Objective Data Collection
Education & Empathy
Documentation
Care Plan
Program Competency Progress
Health History Tips and Tricks
Self-Reflection
Subjective Data Collection: 86 of 88
(97.7%)
Hover To Reveal...
Hover over the Patient Data items below to reveal important information,
including Pro Tips and Example Questions.
Found:
Indicates an item that you found.
Available:
Indicates an item that is available to be found.
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview
with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following
details are facts of the patient's case.
Chief Complaint
Finding:
, Established chief complaint
Finding:
Reports pain
(Found)
Pro Tip: Initially establishing a chief complaint allows the patient to express their
reason for seeking care, primary concerns, or condition they are presenting with.
Example Question:
Do you have any pain?
Finding:
Reports foot wound
(Found)
Pro Tip: If a patient mentions pain, it's important to determine what specifically is
causing her pain, if she knows.
Example Question:
What's causing your pain?
History of Presenting Illness
Finding:
Asked to rate current pain level on a scale
Finding:
Reports current pain is 7/10
, (Found)
Pro Tip: Asking your patient to rate her pain on a scale of 0 to 10 is important to
gauge how it ebbs and flows while she is in your care.
Example Question:
Can you rate the pain on a scale of 0 to 10?
Finding:
Asked for details about the pain
Finding:
Reports pain is throbbing
(Found)
Pro Tip: Determining how your patient describes the characteristics of the pain
can be important data to support the cause of the pain.
Example Question:
Can you please describe the pain?
Finding:
Reports pain is sharp when she attempts to stand
(Found)
Pro Tip: Determining what physical activities and movements exacerbate the
patient's pain can help you better understand the problems and assess treatment
needs. This can also alert you if a patient's activities of daily living are hindered.
Example Question:
What is the pain like when you stand on your foot?
, Finding:
Reports pain has increased in the past 2 days
(Found)
Pro Tip: Finding out how the patient's pain has changed will give you insight into
the acceleration of infection.
Example Question:
How has the pain changed over time?
Finding:
Reports feeling pain radiating into ankle
(Found)
Pro Tip: Asking about where else the patient's pain radiates can help determine
the progression of infection.
Example Question:
Does the pain radiate anywhere else?
Finding:
Reports pain prevents bearing weight on foot
(Found)
Pro Tip: Determining if your patient can bear weight on an injury is important to
determine their risk for falls while in your care.
Example Question:
Can you bear weight on your foot?
Finding:
Education & Empathy
Documentation
Care Plan
Program Competency Progress
Health History Tips and Tricks
Self-Reflection
Subjective Data Collection: 86 of 88
(97.7%)
Hover To Reveal...
Hover over the Patient Data items below to reveal important information,
including Pro Tips and Example Questions.
Found:
Indicates an item that you found.
Available:
Indicates an item that is available to be found.
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview
with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following
details are facts of the patient's case.
Chief Complaint
Finding:
, Established chief complaint
Finding:
Reports pain
(Found)
Pro Tip: Initially establishing a chief complaint allows the patient to express their
reason for seeking care, primary concerns, or condition they are presenting with.
Example Question:
Do you have any pain?
Finding:
Reports foot wound
(Found)
Pro Tip: If a patient mentions pain, it's important to determine what specifically is
causing her pain, if she knows.
Example Question:
What's causing your pain?
History of Presenting Illness
Finding:
Asked to rate current pain level on a scale
Finding:
Reports current pain is 7/10
, (Found)
Pro Tip: Asking your patient to rate her pain on a scale of 0 to 10 is important to
gauge how it ebbs and flows while she is in your care.
Example Question:
Can you rate the pain on a scale of 0 to 10?
Finding:
Asked for details about the pain
Finding:
Reports pain is throbbing
(Found)
Pro Tip: Determining how your patient describes the characteristics of the pain
can be important data to support the cause of the pain.
Example Question:
Can you please describe the pain?
Finding:
Reports pain is sharp when she attempts to stand
(Found)
Pro Tip: Determining what physical activities and movements exacerbate the
patient's pain can help you better understand the problems and assess treatment
needs. This can also alert you if a patient's activities of daily living are hindered.
Example Question:
What is the pain like when you stand on your foot?
, Finding:
Reports pain has increased in the past 2 days
(Found)
Pro Tip: Finding out how the patient's pain has changed will give you insight into
the acceleration of infection.
Example Question:
How has the pain changed over time?
Finding:
Reports feeling pain radiating into ankle
(Found)
Pro Tip: Asking about where else the patient's pain radiates can help determine
the progression of infection.
Example Question:
Does the pain radiate anywhere else?
Finding:
Reports pain prevents bearing weight on foot
(Found)
Pro Tip: Determining if your patient can bear weight on an injury is important to
determine their risk for falls while in your care.
Example Question:
Can you bear weight on your foot?
Finding:
