Tanner Bailey Pain Management shadow health Subjective data
Tanner Bailey Pain Management shadow health Subjective data
Subjective Data Collection: 25 of 25 (100.0%)
Hover To Reveal…
Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
-
Found:
Indicates an item that you found.
-
Available:
Indicates an item that is available to be found.
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.
Chief Complaint
Finding:
Established chief complaint and reason for admittance
-  Subjective Action Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. Example Question: “what is your chief complaint?”” data-html=”true” data-title=”Reports chronic lower back pain resulting from work injury (Found)” data-original-title=””>
Finding:
Reports chronic lower back pain resulting from work injury
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.Example Question:
What is your chief complaint? -  Subjective Action Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. Example Question: “what is your chief complaint?”” data-html=”true” data-title=”Reports wanting a prescription for opioids (Found)” data-original-title=””>
Finding:
Reports wanting a prescription for opioids
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.Example Question:
What is your chief complaint?
History of Present Illness
Finding:
Asked about onset of injury
-  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “when did the pain start?”” data-html=”true” data-title=”Reports sustaining injury thirteen weeks ago (Found)” data-original-title=””>
Finding:
Reports sustaining injury thirteen weeks ago
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
When did the pain start? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “when did the pain start?”” data-html=”true” data-title=”Reports injury occurred after lifting a heavy box (Found)” data-original-title=””>
Finding:
Reports injury occurred after lifting a heavy box
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
When did the pain start? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “when did the pain start?”” data-html=”true” data-title=”Reports pain onset immediately after injury (Found)” data-original-title=””>
Finding:
Reports pain onset immediately after injury
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
When did the pain start? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “did you go to the hospital?”” data-html=”true” data-title=”Reports being driven to hospital immediately after injury (Found)” data-original-title=””>
Finding:
Reports being driven to hospital immediately after injury
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Did you go to the hospital?
Finding:
Followed up on hospitalization
-  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “what did the hospital diagnose you with?”” data-html=”true” data-title=”Reports hospital exams could not diagnose the type of back injury (Found)” data-original-title=””>
Finding:
Reports hospital exams could not diagnose the type of back injury
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
What did the hospital diagnose you with? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “did the hospital prescribe you anything?”” data-html=”true” data-title=”Reports hospital prescribed ibuprofen (Found)” data-original-title=””>
Finding:
Reports hospital prescribed ibuprofen
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Did the hospital prescribe you anything? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “did the hospital recommend anything?”” data-html=”true” data-title=”Reports being told at the hospital to attend physical therapy (Found)” data-original-title=””>
Finding:
Reports being told at the hospital to attend physical therapy
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Did the hospital recommend anything?
Finding:
Asked about frequency, duration, and timing of pain
-  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “have your pain levels changed since injury?”” data-html =true data-title=”Reports back injury and pain have not healed since onset (Found)” data-original-title=””>
Finding:
Reports back injury and pain have not healed since onset
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Have your pain levels changed since your injury? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “when does the pain occur?”” data-html=”true” data-title=”Reports pain fluctuates in and out throughout the day at irregular intervals (Found)” data-original-title=””>
Finding:
Reports pain fluctuates in and out throughout the day at irregular intervals
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
When does the pain occur?
Finding:
Asked about additional symptoms of injury
-  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “what other symptoms do you have?”” data-html=”true” data-title=”Denies additional symptoms (Found)” data-original-title=””>
Finding:
Denies additional symptoms
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
What other symptoms do you have?
Finding:
Asked about aggravating factors of pain
-  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “does exertion make your pain worse?”” data-html=”true” data-title=”Reports exertion such as walking, bending, or lifting aggravate pain (Found)” data-original-title=””>
Finding:
Reports exertion such as walking, bending, or lifting aggravate pain
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Does exertion make your pain worse? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “does exercise make your pain worse?”” data-html=”true” data-title=”Reports at-home physical therapy exercises aggravated pain, discouraging attendence of physical therapy (Found)” data-original-title=””>
Finding:
Reports at-home physical therapy exercises aggravated pain, discouraging attendence of physical therapy
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Does exercise make your pain worse?
