OSCE Case 25
Student Name
Charles Drew University
NUR620 Advanced Physical Assessment
Professor Emilyn Lao and Professor Nancy Sablon-Diago
October 15, 2021
, 2
OSCE Case 25
Data Gathering/My Checklist
Chief Complaint: Right Wrist Pain
History of Present Illness
I. How did you injure your wrist? “I felt down the stairs. It was an accident (Reteguiz,
2004).”
II. When did this injury happen? “About one hour ago (Reteguiz, 2004).”
III. On a 0-10 scale with 10 being the worst pain imaginable, how is your pain right now?
“7.”
IV. What is the quality of the pain? “It is throbbing.”
V. Do you have any other injuries at this time? “I have a few bruises, but nothing major
(Reteguiz, 2004).”
Past Medical History
VI. Do you have any other medical issues? “No.”
VII. Are you currently taking any over-the-counter, prescription, or herbal medications? “No.”
Family History
VIII. Is there a history of osteoporosis in your family? “No.”
IX. Is there a history of cancer in your family? “No.”
Social History
X. Do you feel safe at home? “Not really. I never know when my husband is going to
become angry with me. He gets angry when he drinks, and he drinks almost every day
(Reteguiz, 2004).”