SHADOW HEALTH; MOBILITY FOCUSED EXAM
2024-2025
Orientation +1: Answer Please check your name and birth date.
Chief Complaint +1 - Answer Why are you in the hospital?
History of Current Illness +1 - Answer Where are you in pain?
History of Current Illness +1 - Answer Can you describe your pain?
History of Current Illness +1 - Answer Is anything making the discomfort better or
worse?
History of Current Illness +1 - Answer How long have you felt the pain?
History of Current Illness +1 - Answer On a scale of 0 to 10. How would you grade
your pain?
Previous Medical History +1 - Answer Have you got a family history of vertigo?
Functional Status and Geriatric Syndromes+1 - Answer Do you live alone?
Functional Status and Geriatric Syndromes+2 - Answer Do you use walking
assistance at home?
Social History + 2 - Answer Do you smoke?
Social History+1 - Answer Do you drink alcohol frequently?
Home Medications +1: Answer Are you using any medications?
, Review of Systems +1: Answer Have you got a family history of neurological
disorders?
Review of Systems +1: Answer Do you have a history of strokes?
Family History +1: Answer Do any of your family members have a medical
condition?
Previous Medical History +1 - Answer Have you got any allergies?
History of Current Illness +1 - Answer Is anything aggravating your pain?
Previous Medical History +1 - Answer When did you get diagnosed with
hypertension?
Previous Medical History +1 - Answer When did you get diagnosed with arthritis?
Functional Status of Geriatric Syndrome (+1) - Answer Do you feel safe in your
home?
Review of Systems +1: Answer Do you have any thoughts about self-harm?
Social History+1 - Answer Do you get any exercise?
Functional Status of Geriatric Syndrome (+1) - Answer Do you have difficulty
sleeping?
2024-2025
Orientation +1: Answer Please check your name and birth date.
Chief Complaint +1 - Answer Why are you in the hospital?
History of Current Illness +1 - Answer Where are you in pain?
History of Current Illness +1 - Answer Can you describe your pain?
History of Current Illness +1 - Answer Is anything making the discomfort better or
worse?
History of Current Illness +1 - Answer How long have you felt the pain?
History of Current Illness +1 - Answer On a scale of 0 to 10. How would you grade
your pain?
Previous Medical History +1 - Answer Have you got a family history of vertigo?
Functional Status and Geriatric Syndromes+1 - Answer Do you live alone?
Functional Status and Geriatric Syndromes+2 - Answer Do you use walking
assistance at home?
Social History + 2 - Answer Do you smoke?
Social History+1 - Answer Do you drink alcohol frequently?
Home Medications +1: Answer Are you using any medications?
, Review of Systems +1: Answer Have you got a family history of neurological
disorders?
Review of Systems +1: Answer Do you have a history of strokes?
Family History +1: Answer Do any of your family members have a medical
condition?
Previous Medical History +1 - Answer Have you got any allergies?
History of Current Illness +1 - Answer Is anything aggravating your pain?
Previous Medical History +1 - Answer When did you get diagnosed with
hypertension?
Previous Medical History +1 - Answer When did you get diagnosed with arthritis?
Functional Status of Geriatric Syndrome (+1) - Answer Do you feel safe in your
home?
Review of Systems +1: Answer Do you have any thoughts about self-harm?
Social History+1 - Answer Do you get any exercise?
Functional Status of Geriatric Syndrome (+1) - Answer Do you have difficulty
sleeping?