Finding:
Asked about nonmedicational treatment and relieving factors of pain
-  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “does drinking alcohol relieve your pain?”” data-html=”true” data-title=”Reports drinking alcohol relieves pain (Found)” data-original-title=””>
Finding:
Reports drinking alcohol relieves pain
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Does drinking alcohol relieve your pain? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “does shifting positions relieve your pain?”” data-html=”true” data-title=”Reports shifting positions when sitting or lying down can slightly relieve pain (Found)” data-original-title=””>
Finding:
Reports shifting positions when sitting or lying down can slightly relieve pain
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Does shifting positions relieve your pain? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “does resting relieve your pain?”” data-html=”true” data-title=”Reports resting slightly relieves pain (Found)” data-original-title=””>
Finding:
Reports resting slightly relieves pain
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Does resting relieve your pain? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “have you tried heat packs?”” data-html=”true” data-title=”Denies trying heat or ice packs (Available)” data-original-title=””>
Finding:
Denies trying heat or ice packs
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Have you tried heat packs?
Finding:
Asked about characteristics of pain
-  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “what is the pain like?”” data-html=”true” data-title=”Descibes pain as usually sharp and burning (Found)” data-original-title=””>
Finding:
Descibes pain as usually sharp and burning
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
What is the pain like? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “what is the pain like?”” data-html=”true” data-title=”Describes pain as occasionally tingling (Found)” data-original-title=””>
Finding:
Describes pain as occasionally tingling
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
What is the pain like?
Finding:
Asked about severity of pain
-  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “how much pain are you in?”” data-html=”true” data-title=”Reports sometimes pain is not present or low, or 0-2 (Found)” data-original-title=””>
Finding:
Reports sometimes pain is not present or low, or 0-2
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
How much pain are you in? -  Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “how much pain are you in?”” data-html=”true” data-title=”Reports sometimes pain is moderate to severe, or 4-7 (Found)” data-original-title=””>
Finding:
Reports sometimes pain is moderate to severe, or 4-7
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
How much pain are you in?
Past Medical History
Finding:
Asked about other existing health conditions
-  Subjective Action Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Example Question: “what other health problems do you have?”” data-html=”true” data-title=”Denies other health problems (Found)” data-original-title=””>
Finding:
Denies other health problems
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
What other health problems do you have?
Finding:
Asked about history of mental health
-  Subjective Action Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Example Question: “do you have a history of psychiatric illness?”” data-html=”true” data-title=”Denies mental health disorders (Found)” data-original-title=””>
Finding:
Denies mental health disorders
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
Do you have a history of psychiatric illness?
Finding:
Asked about allergies
-  Subjective Action Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Example Question: “do you have any allergies?”” data-html=”true” data-title=”Denies allergies (Found)” data-original-title=””>
Finding:
Denies allergies
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
Do you have any allergies?
Family Medical History
Finding:
Asked about relevant family medical history
-  Subjective Action Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it. Example Question: “can you tell me about your family history?”” data-html=”true” data-title=”Reports mother has depression and is an alcoholic (Found)” data-original-title=””>
Finding:
Reports mother has depression and is an alcoholic
(Found)
Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.Example Question:
Can you tell me about your family history?
Home Medications
Finding:
Asked about gender-affirming medications
-  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “are you currently taking testosterone?”” data-html=”true” data-title=”Reports currently taking testosterone enanthate for gender-affirmation therapy (Found)” data-original-title=””>
Finding:
Reports currently taking testosterone enanthate for gender-affirmation therapy
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Are you currently taking testosterone?
Finding:
Asked about home medications for injury
-  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “do you take ibuprofen?”” data-html=”true” data-title=”Reports previously taking ibuprofen for back pain (Found)” data-original-title=””>
Finding:
Reports previously taking ibuprofen for back pain
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Do you take ibuprofen? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “do you take opioids?”” data-html=”true” data-title=”Reports previously taking opioid analgesics for back pain (Found)” data-original-title=””>
Finding:
Reports previously taking opioid analgesics for back pain
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Do you take opioids?
