subjective assessment

Question 1

what is the process of assessment and treatment?

Answer 1

• subjective assessment
• objective assessment
• working diagnosis
• problem list
• treatment plan

Question 2

what is a subjective assessment and what does it assess?

Answer 2

• system based assessment
• assesses the bodies physiological system
• follows a format

Question 3

what does subjective assessment focus on?

Answer 3

• structure and function

Question 4

where does subjective assessment take place?

Answer 4

• hospital
• acute
• community services
• outpatients

Question 5

what does functional assessment focus on and what is it related to?

Answer 5

• focus on functional independence and mobility for patients
• may be employment or sports related

Question 6

what does goal oriented assessment combine and what doesn’t it fit?

Answer 6

• combines goal setting and patient centred
• doesn’t fit a protocol

Question 7

what are the six main subject headings?

Answer 7

• presenting condition
• history of presenting condition
• past medical history
• drug history
• social history
• significant family history

Question 8

what should you always check before?

Answer 8

• name
• contact details
• date of birth
• where the referral has come from

Question 9

how should you introduce yourself?

Answer 9

• name
• profession
• what you are doing
• check what they would like to be called (preferred title)

Question 10

what are the functions of asking questions?

Answer 10

• guides objective assessment
• formulates working diagnosis
• creates problem list

Question 11

identify sources of information

Answer 11

• patient
• nurses
• discharge letters
• medical notes
• next of kin
• handovers
• GP
• recent relavant correspondence

Question 12

what is the presenting condition?

Answer 12

• what is the patient’s complaint?
• why have they come to physiotherapy for?

Question 13

what are examples of presenting conditions?

Answer 13

• knee pain, back pain, shortness of breath, cough, numbness

Question 14

what is the history of presenting condition ?

Answer 14

• trying to understand mechanism of injury
• what are the origins of your symptoms?
• when did you first notice the symptoms?
• what are the symptoms?

Question 15

what other questions does history of presenting condition focus on?

Answer 15

• how long have they had the symptoms for?
• duration when symptoms present
• what makes symptoms better/ worse?
• visual analogue scale
• how do your symptoms present> pattern of behaviour (within 24 hour pattern)

Question 16

what is past medical history?

Answer 16

• some conditions influence recovery process e.g., vascular conditions
• do you have any other medical conditions?
• have they been treated for this condition before?
• if so, what was used and how long did it take for symptoms to return

Question 17

what is drug history?

Answer 17

• medications can influence healing or side effects leading to experiencing symptoms
• what medication is taken?
• how does it affect you or your symptoms?
• look at pharmacist’s assessment to gather history/ GP record

Question 18

what is social history?

Answer 18

• establishes how much their symptoms have impacted daily life > hence QOL
• serves for goal setting
• activities of daily living/ personal activities of living
• who do they live with?
• what are their hobbies?
• employment history

Question 19

what are the concerns associated with social history?

Answer 19

• concerns with mobility, are they intendent, or do they require walking aid?
• additional equipment at home

Question 20

what other aspect is important to establish and why?

Answer 20

• goals
• what would you like to get out of your treatment?
• what is the patient aiming for?
• helps guide where your treatment > meaningful application

Question 21

what does threads stand for? (past medical history)

Answer 21

Thyroid
Heart- including high blood pressure
Rheumatoid Arthritis
Epilepsy
Asthma
Diabetes
Steroids

Question 22

what else can be asked?

Answer 22

• special questions
• dependent on specific assessment

Question 23

what special questions are asked for lumbar spine or hip symptoms?

Answer 23

• bladder and bowel symptoms
• lower limb weakness
• saddle anaesthesia
• gait

Question 24

what special questions are asked for cervical spine and shoulder symptoms?

Answer 24

• dizziness
• diplopia
• dysphagia
• dysarthria
• drop attacks

Question 25

what special questions are asked for cervical spine and shoulder symptoms?

Answer 25

• numbness
• nausea
• nystagmus

Question 26

what are special questions asked for knee and hip pain?

Answer 26

• locking
• clicking
• giving way

Question 27

what are other questions to be clear of?

Answer 27

• unintentional weight loss
• unremittent night pain
• unremittent non mechanical pain
• fever
• feeling generally unwell
• widespread neurological symptoms
• family history of cancer