Sample focused interview questions to include during a subjective assessment of the musculoskeletal system are contained in Table 13.4a. Use information obtained during the subjective assessment to guide your physical examination. If the patient is experiencing acute pain or recent injury, focus on providing pain relief and/or stabilization of the injury prior to proceeding with the interview. If the patient reports a current symptom, use the PQRSTU method described in the “ Health History” chapter to obtain more information about this chief complaint. For example, an older client may have chronic limited range of motion in the knee due to osteoarthritis, whereas a child may have new, limited range of motion due to a knee sprain that occurred during a sports activity. Information during the subjective assessment should be compared to expectations for the patient’s age group or that patient’s baseline. Subjective AssessmentĬollect subjective data from the patient and pay particular attention to what the patient is reporting about current symptoms, as well as past history of musculoskeletal injuries and disease. Now that you reviewed the anatomy of the musculoskeletal system and common musculoskeletal conditions, let’s discuss the components of a routine nursing assessment.
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