Finding:
Followed up on testosterone therapy
-  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “what form is your testosterone in?”” data-html=”true” data-title=”Reports testosterone is in injection form (Found)” data-original-title=””>
Finding:
Reports testosterone is in injection form
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
What form is your testosterone in? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “what dosage is your testosterone?”” data-html=”true” data-title=”Reports dosage is 100 milligrams per week (Found)” data-original-title=””>
Finding:
Reports dosage is 100 milligrams per week
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
What dosage is your testosterone? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “how long have you taken testosterone?”” data-html=”true” data-title=”Reports having taken testosterone for two years (Available)” data-original-title=””>
Finding:
Reports having taken testosterone for two years
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
How long have you taken testosterone? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “when was your last dose of testosterone?”” data-html=”true” data-title=”Reports most recent dose of testosterone was yesterday (Available)” data-original-title=””>
Finding:
Reports most recent dose of testosterone was yesterday
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
When was your last dose of testosterone?
Finding:
Followed up on ibuprofen
-  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “did you fill your prescription?”” data-html=”true” data-title=”Reports buying over-the-counter ibuprofen to avoid the hassle of filling a prescription (Found)” data-original-title=””>
Finding:
Reports buying over-the-counter ibuprofen to avoid the hassle of filling a prescription
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Did you fill your prescription? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “how much ibuprofen did you take?”” data-html=”true” data-title=”Reports having taken two 200 milligram ibuprofen pills at a time (Available)” data-original-title=””>
Finding:
Reports having taken two 200 milligram ibuprofen pills at a time
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
How much ibuprofen did you take? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “how often did you take ibuprofen?”” data-html=”true” data-title=”Reports having taken ibuprofen every four hours (Available)” data-original-title=””>
Finding:
Reports having taken ibuprofen every four hours
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
How often did you take ibuprofen? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “did ibuprofen help the pain?”” data-html=”true” data-title=”Reports ibuprofen was ineffective as an analgesic (Found)” data-original-title=””>
Finding:
Reports ibuprofen was ineffective as an analgesic
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Did ibuprofen help the pain?
Finding:
Followed up on opioid analgesic
-  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “where did you obtain opioids?”” data-html=”true” data-title=”Reports having been given opioids leftover from his friend’s surgery (Found)” data-original-title=””>
Finding:
Reports having been given opioids leftover from his friend’s surgery
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Where did you obtain opioids? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “what dose of opioids did you take?”” data-html=”true” data-title=”Reports the opioids were a combination of 325 milligrams acetaminophen and 5 milligrams hydrocodone (Available)” data-original-title=””>
Finding:
Reports the opioids were a combination of 325 milligrams acetaminophen and 5 milligrams hydrocodone
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
What dose of opioids did you take? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “how often did you take the opioids?”” data-html=”true” data-title=”Reports having taken the opioids twice daily, morning and night (Available)” data-original-title=””>
Finding:
Reports having taken the opioids twice daily, morning and night
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
How often did you take the opioids? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “did opioids help the pain?”” data-html=”true” data-title=”Reports the opioids were effective as an analgesic (Found)” data-original-title=””>
Finding:
Reports the opioids were effective as an analgesic
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Did opioids help the pain? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “are you dependent on opioids?”” data-html=”true” data-title=”Denies being dependent on opioids (Available)” data-original-title=””>
Finding:
Denies being dependent on opioids
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Are you dependent on opioids?
Finding:
Asked about medication timeline
-  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “what period of time did you take ibuprofen?”” data-html=”true” data-title=”Reports having started ibuprofen 13 weeks ago just after hospitalization and stopping 11 weeks ago (Found)” data-original-title=””>
Finding:
Reports having started ibuprofen 13 weeks ago just after hospitalization and stopping 11 weeks ago
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
What period of time did you take ibuprofen? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “when did you stop taking ibuprofen?”” data-html=”true” data-title=”Reports stopping ibuprofen 11 weeks ago to more safely use alcohol as a stronger analgesic (Available)” data-original-title=””>
Finding:
Reports stopping ibuprofen 11 weeks ago to more safely use alcohol as a stronger analgesic
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
When did you stop taking ibuprofen? -  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “when did you stop drinking alcohol?”” data-html=”true” data-title=”Reports stopping alcohol use 1 week ago to more safely use opioids as a stronger analgesic (Available)” data-original-title=””>
Finding:
Reports stopping alcohol use 1 week ago to more safely use opioids as a stronger analgesic
(Available)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
When did you stop drinking alcohol? -  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “what period of time did you take the opioids?”” data-html=”true” data-title=”Reports having taken the opioids for a week until running out this morning (Found)” data-original-title=””>
Finding:
Reports having taken the opioids for a week until running out this morning
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
What period of time did you take the opioids?
