Subjective

Question 1

What is the subjective data for Joints?

Answer 1

Pain, stiffness, swelling/heat/redness, limitation of mvmt

Question 2

What is the subjective data for muscles?

Answer 2

pain (cramps), weakness

Question 3

What is the subjective data for bones?

Answer 3

pain, deformity, trauma (fractures, sprains, dislocations)

Question 4

Besides the data for joints, muscles and bones; subjective data also includes a ________ assessment (ADL’s) and self care behaviors.

Answer 4

functional

Question 5

____ pain and loss of function are the most common musculoskeletal concerns that prompt a person to seek care.

Answer 5

Joint

Question 6

What is the location of your joint pain? one or both sides?

______arthritic (RA) involves symmetric joints; other musculoskeletal illnesses involve isolated or unilateral joints.

Answer 6

Rheumatoid

Question 7

What is the quality of joint pain?

-what does the pain feel like: aching, stiff, sharp, or dull, shooting?

Answer 7

Tender with acute inflammation

Question 8

Timing: What time of day does your joint pain occur? how long does it last? how often does it occur?

• RA pain is worse in the_______when arising
• Osteoarthritis is worse later in the day
• ______is worse in the morning, but improves during the day

Answer 8

morning

tendinitis

Question 9

Is your joint pain aggravated by mvmt, rest, position, weather? is the pain releived by rest, meds, ice/heat?

-Movement increases most joint pain except in _______ _______, in which mvmt decreases pain

Answer 9

rheumatoid arthritis

Question 10

Is your joint pain associated with chills, fever, recent sore throat, trauma, repetitive activity?

• Joint pain __ to ___ days after an untreated strep throat suggests rheumatic fever.
• joint injury occurs from _____, repetitive motion

Answer 10

10-14, trauma

Question 11

Any stiffness in your joints?

-RA stiffness occurs in ______ after rest periods

Answer 11

morning

Question 12

Any sweeling, heat, redness in the joints?
-suggest _____ inflam

Any limitation of mvmt in any joints, which joints?
-Decreased ___ __ ______ may be due to joint injury to cartilage or capsule or to muscle contracture.

Which activities give you problems? (see functional assessment)

Answer 12

acute, range of motion

Question 13

Any problems in your muscles, such as pain or cramping? which muscles?

• _____is usually felt as cramping or aching
• If in calf muscles, any pain with walking, does it go away with rest…what does this suggest?

Answer 13

Myalgia, intermittent claudication

Question 14

Are your muscle aches associated with fever, chills, the “flu”?
- ____ illness often include myalgia.

Any weakness in muscles?
-May involve musculoskeletal or neurologic systems

Do your muscles look smaller?-______

Answer 14

viral

atrophy

Question 15

Any bone pain? affected by mvmt?

• _______ causes sharp pain that increases with mvmt. other bone pain usually feels dull and deep and is unrelated to mvmt.
• look at other questions under bone

Answer 15

Fracture

Question 16

For self care behaviors, besides occupational hazards, repetitive motion/chronic stress to joints, alleviating factors, what should you assess for when you ask the questions listed?

Answer 16

1. ) self esteem disturbance
2. ) loss of independence
3. ) body image disturbance
4. ) role performance disturbance
5. ) social isolation

Question 17

What are common medications for musculoskeletal problems?

Answer 17

• anti-inflam agents
• analgesics: narcotics/non-narcotics
• muscle relaxants
• steroids
• calcium supplements

Question 18

Additional subjective listed on notes:

• injuries/ accidents
• _________ diseases
• special needs (amputation, use of assistive devices, hemiplegia, quadriplegia, paraplegia)
• health _______ activities (sleep, diet (intake of ca/nutritional supplements)
• ______ illnesses (polio, juvenile arthritis, exercise (weight bearing, non-weight bearing, aerobic activity)
• use of safety devices
• heath check ups

Answer 18

communicable
maintenance
childhood