subjective

Question 1

Previous medical history

Answer 1

THREADS- thyroid, heart, rheumatoid, epilepsy, asthma, diabetes, steroids (could be linked to their diagnosis, could impact prescriptions,
eg. Wouldn’t prescribe a patient with uncontrolled epilepsy hydrotherapy due to risk of having a fit)

Question 2

drug history

Answer 2

• How long have you been taking codeine for? are you taking it now to manage your hip pain?
• Can you tell me how many times a day you are taking it?
• Can you tell me out of 10 what your pain is like without taking it and then Pain out of 10 when you are taking it?

Question 3

social history

Answer 3

• What are the physical demands of the job you are in?
• What does It feel like after that activity
• do you live somewhere that has stair you have to manage?
• what does a typical day for you look like?
• what are your hobbies and are you being prevented from taking part in them due to pain currently?

Question 4

red flags

Answer 4

• Have you been feeling generally unwell recently?** (septic arthritis which is an infection of the synovial fluid & joint tissues or malignancy) **
• Have you unintentionally lost weight recently ? (malignancy)
• Compared to normal has your sleep changed are you finding it difficult to sleep? (septic arthritis, malignancy, fracture)
• Have you felt and pins and needle or numbness ?

Question 5

history of present condition

Answer 5

• Would you say the pain stays in one location or does it radiate? (thinking neurological involvement)
• Does the pain come on after moving or doing any specific activity or would you say it is a constant pain? (establish nature of pain this answer will tell me if its mechanical)
• Have you seen any medical professionals previously about your hip pain?
• What are you currently doing to manage your pain?
• How long into the activity does pain come on? How long after the pain is brought on does it go away?
• 24 hour pattern pattern (listening for if its early morning pain that decreases after 30 minute I’m thinking osteoarthritis, if pain isn’t decreasing thinking rheumatoid arthritis and other pathologies)
• Pain at its worst
• Pain at its best
• Pain currently