Shadow Health - Edward Carter - Pain – Subjective Test Questions with Complete Solutions, A+

Established chief complaint - -reports pain -reports recent fall -reports worry about worsening symptoms Established orientation - -oriented to person -oriented to place -oriented to time -oriented to situation Asked about onset and duration of symptoms - -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 - -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 relieving factors of pain - -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 - -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 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 - -reports osteoarthritis diagnosis -reports hypertension diagnosis -reports chronic kidney disease diagnosis -reports atrial fibrillation diagnosis Followed up about osteoarthritis diagnosis - -diagnosed age 66 Followed up about osteoarthritis symptoms and ADLs - -reports increasing problems with gait -reports increasing problems with exercise Followed up about hypertension diagnosis - -diagnosed at age 55 -reports belief that blood pressure is well-controlled -reports typical blood pressure as 130/85 -reports eating a low sodium diet Followed up about atrial fibrillation diagnosis - -diagnosed at age 61 -denies recent episodes of palpitations or problems -denies pacemaker or surgical intervention Followed up about chronic kidney disease diagnosis - -diagnosed at age 62 -reports disease is stage 2 Asked about allergies - -denies general allergies -denies environmental allergies -denies latex allergy