- Subjective
Asked about confusion - -reports occasionally feeling confused
Asked about frequency and duration of headaches - -reports headache pain has been constant
-reports headache pain has gotten gradually worse since it began
-reports that headaches are not episodic
Asked about activity level - -reports high level of mobility and independence
-reports moderate activity level
-regularly attends fitness class
-reports gardening as a hobby
Asked about aggravating factors of pain - -reports not remembering if anything caused the
headache
-reports that lying increases headache pain
Asked about allergies - -denies general allergies
-denies environmental allergies
-reports latex allergy
-denies food allergies
Asked about appetite changes - -denies changes in appetite
-denies feeling full quickly
Asked about bathing - -reports being able to bathe herself
-reports that her daughter reminds her to bathe
, -reports being able to reach every part of her body
-reports being able to get in and out of shower
Asked about characteristics of pain - -describes headache as "pounding" or "throbbing"
-reports a sensation of pressure
-denies sharp or shooting pain
Asked about continence - -reports full control of bowels
-reports full control of bladder
Asked about depression - -denies depression
Asked about diet - -reports last meal was toast at breakfast
-typically eats 3 meals
-typically does not eat snacks
-typical breakfast is piece of fruit or toast
- typical lunch is canned soup
-typical dinner is canned soup, or occasionally chicken or fish with vegetables and rice
Asked about dressing - -reports being able to dress self completely
-denies trouble with zippers
-reports being able to tie shoes, but typically wears slip-ons
Asked about effects of health on social activity - -reports feeling less social lately
-denies that health problems are the cause of being less social
-denies emotional problems are the cause of being less social
Asked about evidence of falls - -denies recent falls