Professional Documents
Culture Documents
Form English
Form English
Form English
COMPLAINT
Chief complaint Nurse: How are you feeling?
Patient: I have got colic
Additional complaints Nurse: Any other symptoms that you felt?
Patient: Since three days ago, I felt lower back pain in one side
and also feel nauseated.
Location Nurse: Where do you feel the pain?
Patient: I feel it just below the ribs
Timing Nurse: How often does it happen?
Patient: It comes in waves,often a few minutes apart
Character Nurse: What is it like?
Patient: It’s Stabbing
Alleviating factor Nurse : What makes it better?
Patient: Nothing makes it better
Aggravating factor Nurse: What makes it worse?
Patient: Sitting upright makes the pain worse
Severity Nurse: From the scale 1 to 10,how would you rate you pain?
Patient: I think its about 8
Patient: Nope
Family history
Social history (lifestyle and
activities of daily living)
CLOSING
Closing Nurse:
Patient: