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Dimension of Symptom

This document provides guidance on assessing the dimensions of a patient's symptoms. It discusses exploring the location, quality, timing, severity, and other factors of a patient's complaint. Students are to practice a conversation with a patient to thoroughly understand the dimensions of their symptoms. An example case of a patient with suspected appendicitis is given who reports pain around their navel and lower right abdomen that increases with touch, along with fever, nausea, vomiting, loss of appetite, and recurrent stomach pain made worse by bowel movements.

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Dwi
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823 views5 pages

Dimension of Symptom

This document provides guidance on assessing the dimensions of a patient's symptoms. It discusses exploring the location, quality, timing, severity, and other factors of a patient's complaint. Students are to practice a conversation with a patient to thoroughly understand the dimensions of their symptoms. An example case of a patient with suspected appendicitis is given who reports pain around their navel and lower right abdomen that increases with touch, along with fever, nausea, vomiting, loss of appetite, and recurrent stomach pain made worse by bowel movements.

Uploaded by

Dwi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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DIMENSION OF SYMPTOMS

Learning objectives
(By self-study)
After completed this chapter, students will be able to:
1. Give communicative response to patient’s complaint
2. Ask the dimensions of symptoms
DIMENSION OF SYMPTOMS
• Does it move around?
Vocabulary
• Show me where.
• Dull
B. QUALITY OR CHARACTER
• Stabbing
• What is it like? Is it sharp, dull,
• Sharp
stabbing, aching?
• Aching
• Do you feel ….?
• Aggravating factors
• What does the pain look like?
• Alleviating factors
• When did it last?
Useful Expression C. TIMING
Task. Study and • When did you first notice it?
A. LOCATION • How long does it last?
• Where do you feel it? • How often does it happen?
DIMENSION OF SYMPTOMS
D. SEVERITY
• On a scale of 0 to 10, with ten the worst, how would you rate what you
feel right now?
• What was the worst it has been?
• Does this interfere your usual activities? In what ways?
SETTING
• Does it occur in a particular place or under certain circumstances?
• Have you taken anything for it?
• Does it appear in particular time?
TASK
1. Make a complete conversation to explore the dimensions of symptom
2. Take one case only
Case 1
A patient with anorexia nervosa expresses:
• I don’t want to have a lot of meal Case 2
• I don’t want to be plump A patient suspected with appendicitis expresses:
• My arms and legs are getting fat • I feel pain around my navel
• I have difficulty in bowel motion • I feel pain around here (in the lower right spot of
my abdomen)
• I feel nausea
• I feel a sharp pain
• I want to vomit • Don’t touch my stomach, it increases my pain
• Food makes my stomach upset • I feel feverish
• I am afraid of being fat • I feel nausea
• I vomit
• I lose my appetite
• I vomit frequently after meals
• I have recurrent pain in my lower part of my
stomach
• It becomes more painful if I do the squatting
bowel motion
“Success is climbing a mountain, facing the
challenge of obstacles, and reaching the top
of mountain”

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