NURS 201 Focused Exam Pain Completed Shadow
Health Subjective.
Subjective Data Collection: 55 of 58 (94.8%)
Hover To Reveal... Indicates an item that you found.
Hover over the Patient Data items Indicates an item that is available
below to reveal important to be found.
information, including Pro Tips
and Example Questions.
Cate Scored Items Patient Data
gory Experts selected these topics as
Not Scored
A combination of open and closed
essential components of a strong, questions will yield better patient
thorough interview with this patient. data. The following details are facts of
the patient's case.
Chief Complaint
Established chief complaint Reports pain
Reports recent
fall
Reports worry about worsening
symptoms
Orientation
Established orientation Oriented to
person Oriented
to place Oriented
, to time Oriented
to situation
Patient Status
Asked about medication administered in Reports receiving oxycontin
ER Reports oxycontin has been effective
Asked about patient comfort and needs Denies needing to use the bathroom
History of Present Illness
, Asked about onset and Reports recent episode of severe
duration of symptoms pain started this morning
Reports pain has been getting
progressively worse in the last few
weeks
Asked about location of pain Reports hip
pain Reports
knee pain
Asked about characteristics of pain Describes pain as aching
Describes pain as "deep"
Denies shooting or sharp
pain
Reports occasional "grating"
sensation in joints
Denies burning
pain Denies
stinging pain
Asked about severity of pain Reports current pain is a 1
Reports pain before medication was a
9
Asked about non-medication Reports that rest typically relieves
relieving factors of pain
the pain Reports not using any non-
medication
treatments to treat this morning's pain
Reports occasional use of moist
heat as treatment on hips
Reports using range of motion
exercises for knees
Reports wearing elastic supports on
knees bilaterally
Denies use of ice as treatment
Asked about aggravating factors of pain Reports that exercise exacerbates
pain
and stiffness
Reports that weight bearing
exacerbates pain and stiffness
Reports that pain and stiffness are
worse in the morning
Reports that changes in
weather exacerbate pain and
stiffness
Followed up on details of the fall Reports falling getting out of bed
Reports hitting his back on bed
https://www.coursehero.com/file/41315316/Focused-Exam-Pain-Completed-Shadow-Health-Subjectivepdf/
Health Subjective.
Subjective Data Collection: 55 of 58 (94.8%)
Hover To Reveal... Indicates an item that you found.
Hover over the Patient Data items Indicates an item that is available
below to reveal important to be found.
information, including Pro Tips
and Example Questions.
Cate Scored Items Patient Data
gory Experts selected these topics as
Not Scored
A combination of open and closed
essential components of a strong, questions will yield better patient
thorough interview with this patient. data. The following details are facts of
the patient's case.
Chief Complaint
Established chief complaint Reports pain
Reports recent
fall
Reports worry about worsening
symptoms
Orientation
Established orientation Oriented to
person Oriented
to place Oriented
, to time Oriented
to situation
Patient Status
Asked about medication administered in Reports receiving oxycontin
ER Reports oxycontin has been effective
Asked about patient comfort and needs Denies needing to use the bathroom
History of Present Illness
, Asked about onset and Reports recent episode of severe
duration of symptoms pain started this morning
Reports pain has been getting
progressively worse in the last few
weeks
Asked about location of pain Reports hip
pain Reports
knee pain
Asked about characteristics of pain Describes pain as aching
Describes pain as "deep"
Denies shooting or sharp
pain
Reports occasional "grating"
sensation in joints
Denies burning
pain Denies
stinging pain
Asked about severity of pain Reports current pain is a 1
Reports pain before medication was a
9
Asked about non-medication Reports that rest typically relieves
relieving factors of pain
the pain Reports not using any non-
medication
treatments to treat this morning's pain
Reports occasional use of moist
heat as treatment on hips
Reports using range of motion
exercises for knees
Reports wearing elastic supports on
knees bilaterally
Denies use of ice as treatment
Asked about aggravating factors of pain Reports that exercise exacerbates
pain
and stiffness
Reports that weight bearing
exacerbates pain and stiffness
Reports that pain and stiffness are
worse in the morning
Reports that changes in
weather exacerbate pain and
stiffness
Followed up on details of the fall Reports falling getting out of bed
Reports hitting his back on bed
https://www.coursehero.com/file/41315316/Focused-Exam-Pain-Completed-Shadow-Health-Subjectivepdf/
