Shadow Health - Edward Carter - Pain -
Subjective Exam Questions and
Answers(GRADED A+)
Established chief complaint - ANSWER--reports pain
-reports recent fall
-reports worry about worsening symptoms
Established orientation - ANSWER--oriented to person
-oriented to place
-oriented to time
-oriented to situation
Asked about onset and duration of symptoms - ANSWER--reports recent episode of
severe pain started in the morning
-reports pain has been getting progressively worse in the last few weeks
Asked about location of pain - ANSWER--reports hip pain
-reports knee pain
Asked about characteristics of pain - ANSWER--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 - ANSWER--reports current pain is a 1
-reports pain before medication was a 9
, Asked about non-medication relieving factors of pain - ANSWER--reports that rest
typically relieves 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 - ANSWER--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 - ANSWER--reports falling getting out of bed
-reports hitting his back on bed frame
-denies dizziness, syncope, or vertigo at time of fall
-denies substance use that could have related to the fall
Asked about existing health conditions - ANSWER--reports osteoarthritis diagnosis
-reports hypertension diagnosis
-reports chronic kidney disease diagnosis
-reports atrial fibrillation diagnosis
Followed up about osteoarthritis diagnosis - ANSWER--diagnosed age 66
Followed up about osteoarthritis symptoms and ADLs - ANSWER--reports increasing
problems with gait
-reports increasing problems with exercise
Subjective Exam Questions and
Answers(GRADED A+)
Established chief complaint - ANSWER--reports pain
-reports recent fall
-reports worry about worsening symptoms
Established orientation - ANSWER--oriented to person
-oriented to place
-oriented to time
-oriented to situation
Asked about onset and duration of symptoms - ANSWER--reports recent episode of
severe pain started in the morning
-reports pain has been getting progressively worse in the last few weeks
Asked about location of pain - ANSWER--reports hip pain
-reports knee pain
Asked about characteristics of pain - ANSWER--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 - ANSWER--reports current pain is a 1
-reports pain before medication was a 9
, Asked about non-medication relieving factors of pain - ANSWER--reports that rest
typically relieves 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 - ANSWER--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 - ANSWER--reports falling getting out of bed
-reports hitting his back on bed frame
-denies dizziness, syncope, or vertigo at time of fall
-denies substance use that could have related to the fall
Asked about existing health conditions - ANSWER--reports osteoarthritis diagnosis
-reports hypertension diagnosis
-reports chronic kidney disease diagnosis
-reports atrial fibrillation diagnosis
Followed up about osteoarthritis diagnosis - ANSWER--diagnosed age 66
Followed up about osteoarthritis symptoms and ADLs - ANSWER--reports increasing
problems with gait
-reports increasing problems with exercise