Finding:
Asked about medication regimen adherence
-  Subjective Action Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation. Example Question: “do you miss doses of your medication?”” data-html=”true” data-title=”Denies missing doses (Found)” data-original-title=””>
Finding:
Denies missing doses
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Do you miss doses of your medication?
Social History
Finding:
Asked about income level
-  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “what level of income do you make?”” data-html=”true” data-title=”Reports steady but low income as a theatre director (Found)” data-original-title=””>
Finding:
Reports steady but low income as a theatre director
(Found)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
What level of income do you make?
Finding:
Asked about gender identity
-  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “what gender do you identify as?”” data-html=”true” data-title=”Reports transgender (female to male) identity (Found)” data-original-title=””>
Finding:
Reports transgender (female to male) identity
(Found)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
What gender do you identify as? -  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “what do you to masculizine your appearance?”” data-html =true data-title=”Reports wearing a chest binder to masculinize appearance (Available)” data-original-title=””>
Finding:
Reports wearing a chest binder to masculinize appearance
(Available)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
What do you do to masculizine your appearance?
Finding:
Asked about substance use
-  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “do you drink alcohol?”” data-html=”true” data-title=”Reports using alcohol (Found)” data-original-title=””>
Finding:
Reports using alcohol
(Found)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
Do you drink alcohol? -  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “have you ever used illicit substances?”” data-html=”true” data-title=”Denies using illicit drugs (Available)” data-original-title=””>
Finding:
Denies using illicit drugs
(Available)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
Have you ever used illicit substances? -  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “have you ever used nicotine products?”” data-html=”true” data-title=”Denies using nicotine or tobacco (Available)” data-original-title=””>
Finding:
Denies using nicotine or tobacco
(Available)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
Have you ever used nicotine products?
Finding:
Followed up on alcohol use
-  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “how often did you drink alcohol before your injury?”” data-html=”true” data-title=”Reports increasing alcohol use for its slight efficacy as an analgesic (Found)” data-original-title=””>
Finding:
Reports increasing alcohol use for its slight efficacy as an analgesic
(Found)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
How often did you drink alcohol before your injury? -  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “how often did you drink alcohol before your injury?”” data-html=”true” data-title=”Reports drinking 1-2 servings of alcohol a month before injury (Available)” data-original-title=””>
Finding:
Reports drinking 1-2 servings of alcohol a month before injury
(Available)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
How often did you drink alcohol before your injury? -  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “how many servings of alcohol do you have a day?”” data-html=”true” data-title=”Reports now drinking 3 servings of alcohol a day (Available)” data-original-title=””>
Finding:
Reports now drinking 3 servings of alcohol a day
(Available)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
How many servings of alcohol do you have a day? -  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “when in the day do you drink?”” data-html=”true” data-title=”Reports spreading alcohol servings throughout the day (Available)” data-original-title=””>
Finding:
Reports spreading alcohol servings throughout the day
(Available)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
When in the day do you drink? -  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “do you have adverse effects from alcohol use?”” data-html=”true” data-title=”Denies adverse effects of alcohol (Available)” data-original-title=””>
Finding:
Denies adverse effects of alcohol
(Available)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
Do you have adverse effects from alcohol use? -  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “are you dependent on alcohol?”” data-html=”true” data-title=”Denies dependency on alcohol (Available)” data-original-title=””>
Finding:
Denies dependency on alcohol
(Available)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
Are you dependent on alcohol?
Finding:
Asked about intoxication during risky activities
-  Subjective Action Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives. Example Question: “has your alcohol consumption endangered you?”” data-html=”true” data-title=”Denies intoxication during risky activities (Found)” data-original-title=””>
Finding:
Denies intoxication during risky activities
(Found)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.Example Question:
Has your alcohol consumption endangered you?