Your Results
Overview
Subjective Data Collection: 58 of 58 (100.0%)
Transcript
Subjective Data Collection
Hover To Reveal... Indicates an item that
Objective Data Collection you 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
components of a strong, thorough interview will yield better patient data. The following
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 duration of Reports recent episode of severe pain
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 relieving Reports that rest typically relieves the
factors of pain 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 Reports that exercise exacerbates pain
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
Overview
Subjective Data Collection: 58 of 58 (100.0%)
Transcript
Subjective Data Collection
Hover To Reveal... Indicates an item that
Objective Data Collection you 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
components of a strong, thorough interview will yield better patient data. The following
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 duration of Reports recent episode of severe pain
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 relieving Reports that rest typically relieves the
factors of pain 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 Reports that exercise exacerbates pain
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
