes, and functional capabilities. Together, these elements give a comprehensive understanding of the patient’s status and guide the plan of care.

If you only consider history and the physical examination, you miss important information from chart review and the initial observation. If you rely on chart review and initial inspection alone, you omit the direct data gathered from the patient’s current history and hands-on exam. If you focus only on interview, you lack the objective findings from the physical examination and the contextual data from chart review and initial observation.