Subjective Data Collection: 37 of 37
(100.0%)
Hover To Reveal...
Hover over the Patient Data items below to reveal important information,
including
... [Show More] 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:
Asked about chief complaint
Finding:
Reports headaches
(Found)
Pro Tip: Use open questions to ask a patient why they're here today so they can tell you in
their own words and inform you of the situation.
Example Question:
Do you have headaches?
Finding:
Reports excessive weight gain
(Found)
Pro Tip: Use open questions to ask a patient why they're here today so they can tell you in
their own words and inform you of the situation.
Example Question:
Have you had changes to your weight?
Finding:
Reports swelling
(Found)
Pro Tip: Use open questions to ask a patient why they're here today so they can tell you in
their own words and inform you of the situation.
Example Question:
Do you have swelling anywhere?
Finding:
Reports test results the physician said were problematic
(Found)
Pro Tip: Use open questions to ask a patient why they're here today so they can tell you in
their own words and inform you of the situation.
Example Question:
What did the physician say about your test results?
Patient Comfort
Finding:
Asked about patient comfort
Finding:
Reports feeling comfortable
(Available)
Pro Tip: Asking patients, especially pregnant ones, about their comfort lets you know if they
are ready for a long conversation, and how you can make them readier.
Example Question:
Are you comfortable?
Finding:
Reports concern over symptoms
(Found)
Pro Tip: Asking patients, especially pregnant ones, about their comfort lets you know if they
are ready for a long conversation, and how you can make them readier.
Example Question:
How do you feel about your symptoms?
History of Present Illness
Finding:
Asked about test results
Finding:
Reports high blood pressure reading today
(Found)
Pro Tip: Ask patients everything you can about their current illness, from its characteristics
to its frequency to its causes, so you can determine its nature and what treatments are
recommendable.
Example Question:
What were the results of your high blood pressure tests?
Finding:
Reports moderately high blood pressure 1 week ago
(Found)
Pro Tip: Ask patients everything you can about their current illness, from its characteristics
to its frequency to its causes, so you can determine its nature and what treatments are
recommendable.
Example Question:
What were the results of your high blood pressure tests? [Show Less]