Subjective data part 2 Flashcards

1
Q

What are some subjective questions to assess nutrition (8)?

A
  • Eating patterns
  • Usual weight. Recent change?
  • Changes in appetite, taste, smell, chewing, swallowing
  • Recent surgery, trauma, burns
  • Chronic conditions
  • N/V/D constipation
  • Food allergies/intolerances
  • Access to healthy food
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2
Q

What subjective data is important to the abdomen (10)?

A
  • Appetite
  • Dysphagia
  • Food intolerance
  • Abdominal pain
  • Nausea/vomiting
  • Bowel habits
  • Abdo surgery
  • Meds
  • Alcohol/tobacco
  • Nutrition
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3
Q

What subjective data is important about the male GU system (10)?

A
  • Frequency, urgency, nocturia
  • Dysuria
  • Hesitancy/straining
  • Urine color
  • History
  • Penis pain, lesion, discharge
  • Scrotum: self care, lumps
  • Sexual activity, condom use
  • STI contact
  • STI risk reduction
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4
Q

Subjective questions for female GU (11)?

A
  • Menstrual hx
  • OB hx
  • Menopause
  • Self care
  • Urinary sx
  • Vaginal discharge
  • History
  • Sexual activity
  • Contraception
  • STI contact
  • STI risk reduction
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5
Q

Subjective questions for MSK (5)?

A
  • Joints: pain, stiffness, swelling, heat, redness, limited ROM
  • Muscles: pain, weakness
  • Bones: pain, deformity, trauma
  • Functional assessment/ADLs
  • Self care
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6
Q

Neuro subjective questions (12)?

A
  • Headache
  • Head injury
  • Dizziness
  • Seizures
  • Tremors
  • Weakness
  • Lack of coordination
  • Numbness/tingling
  • Dysphagia
  • Dysphonia
  • History
  • Env/occ exposure
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