WEEK 3 TINA JONES SUBJECTIVE DATA Neurological Assignment Results | Completed

Chief Complaint Established chief complaint Reports recent "fender bender" Reports headaches Reports neck symptoms History of Present Illness Asked about onset of symptoms Reports accident occurred 1 week ago Reports symptoms began 2 days after accident Followed up on details of car accident Denies loss of consciousness Subjective Data Collection: 12 of 20 (60.0%) Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Lifespan Review Questions Self-Reflection Student Survey Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. This study source was downloaded by from CourseH on :14:31 GMT -05:00 Reports low vehicle speed Reports wearing seatbelt Reports sitting in front passenger seat Reports no alcohol or drug use during accident Asked about frequency and duration of symptoms Reports headaches are daily since they began Reports headaches last 1-2 hours Reports last headache was yesterday afternoon Asked location of pain Reports headache pain in crown and back of head Reports pain does not radiate into shoulders, back, or arms Reports slight pain in back of neck muscles Denies scalp tenderness or injury Denies jaw symptoms Denies facial pain Asked about severity of pain Rates current head and neck pain severity at 3 out of 10 Rates pain severity at its worst is 4 out of 10 Followed up on headache characteristics Reports headache pain as a dull ache Denies sharp pain Reports headaches not cyclic Reports headaches do not occur in clusters Reports headaches not rapid in crescendo Asked about aggravating factors Reports that car accident seems to be primary cause Reports pain upon head or neck movement Reports headaches don't have a discernible trigger Asked about relieving factors for neck pain and headaches Denies home remedies such as heat or cold