Assessment Questions Flashcards
Location (L):
Question: Can you show me where you are feeling discomfort? Specifically, where is the pain located?
Mechanism of Injury (M):
Question: How did this discomfort or pain start? Can you tell me about any specific incidents or activities that may have caused it?
Follow-up: Has this type of discomfort occurred before, and if so, can you describe the circumstances?
Nature of Pain (N):
Question: Can you describe the nature of the discomfort or pain? Is it constant, intermittent, or does it come and go?
Follow-up: How would you characterize the feeling? Dull, achy, sharp, burning, electrifying, or throbbing?
Onset (O):
Question: When did you first notice this discomfort or pain? Can you recall any specific events leading up to it?
Follow-up: How long have you been experiencing this discomfort, and has it changed over time?
Pain Level (P):
Question: On a scale from 1 to 10, with 1 being no pain and 10 being unbearable, how would you rate your current pain level?
Follow-up: Can you describe any variations in the intensity of the pain throughout the day or week?
Quality of Pain (Q):
Question: Could you elaborate on the quality of the pain? For example, is it a sharp stabbing pain, a dull ache, or a throbbing sensation?
Follow-up: Are there specific factors or activities that seem to influence the quality of the pain?
Referral (R):
Question: Does the discomfort or pain refer to another location on your body? Can you describe any radiating sensations?
Follow-up: Have you noticed the pain spreading or moving to different areas over time?
Systemic (S):
Question: Are there any underlying health conditions or systemic issues that you think I should be aware of?
Follow-up: Do you have any known medical conditions like heart conditions, diabetes, or respiratory issues?
Timing (T):
Question: When do you typically feel the discomfort or pain? Is it more prominent in the morning, evening, during specific activities, or at rest?
Follow-up: Can you describe any patterns or triggers related to the timing of the discomfort?
Underlying Factor (U):
Question: Is there anything else I should be aware of that may contribute to your discomfort? For example, headaches, the use of assistive devices, or other relevant factors?
Work Environment:
“Can you describe your work environment and the physical demands of your job?”
“Do you experience any physical discomfort or stress related to your work?”
Lifestyle Habits:
“What are your exercise habits, if any?”
What makes it better? (Heating pad, massage, stretching)
What makes it worse? (Ergonomics, poor self-care, poor posture)
Are your activities of daily living affected? (e.g., brushing teeth, putting clothes on, shoulder checking when driving, carrying a backpack)
Previous Health Professional
“Have you seen any other healthcare professionals for this issue before coming to see me?”
Medication Inquiry
“Are you currently taking any medications or supplements?”