ESTHER PARK ABDOMINAL PAIN - SUBJECTIVE DATA COLLECTION
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Esther Parks abdominal pain - subjective data
Institution
Camden County College
Subjective Data Collection: 28 of 32 (87.5%)
Hover To Reveal...
Hover over the Patient Data items below to reveal important information, including Pro Tips
and Example Questions.
Found:
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Available:
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esther park abdominal pain subjective data collection
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Camden County College
Esther Parks abdominal pain - subjective data
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ESTHER PARK ABDOMINAL PAIN - SUBJECTIVE DATA
Subjective Data Collection: 28 of 32 (87.5%)
Hover To Reveal...
Hover over the Patient Data items below to reveal important information, including Pro Tips
and Example Questions.
Found:
Indicates an item that you found.
Available:
Indicates an item that is available to be found.
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this
patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details
are facts of the patient's case.
Chief Complaint
Finding:
Established chief complaint
Finding:
Reports abdominal pain
(Found)
, Pro Tip: Abdominal pain can be caused by problems in the underlying organs,
peritoneum, muscles, or blood vessels, changes in electrolytes or other blood contents, or
even anxiety. Asking for details about the pain helps to determine the origin.
Example Question:
Do you have any abdominal pain?
Finding:
Reports difficulty "going to the bathroom"
(Found)
Pro Tip: Understanding all of a patient's reason for visiting is an important foundation to
establish. If there are multiple symptoms, follow up on each one during your interview.
Example Question:
Are you able to make a bowel movement?
History of Present Illness
Finding:
Asked about onset, frequency, and duration of pain
Finding:
Reports a feeling of discomfort for the past five days
(Found)
Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about
onset assesses the severity and the progression of the problem.
Example Question:
How long have you had stomach pain?
Finding:
Reports pain with gradual onset that worsened 2-3 days ago
(Found)
, Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about
onset assesses the severity and the progression of the problem.
Example Question:
Has the stomach pain changed?
Finding:
Asked about location of pain
Finding:
Reports pain in lower abdomen
(Found)
Pro Tip: Identification of the location of your patient's discomfort can provide important
clues about its cause and how it should be best treated.
Example Question:
Where is your discomfort located?
Finding:
Reports pain is not localized
(Found)
Pro Tip: Identifying the location of your patient's pain provides important clues about its
cause and how to treat it best.
Example Question:
Is the pain in a specific spot?
Finding:
Reports attempts to treat pain by drinking small sips of warm water
(Available)
Pro Tip: Flank pain often occurs with disorders of the urinary tract. When a patient
complains of flank pain, assess for co-occurring symptoms such as fever, chills,
hematuria, and dysuria.
, Example Question:
Do you have pain on your sides?
Finding:
Confirmed pain rating on a scale
Finding:
Reports pain rating of 6/10
(Found)
Pro Tip: For many people, it is difficult to clearly describe pain. Asking your patient to
rate her pain on a scale from 0 to 10 develops a consistent measure of pain severity.
Example Question:
How would you rate your pain on a scale of one to ten?
Finding:
Asked about character of pain
Finding:
Describes pain as dull and crampy
(Found)
Pro Tip: Asking your patient to describe her pain helps identify its cause and the severity.
Patients may not know how to answer, so you may need to suggest words like sharp, dull,
burning, throbbing, or shooting.
Example Question:
Can you describe the pain?
Finding:
Reports pain is intermittent with aggravating factors
(Found)
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