We appreciate your visit to If a patient is complaining of pain in the shoulder but there are no visible signs of trauma you should A Make a note of. This page offers clear insights and highlights the essential aspects of the topic. Our goal is to provide a helpful and engaging learning experience. Explore the content and find the answers you need!
Answer :
When a patient complains of shoulder pain without visible signs of trauma, it's essential to document the complaint in the patient's chart. This documentation supports thorough patient care and paves the way for necessary evaluations or interventions. So, the correct option is option A. Make a note of patient's complaint in the chart.
If a patient is complaining of pain in the shoulder, but there are no visible signs of trauma, you should make a note of the patient's complaint in the chart. This is critical as pain can be subjective and not always accompanied by visible signs of trauma. Proper documentation of the patient's complaints is a fundamental aspect of patient care and helps in forming a baseline for further assessments and determines the need for possible interventions such as imaging or referral to a specialist. Even if pain is due to referred sources, such as in cases of potential heart issues, documentation remains essential. Asking the patient's consent before taking photographs is also important, but the primary step is to make a note in the patient's medical records.
During an examination, a health professional should assess the site of pain thoroughly, even if multiple locations are involved. They would evaluate the functionality of the joint, including the range of motion, and based on the assessment, may create an appropriate plan for intervention, such as a physical therapy regimen. Understanding both the character and the alleviating factors of pain is important in comprehensive patient care. Therefore, documenting the patient's subjective report of pain is a critical component of the assessment of pain.
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Documenting a patient's complaint of shoulder pain in the medical chart is crucial, even without visible signs of trauma. A thorough assessment of the site, range of motion, and current pain management is essential for proper care. Therefore option C. Make a note of the patient's complaint in the chart and take a photo of the area to include in the records.
When a patient complains of shoulder pain without visible signs of trauma, it is essential to document the patient's complaint in the medical chart. It may be necessary to assess the site carefully and consider the shoulder's range of motion and functionality. Since pain can sometimes be a referred sensation from other areas, such as in the case of a heart attack where pain is felt in the shoulder, a thorough assessment is vital. Additionally, understanding any alleviating factors and the current pain regimen the patient is using, including non-pharmacological methods, is crucial for a comprehensive evaluation and determining an appropriate pain management plan. Therefore, the correct answer is A. Make a note of patient's complaint in the chart.
