Focused Exam: Pain Results.
Orientation
Finding:
Established orientation
Finding:
Oriented to person
Pro Tip: Asking about a geriatric patient's orientation to time, place, person, and situation
can help you identify whether the patient is experiencing confusion, which can indicate
underlying health issues and concerns.
Example Question:
What is your name?
Finding:
Oriented to place
(Available)
Pro Tip: Asking about a geriatric patient's orientation to time, place, person, and situation
can help you identify whether the patient is experiencing confusion, which can indicate
underlying health issues and concerns.
Example Question:
Do you know where you are right now?
Finding:
Oriented to time
(Available)
Pro Tip: Asking about a geriatric patient's orientation to time, place, person, and situation
can help you identify whether the patient is experiencing confusion, which can indicate
underlying health issues and concerns.
Example Question:
What is today's date?
, Finding:
Oriented to situation
(Available)
Pro Tip: Asking about a geriatric patient's orientation to time, place, person, and situation
can help you identify whether the patient is experiencing confusion, which can indicate
underlying health issues and concerns.
Example Question:
Do you know why you are here today?
Chief Complaint
Finding:
Established chief complaint
Finding:
Reports pain
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are
presenting. Asking about the chief complaint will allow the patient to voice any concerns or
symptoms the patient may have.
Example Question:
Are you in pain?
Finding:
Reports recent fall
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are
presenting. Asking about the chief complaint will allow the patient to voice any concerns or
symptoms the patient may have.
Example Question:
Have you fallen recently?
Finding:
Reports worry about worsening symptoms
, Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are
presenting. Asking about the chief complaint will allow the patient to voice any concerns or
symptoms the patient may have.
Example Question:
Do you have any other symptoms?
History of Present Illness
Finding:
Asked about onset and duration of symptoms
Finding:
Reports recent episode of severe pain started this morning
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
When did your pain start?
Finding:
Reports pain has been getting progressively worse in the last few weeks
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Has the pain gotten worse?
Finding:
Asked about location of pain
Finding:
Reports hip pain
, Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Where are you feeling the pain?
Finding:
Reports knee pain
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Where are you feeling the pain?
Finding:
Asked about characteristics of pain
Finding:
Describes pain as aching
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
What does the pain feel like?
Finding:
Describes pain as "deep"
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
What does the pain feel like?
Orientation
Finding:
Established orientation
Finding:
Oriented to person
Pro Tip: Asking about a geriatric patient's orientation to time, place, person, and situation
can help you identify whether the patient is experiencing confusion, which can indicate
underlying health issues and concerns.
Example Question:
What is your name?
Finding:
Oriented to place
(Available)
Pro Tip: Asking about a geriatric patient's orientation to time, place, person, and situation
can help you identify whether the patient is experiencing confusion, which can indicate
underlying health issues and concerns.
Example Question:
Do you know where you are right now?
Finding:
Oriented to time
(Available)
Pro Tip: Asking about a geriatric patient's orientation to time, place, person, and situation
can help you identify whether the patient is experiencing confusion, which can indicate
underlying health issues and concerns.
Example Question:
What is today's date?
, Finding:
Oriented to situation
(Available)
Pro Tip: Asking about a geriatric patient's orientation to time, place, person, and situation
can help you identify whether the patient is experiencing confusion, which can indicate
underlying health issues and concerns.
Example Question:
Do you know why you are here today?
Chief Complaint
Finding:
Established chief complaint
Finding:
Reports pain
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are
presenting. Asking about the chief complaint will allow the patient to voice any concerns or
symptoms the patient may have.
Example Question:
Are you in pain?
Finding:
Reports recent fall
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are
presenting. Asking about the chief complaint will allow the patient to voice any concerns or
symptoms the patient may have.
Example Question:
Have you fallen recently?
Finding:
Reports worry about worsening symptoms
, Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are
presenting. Asking about the chief complaint will allow the patient to voice any concerns or
symptoms the patient may have.
Example Question:
Do you have any other symptoms?
History of Present Illness
Finding:
Asked about onset and duration of symptoms
Finding:
Reports recent episode of severe pain started this morning
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
When did your pain start?
Finding:
Reports pain has been getting progressively worse in the last few weeks
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Has the pain gotten worse?
Finding:
Asked about location of pain
Finding:
Reports hip pain
, Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Where are you feeling the pain?
Finding:
Reports knee pain
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Where are you feeling the pain?
Finding:
Asked about characteristics of pain
Finding:
Describes pain as aching
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
What does the pain feel like?
Finding:
Describes pain as "deep"
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
What does the pain feel like?
