Your Results Subjective Data Collection: 29 of 30 (96.7%) Indicates an item that you found. Indicates an item that is available to be found. Category Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Patient Data Not Scored A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case. History of Presenting Illness Established chief complaint Reports abdominal pain Reports difficulty "going to the bathroom" Asked about onset of the pain Reports a feeling of discomfort for the past five days Reports pain with gradual onset that worsened 2-3 days ago Asked about location of the pain Reports pain in lower abdomen Reports pain is not localized Reports no flank pain © Shadow Health® 2018 Overview Transcript Subjective Data Collection Objective Data Collection Documentation SBAR 2 of 5 Confirmed pain rating on a scale Reports pain rating of 6/10 Confirmed pain rating on a scale Reports pain rating of 6/10 Asked about character of the pain Describes pain as dull and crampy Reports pain is intermittent with aggravating factors Asked about treatment and relieving factors Reports that resting helps Reports attempts to treat pain by drinking small sips of warm water Reports no pain medication for stomach Asked about aggravating factors Reports pain is aggravated by eating Reports pain is aggravated by physical activity Asked about activities of daily life Reports recent difficulty participating in usual activities Reports low energy Asked about constipation Reports current constipation Reports no history of constipation Asked follow-up about constipation Reports constipation for 5 days Reports no attempt to treat constipation Asked about diarrhea Reports recent diarrhea Asked follow-up about diarrhea Reports diarrhea 3 days ago Reports diarrhea had a sudden onset Reports diarrhea lasted one day Describes diarrhea as loose and watery Asked about bowel movement patterns Reports last bowel movement 3 days ago Reports some discomfort during bowel movement Last bowel movement was diarrhea Denies mucus in stool Denies blood in stool Reports typically having a bowel movement almost every day Reports stools usually brown, formed, and soft Asked about urination Reports recent, slight decrease in frequency of urination Reports darker urine recently Denies blood in urine Asked about fluid intake Reports no increase in thirst