SHADOW HEALTH - EDWARD CARTER - PAIN - SUBJECTIVE

SHADOW HEALTH - EDWARD
CARTER - PAIN - SUBJECTIVE
[Document subtitle]




[DATE]
[COMPANY NAME]
[Company address]

, 1. Established Chief Complaint

1. Reports pain

2. Reports recent fall

3. Reports worry about worsening symptoms



2. Established Orientation

4. Oriented to person

5. Oriented to place

6. Oriented to time

7. Oriented to situation



3. History of Present Illness (HPI)

Onset & Duration of Symptoms

8. Reports severe pain started in the morning

9. Reports pain has progressively worsened over the last few weeks

Location of Pain

10. Reports hip pain

11. Reports knee pain

Characteristics of Pain

12. Describes pain as aching

13. Describes pain as "deep"

14. Denies shooting or sharp pain

15. Reports occasional "grating" sensation in joints

16. Denies burning pain

17. Denies stinging pain

Severity of Pain

18. Reports current pain is 1 (after medication)

19. Reports pain before medication was 9