Difference between revisions of "Symptom Assessment"
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[[Symptoms]] can be reported by the patient with the [[Symptom Assessment]], which is a component of the [[Well-Being Assessment]]. There is a capability being developed tat will enable [[symptoms]] to be updated regularly via the [[Well-Being Status|well-being status]]. [[Symptoms]] are typically addressed by assigning [[Care Goals]] and interventions and activities in the [[Care Plan]]. | [[Symptoms]] can be reported by the patient with the [[Symptom Assessment]], which is a component of the [[Well-Being Assessment]]. There is a capability being developed tat will enable [[symptoms]] to be updated regularly via the [[Well-Being Status|well-being status]]. [[Symptoms]] are typically addressed by assigning [[Care Goals]] and interventions and activities in the [[Care Plan]]. | ||
| + | |||
| + | '''GENERAL SYMPTOMS ASSESSMENT''' | ||
| + | |||
| + | This is based on the [http://www.psychiatry.org/File%20Library/Practice/DSM/DSM-5/Level2SomaticSymptomAdult.pdf '''Physical Symptoms (PHQ-15)'''] | ||
| + | |||
| + | '''During the <u>past 4 weeks</u>, how much have you been bothered by any of the problems?''' <br> | ||
| + | |||
| + | [[S1|S1.]] '''Stomach pain'''?<br> | ||
| + | □ Bothered a lot <br> | ||
| + | □ Bothered a little <br> | ||
| + | □ Not bothered at all <br> | ||
| + | |||
| + | [[S2|S2.]] '''Back pain'''?<br> | ||
| + | □ Bothered a lot<br> | ||
| + | □ Bothered a little<br> | ||
| + | □ Not bothered at all<br> | ||
| + | |||
| + | [[S3|S3.]] '''Pain in your arms, legs, or joints (knees, hips, etc.)'''?<br> | ||
| + | □ Bothered a lot<br> | ||
| + | □ Bothered a little<br> | ||
| + | □ Not bothered at all<br> | ||
| + | |||
| + | [[S4|S4.]] '''Menstrual cramps of other problems with your periods - WOMEN ONLY'''?<br> | ||
| + | □ Bothered a lot <br> | ||
| + | □ Bothered a little <br> | ||
| + | □ Not bothered at all <br> | ||
| + | |||
| + | [[S5|S5.]] '''Headaches'''?<br> | ||
| + | □ Bothered a lot<br> | ||
| + | □ Bothered a little<br> | ||
| + | □ Not bothered at all<br> | ||
| + | |||
| + | [[S6|S6.]] '''Chest pain'''?<br> | ||
| + | □ Bothered a lot<br> | ||
| + | □ Bothered a little<br> | ||
| + | □ Not bothered at all<br> | ||
| + | |||
| + | [[S7|S7.]] '''Dizziness'''?<br> | ||
| + | □ Bothered a lot <br> | ||
| + | □ Bothered a little <br> | ||
| + | □ Not bothered at all <br> | ||
| + | |||
| + | [[S8|S8.]] '''Fainting spells'''?<br> | ||
| + | □ Bothered a lot<br> | ||
| + | □ Bothered a little<br> | ||
| + | □ Not bothered at all<br> | ||
| + | |||
| + | [[S9|S9.]] '''Feeling your heart pound or race'''?<br> | ||
| + | □ Bothered a lot<br> | ||
| + | □ Bothered a little<br> | ||
| + | □ Not bothered at all<br> | ||
| + | |||
| + | [[S10|S10.]] '''Shortness of breath'''?<br> | ||
| + | □ Bothered a lot <br> | ||
| + | □ Bothered a little <br> | ||
| + | □ Not bothered at all <br> | ||
| + | |||
| + | [[S11|S11.]] '''Pain or problems during sexual intercourse'''?<br> | ||
| + | □ Bothered a lot<br> | ||
| + | □ Bothered a little<br> | ||
| + | □ Not bothered at all<br> | ||
| + | |||
| + | [[S12|S12.]] '''Constipation, loose bowels, or diarrhea'''?<br> | ||
| + | □ Bothered a lot<br> | ||
| + | □ Bothered a little<br> | ||
| + | □ Not bothered at all<br> | ||
| + | |||
| + | [[S13|S13.]] '''Nausea, gas, or indigestion'''?<br> | ||
| + | □ Bothered a lot <br> | ||
| + | □ Bothered a little <br> | ||
| + | □ Not bothered at all <br> | ||
| + | |||
| + | [[MH Depression PHQ-4|PHQ-4.]] '''Feeling tired or having low energy'''?<br> | ||
| + | □ Bothered a lot<br> | ||
| + | □ Bothered a little<br> | ||
| + | □ Not bothered at all<br> | ||
| + | |||
| + | [[MH Depression PHQ-3|PHQ-3.]] '''Trouble failing or staying asleep, or sleeping too much'''?<br> | ||
| + | □ Bothered a lot<br> | ||
| + | □ Bothered a little<br> | ||
| + | □ Not bothered at all<br> | ||
Latest revision as of 09:48, 9 June 2015
Symptoms can be reported by the patient with the Symptom Assessment, which is a component of the Well-Being Assessment. There is a capability being developed tat will enable symptoms to be updated regularly via the well-being status. Symptoms are typically addressed by assigning Care Goals and interventions and activities in the Care Plan.
GENERAL SYMPTOMS ASSESSMENT
This is based on the Physical Symptoms (PHQ-15)
During the past 4 weeks, how much have you been bothered by any of the problems?
S1. Stomach pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S2. Back pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S3. Pain in your arms, legs, or joints (knees, hips, etc.)?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S4. Menstrual cramps of other problems with your periods - WOMEN ONLY?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S5. Headaches?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S6. Chest pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S7. Dizziness?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S8. Fainting spells?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S9. Feeling your heart pound or race?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S10. Shortness of breath?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S11. Pain or problems during sexual intercourse?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S12. Constipation, loose bowels, or diarrhea?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S13. Nausea, gas, or indigestion?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
PHQ-4. Feeling tired or having low energy?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
PHQ-3. Trouble failing or staying asleep, or sleeping too much?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
