Subjective Assessment

Question 1

What are the components of the initial contact with a patient?

Answer 1

subjective assessment, objective assessment, establish a problem list, create and implement a treatment plan

Question 2

What information should you collect on initial meeting?

Answer 2

• presenting condition
• hx of presenting condition
• past medical hx
• pain
• drug hx
• social hx
• significant family hx
• goals

Question 3

Questions for gathering history of presenting complaint

Answer 3

-What is the origin of your symptoms
- When did you first notice them
-What are your symptoms
-How long have you had symptoms
-what makes symptoms better/worse
-When are the symptoms present

Question 4

Questions for gathering drug history

Answer 4

-Do you take any medication
-Which medications do you take
-How do they affect your symptoms

Question 5

THREADS (past medical conditions)

Answer 5

Thyroid
Heart (incl. high blood pressure)
Rheumatoid arthritis
Epilepsy
Asthma
Diabetes
Steroids

Question 6

Questions for gathering social history

Answer 6

-What hobbies/ daily activities do you enjoy
-employment
-do they walk independently or have walking aids
-who do you live with
-any additional equipment at home

Question 7

Special Questions

Answer 7

-Unintentional weight loss
-Unremittent night pain
-Unremittent non mechanical pain
-Fever
-Feeling generally unwell
-Widespread neurological symptoms
-Family history of Cancer