Difference between revisions of "Symptom Assessment"
| Line 12: | Line 12: | ||
□ Not bothered at all <br> | □ Not bothered at all <br> | ||
| − | S2. | + | S2. '''Back pain'''?<br> |
□ Bothered a lot<br> | □ Bothered a lot<br> | ||
□ Bothered a little<br> | □ Bothered a little<br> | ||
□ Not bothered at all<br> | □ Not bothered at all<br> | ||
| − | S3. | + | S3. '''Pain in your arms, legs, or jopints (knees, hips, etc.)'''?<br> |
□ Bothered a lot<br> | □ Bothered a lot<br> | ||
□ Bothered a little<br> | □ Bothered a little<br> | ||
□ Not bothered at all<br> | □ Not bothered at all<br> | ||
| − | S1. | + | S1. '''Menstrual cramps of other problems with your periods - WOMEN ONLY'''?<br> |
□ Bothered a lot <br> | □ Bothered a lot <br> | ||
□ Bothered a little <br> | □ Bothered a little <br> | ||
Revision as of 08:23, 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.
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 jopints (knees, hips, etc.)?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S1. Menstrual cramps of other problems with your periods - WOMEN ONLY?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S2. During the past 4 weeks, how much have you been bothered by back pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S3. During the past 4 weeks, how much have you been bothered by pain in your arms, legs, or jopints (knees, hips, etc.)?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S1. During the past 4 weeks, how much have you been bothered by stomach pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S2. During the past 4 weeks, how much have you been bothered by back pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S3. During the past 4 weeks, how much have you been bothered by pain in your arms, legs, or jopints (knees, hips, etc.)?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S1. During the past 4 weeks, how much have you been bothered by stomach pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S2. During the past 4 weeks, how much have you been bothered by back pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S3. During the past 4 weeks, how much have you been bothered by pain in your arms, legs, or jopints (knees, hips, etc.)?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S1. During the past 4 weeks, how much have you been bothered by stomach pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S2. During the past 4 weeks, how much have you been bothered by back pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S3. During the past 4 weeks, how much have you been bothered by pain in your arms, legs, or jopints (knees, hips, etc.)?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S1. During the past 4 weeks, how much have you been bothered by stomach pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S2. During the past 4 weeks, how much have you been bothered by back pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S3. During the past 4 weeks, how much have you been bothered by pain in your arms, legs, or jopints (knees, hips, etc.)?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S1. During the past 4 weeks, how much have you been bothered by stomach pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S2. During the past 4 weeks, how much have you been bothered by back pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S3. During the past 4 weeks, how much have you been bothered by pain in your arms, legs, or jopints (knees, hips, etc.)?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S1. During the past 4 weeks, how much have you been bothered by stomach pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S2. During the past 4 weeks, how much have you been bothered by back pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S3. During the past 4 weeks, how much have you been bothered by pain in your arms, legs, or jopints (knees, hips, etc.)?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S1. During the past 4 weeks, how much have you been bothered by stomach pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S2. During the past 4 weeks, how much have you been bothered by back pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
S3. During the past 4 weeks, how much have you been bothered by pain in your arms, legs, or jopints (knees, hips, etc.)?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all
