Tina Jones muscle skelital.docx - Subjective Data...

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Subjective Data Collection: Muscle skeletal Hover To Reveal...Hover over the Patient Dataitems below to reveal important information, including Pro Tipsand Example Questions. Found:Indicates an item that you found. Available:Indicates an item that is available to be found. CategoryScored ItemsExperts selected these topics as essential components of a strong, thorough interview with this patient.Patient DataNot ScoredA combination of open and closed questions will yield better patient data. The following details are facts of the patient's case.Relevant Medical HistoryFinding:Asked about joint problems Finding:Denies joint pain (Found)
Pro Tip: Uncovering if Tina has any joint pain is important, as they could be a result of her recent foot injury and could contribute to impaired mobility.Example Question:Do you have joint pain?Finding:Denies joint swelling (Available)Pro Tip: Uncovering if Tina has any swollen joints is important, as they could be a result of her recent foot injury and could contribute to impaired mobility.Example Question:Do you have swollen joints?Finding:Asked about mobility Finding:Denies history of walking problems (Available)Pro Tip: Discovering if Tina has a history of walking problems is imperative because it could show that her mobility issues predate the foot wound. Example Question:Have you ever had problems walking?Finding:Reports recent foot wound hindered mobility (Available)Pro Tip: People with severe pain might find that they are limited in their movements. Asking Tina whether the pain makes it hard for her to walk would illustrate whether her pain is preventing her from some of the activities that comprise her daily life.
Example Question:Has your wound affected your mobility?Finding:Reports ability to walk on foot has recently improved (Available)Pro Tip: Determining if Tina's mobility has recently improved will provide key information as to the healing process and what further steps are needed.Example Question:Has your mobility changed lately?Finding:Asked pain rating when walking Finding:Reports pain as a 7 or 8/10 when walking (Available)Pro Tip: People with severe pain might find that they are limited in their movements. Having Tina rank her pain on a scale will help you judge the severity of the wound and help you determine treatment needs.Example Question:How would you rate your pain when walking?Finding:Asked about ability to stand Finding:Denies trouble standing before foot problems (Available)
Pro Tip: Asking Tina if she has a history of standing problems will reveal the severity of her injury and whether her standing problem predated her foot injury.Example Question:Do you have a history of standing problems?

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