NURS 5220 MODULE 3 2026
NEUROLOGICAL DISORDERS AND PAIN
MECHANISMS PRACTICE RESOURCE
◉ sexuality
Answer: The sexual orientation of a patient must be known if
appropriate continuity of care is to be offered
Trust can be better achieved if questions are "gender neutral."
- Tell me about your living situation.
- Are you sexually active? In what way?
◉ Subjective Data
Answer: Subjective = States/ Says
Subjective = Symptoms
The purpose of the subjective interview is to identify PATTERNS
◉ Outline of the History
Answer: Chief complaint (CC) or the reason for seeking care
History of present illness or problem (HPI)
,Past medical history (PMH)
Family history (FH)
Personal and social history (PH/ SH)
Review of systems (ROS)
◉ CC: Chief complaint/concern
Answer: Reason for seeking Care
Always in the patients' words—this sets the focus of the visit. (may
need to teach staff!)
Should only be a couple of sentences.
"I am here for a physical exam."
"I need my cholesterol checked."
"My wife says I forget everything."
,Ways to elicit CC:
• What do you want to work on today?
• What is bothering you the most today?
Note all significant complaints
Seek answer to the question
"What underlying problems or symptoms brought you here?"
Determine the duration of the current illness by asking
"How long has this problem been present?" Or
"When did these symptoms begin?"
Note age, gender, marital status, occupation, and previous hospital
admissions
◉ HPI: History of Present Illness/ Problem
Answer: About 80% of your diagnosis will come from the historical
information you collect
Establish the problem or the CC
, HPI = Symptom Analysis
Helps differentiate between possible causes Helps in ruling in or
ruling out possible causes
◉ HPI: Explore the following
Answer: Chronology of events
Health state before present problem
First symptoms
Exposure to infection or toxic agents
Typical attack
Illness impact on lifestyle
Stability of problem
Immediate reason for visit
Review of involved systems
Medications list
Complementary or alternative therapies Chronology review Problem
list
◉ HPI should include the following:
Answer: Onset
Setting
NEUROLOGICAL DISORDERS AND PAIN
MECHANISMS PRACTICE RESOURCE
◉ sexuality
Answer: The sexual orientation of a patient must be known if
appropriate continuity of care is to be offered
Trust can be better achieved if questions are "gender neutral."
- Tell me about your living situation.
- Are you sexually active? In what way?
◉ Subjective Data
Answer: Subjective = States/ Says
Subjective = Symptoms
The purpose of the subjective interview is to identify PATTERNS
◉ Outline of the History
Answer: Chief complaint (CC) or the reason for seeking care
History of present illness or problem (HPI)
,Past medical history (PMH)
Family history (FH)
Personal and social history (PH/ SH)
Review of systems (ROS)
◉ CC: Chief complaint/concern
Answer: Reason for seeking Care
Always in the patients' words—this sets the focus of the visit. (may
need to teach staff!)
Should only be a couple of sentences.
"I am here for a physical exam."
"I need my cholesterol checked."
"My wife says I forget everything."
,Ways to elicit CC:
• What do you want to work on today?
• What is bothering you the most today?
Note all significant complaints
Seek answer to the question
"What underlying problems or symptoms brought you here?"
Determine the duration of the current illness by asking
"How long has this problem been present?" Or
"When did these symptoms begin?"
Note age, gender, marital status, occupation, and previous hospital
admissions
◉ HPI: History of Present Illness/ Problem
Answer: About 80% of your diagnosis will come from the historical
information you collect
Establish the problem or the CC
, HPI = Symptom Analysis
Helps differentiate between possible causes Helps in ruling in or
ruling out possible causes
◉ HPI: Explore the following
Answer: Chronology of events
Health state before present problem
First symptoms
Exposure to infection or toxic agents
Typical attack
Illness impact on lifestyle
Stability of problem
Immediate reason for visit
Review of involved systems
Medications list
Complementary or alternative therapies Chronology review Problem
list
◉ HPI should include the following:
Answer: Onset
Setting
