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Muscloskeletal Subjective Shadow Health- Tina Jones
Physical Assessment in Healthcare
Keiser University
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Musculoskeletal Results | Turned In
Physical Assessment in Healthcare - January 2023, nur2065c-ku_wpb_nur2065cd
Return to Assignment (/assignments/766720/)
Subjective Data Collection: 23 of 23 (100%)
Relevant Medical History
Your Results Lab Pass (/assignment_attempts/14248191/lab_pass)
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Documentation
Video Tutorial
Indicates an item that you found. 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.
Asked about joint problems Denies joint pain Denies joint swelling
Asked about mobility Denies history of walking problems Reports recent foot wound hindered mobility Reports ability to walk on foot has recently improved
Asked pain rating when walking Reports pain as a 7 or 8/10 when walking
Asked about ability to stand Denies trouble standing before foot problems Reports recent foot wound hindered standing Reports improved ability to stand on injured foot
Asked pain rating when standing Reports pain as a 7 or 8/10 when bearing weight on foot
Hover To Reveal...
Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
Review of Systems
Risk Factors
Asked about muscle soreness Denies history of muscle soreness Denies current muscle soreness
Asked about joints in proximity of injury Denies current ankle problem
Asked about occupational impact on injury Denies work being dangerou Denies work involving repetit Reports foot wound prevente
Asked about activities of daily living Denies difficulty transferring f Denies difficulty bathing
Asked about joint stiffness Denies joint stiffness
Asked about back pain Denies history of back pain Denies current back pain
Asked about muscle injury Denies history of muscle inju Denies current muscle injury
Asked about joint injury Denies past joint injury Denies current joint injury
Asked history of fracture Denies history of fractures
Asked history of sprains Denies history of sprains
Asked about bone problems Denies history of bone proble Denies current bone problem
Asked about neck Denies history of neck proble Denies current neck problem
Asked about range of motion of body parts Reports normal range of mot
Asked about muscle problems Denies muscle weakness Denies muscle cramping
Asked fall history Reports fall Reports fall was one week ag Reports belief that she is not Denies other recent falls Reports no dizziness or weak
Muscloskeletal Subjective Shadow Health- Tina Jones
Course: Physical Assessment in Healthcare
University: Keiser University
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