SYMPTOM ANALYSIS This is the description of the complaint that should be documented under the “present problem” or “history of current problem.” 1. Location: be specific: ask the person to point to the location e.g. if problem is pain note the precise site. Head pain is vague; pain behind the eyes, jaw pain are more precise and diagnostically significant. Localized to this site or radiating to other regions of the body. 2. Character or quality: Use specific descriptive terms like burning, sharp, dull, aching, throbbing, and shooting. Use similes-Does it look like sticky tar(blood in stool) or coffee grounds (blood in vomitus) 3. Quantity or severity: Attempt to quantify the symptom or sign, for example profuse menstrual bleeding soaking 5 pads/hour. Pain is difficult to quantify due to variable perceptionshorrible for one person might not be too bad for another. Avoid adjectives and ask how it affects daily activities. I was so sick had to come home and go to beddoubled up could not move. 4. Timing or onset, duration, frequency: When first appearedspecific date, and time, want to get to how long ago symptom started prior to arrival or being seen (PTA). The pain started yesterday does not mean much when read in the futureInclude questions like how long did the symptom last (duration)? Was it steady or constant or did it come and go during that time (intermittent)? Cycle or remission or exacerbationDid it resolve and reappear days or weeks later? 5. Setting: Where was the person or what was the person doing when the symptom started? What brings it on, for example Did you notice the pain after shoveling snow or did it start by itself? 6. Aggravating or relieving factors (Precipitating or palliative): What makes it worse? What relieves it? Is it aggravated by weather, activity, food, medication, standing, bending over, season etc. What is the effect of any treatment? Ask what have you tried or what seems to help? 7. Associated factors: Is the primary symptom associated with any others e.g. urinary frequency is it associated with burning, fever, chills, nausea & vomiting. Review the body system (s) related to this symptom. e.g. urinary frequency, the abdomen, Genitourinary system are related to this symptom. 8. Patients Perception or Understanding: Find out the meaning of the symptom by asking how it affects daily activities. Ask directly What do you think it means? Alerts you to potential anxiety if patient thinks it is worrisome or ominous. Organize your assessment using the mnemonic PQRSTU P: Provocative or Palliative: What brings it on? What were you doing when you first noticed it? What makes it better worse? Q: Quality or Quantity: How does it look, feel, sound? How intense severe is it? R: Region or Radiation: Where is it? Does it spread anywhere? S: Severity Scale. How bad is it? (On a scale of 1-10). Is it getting better worse or staying the same? T: Timing. OnsetExactly when did it first occur? DurationHow long did it last? FrequencyHow often does it occur? U: Understanding. Patients perception of the problem. Why do you think it means or what do you think is going on? Symptom Analysis Grading Rubric All elements of the analysis provided Used APA 6th edition style guidelines consistently and accurately. Used correct spelling and grammar. Use current references 2013-2018
Hide
Are you looking for a similar paper or any other quality academic essay? Then look no further. Our research paper writing service is what you require. Our team of experienced writers is on standby to deliver to you an original paper as per your specified instructions with zero plagiarism guaranteed. This is the perfect way you can prepare your own unique academic paper and score the grades you deserve.
Use the order calculator below and get started! Contact our live support team for any assistance or inquiry.
[order_calculator]