Focused Exam- Pain- Subjective Data- Patient Edward
Carter.
Your Results
Overview
Subjective Data Collection: 58 of 58
Transcript (100.0%)
Subjective Data Collection
Hover To Reveal... Indicates an item that you
Objective Data Collection
found.
Hover over the Patient Data Indicates an item that
Education & Empathy items below to reveal important
is available to be found.
information, including Pro Tips
Documentation
and Example Questions.
Care Plan
Program Competency Progress
Category Scored Items Patient Data
Video Tutorial
Not Scored
Reflections
Experts selected these topics as essential A combination of open and closed questions will
components of a strong, thorough interview yield better patient data. The following
with this patient. details are facts of the patient's case.
Orientation
Established orientation
Oriented to person
Oriented to place
Oriented to time
Oriented to situation
, Chief Complaint
Established chief complaint Reports pain
Reports recent fall
Reports worry about worsening
symptoms
History of Present Illness
Asked about onset and
Reports recent episode of severe pain
duration of symptoms
started this 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
Reports that rest typically relieves
relieving factors of pain
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
Reports that exercise exacerbates
factors of pain
pain and stiffness
Reports that weight bearing
exacerbates pain and stiffness
Carter.
Your Results
Overview
Subjective Data Collection: 58 of 58
Transcript (100.0%)
Subjective Data Collection
Hover To Reveal... Indicates an item that you
Objective Data Collection
found.
Hover over the Patient Data Indicates an item that
Education & Empathy items below to reveal important
is available to be found.
information, including Pro Tips
Documentation
and Example Questions.
Care Plan
Program Competency Progress
Category Scored Items Patient Data
Video Tutorial
Not Scored
Reflections
Experts selected these topics as essential A combination of open and closed questions will
components of a strong, thorough interview yield better patient data. The following
with this patient. details are facts of the patient's case.
Orientation
Established orientation
Oriented to person
Oriented to place
Oriented to time
Oriented to situation
, Chief Complaint
Established chief complaint Reports pain
Reports recent fall
Reports worry about worsening
symptoms
History of Present Illness
Asked about onset and
Reports recent episode of severe pain
duration of symptoms
started this 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
Reports that rest typically relieves
relieving factors of pain
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
Reports that exercise exacerbates
factors of pain
pain and stiffness
Reports that weight bearing
exacerbates pain and stiffness
