Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Onset
· What was the patient doing when it started?
· Example: “My chest pain started right after walking up a flight of stairs.”
Provocation/palliation
· What makes the symptom worse (provocation) or better (palliation)?
· Example: “It feels better when I sit down and rest, but only a little bit.”
Quality
· Can the patient describe the symptom?
o Descriptors for pain:
Sharp, stabbing, dull, pressure, constant, intermittent,
throbbing, aching
· Example: “It’s a sharp, constant pain,”
Radiation
· Does the symptom start in one location and radiate to another?
· Example: “The pain radiates from my chest into my left shoulder.”
Severity
· Scale of 0-10, with 0 being no symptom and 10 being the worse that the
symptom could be.
· Example: “The pain is a 6 now that I’m resting, down from a 9
immediately after walking up the stairs.”
Time
· Exactly what time the symptom start (the symptoms that caused the
patient to dial 911), and how long total?
· Example: “It started about 9 a.m., or about 35 minutes ago, and hasn’t
stopped.”
SAMPLE
Signs and Symptoms
• Signs: Look for:
o Pale skin
o Diaphoresis
o Cyanosis
o Altered mental status
o Etc….
• Symptoms:
o Chest pain
o Difficulty breathing
o Dizziness
o Nausea/vomiting
o Weakness
o Syncope (passed out?)
o Abdominal or back pain
o Headache
Allergies
• Medications?
o If yes, what happens?
• Environmental?
Medications
• Any prescription medications?
o Are they compliant with medications they are supposed to be taking?
o Were they prescribed the medication, or are they self-medicating?
• Any herbal meds?
• Any over-the-counter medications?
• Illicit drugs or alcohol?
Past medical history
• Be specific:
o Cardiac problems?
o Breathing problems?
o Stroke?
o High blood pressure?
o Kidney disease?
o Seizures?
o Diabetes?
Last oral intake
• Food & water
Events
• Take this opportunity to clear up any questions about the event.