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Dharma Husada Nursing Academy
September 29, 2020
Patient’s
Complaint
What is
complaint?
2
01 04
05
02
03
ABOUT THE PATIENT
ABOUT THE FEELING &
CONDITION
PATIENT MONITORING
TREATMENT
THE NURSE ASKING &
OBTAIN THE
PATIENT’S RECORD
INTRODUCTION
- Knowing how to ask questions
- Listening and emphasizing
- Repeating to conclude the
patient’s condition
- Reviewing the Patient’s Record
3
Dealing with
Patient’s
Complain
What seems to be the
problem, sir/mam?
How can I help,
sir/mam?
What do
you feel?
4
INFORMATION:
by Asking
questions
2005 2008 2014
Have you ever
been hospitalized
before?
- Have you ever felt this before?
- What symptoms are you
currently experiencing? - Can you describe the
pain?
- What do you feel now?
5
LOCATION: Mojoroto,
Kediri
ALLERGIES: None
GENDER: Female
AGE: 25 - 35
PATIENT’S
MEDICAL
HISTORY
6
REVIEW
OF
SYSTEMS
Q: From 1 to 10 how can you scale
your pain, sir/mam?
Head
Bone & Skin
Legs, Feet, Skin
Body
Shoulder, Arm, Back, Chest,
Stomach, Bowels, Bladder,
Genital Organs
7
Head, Eyes, Ears, Nose,
Mouth (Teeth, Tongue,
Lips), Throat, & Neck
Understanding
kinds of Patient’s
Complaint Mind
Mental State, Sleep
• I’ve got a headache
• I’ve got awful/terrible/bad
headache
• I’ve got a migraine
• I feel woozy/queer/light-headed
when I get up suddenly
• I feel the room spinning
• I had a blackout
8
HEAD
• I’ve got a headache
• I’ve got awful/terrible/bad
headache
• I’ve got a migraine
• I feel woozy/queer/light-headed
when I get up suddenly
• I feel the room spinning
• I had a blackout
9
EYES
• I’ve got a headache
• I’ve got awful/terrible/bad
headache
• I’ve got a migraine
• I feel woozy/queer/light-headed
when I get up suddenly
• I feel the room spinning
• I had a blackout
1
0
EARS
• I’ve got a headache
• I’ve got awful/terrible/bad
headache
• I’ve got a migraine
• I feel woozy/queer/light-headed
when I get up suddenly
• I feel the room spinning
• I had a blackout
1
1
NOSE
• I’ve got toothache
• My gums are swollen
• My gums are receding
• My wisdom tooth is
erupting/giving me trouble/ in
agony
• My gums are bleeding
• I have an abscess
• I’ve got mouth ulcer
• I have buck teeth
1
2
TEETH
• My tongue is
black/white/yellow
• My mouth feels dry
• I have bad breath
• My lips feel
swollen/bruised/dry/flaky
• I’ve got a cut lip/split lip
1
3
TONGUE & LIPS
• I’ve got sore throat
• My throat aches
• I’m hoarse
• I’ve lost my voice
• I can’t breathe
• I can’t swallow
1
4
THROAT
• I’ve got a stiff neck
• My glands are swollen
• I have cricked/ricked
my neck
• My neck aches
• I strained my neck
1
5
NECK
• I’ve got stiff shoulders
• I’ve twisted my shoulder
• I’ve bruised my shoulder
• I’ve got backache
• I have pulled a muscle in my
back
• I have wrenched/strained/ricked
my back
1
6
BACK &
SHOULDER
• I’ve twisted my wrist
• I strained my elbow
• I’ve got frostbite
• I feel a tingling sensation in my fingers
• I have chilblains
• My fingers are numb
• I’ve got body odor
• I smell under the armpits
• My nails break off easily
1
7
ARM / HAND
• I feel a tightness in my chest
• I’ve got a pain under my ribs
• I find it difficult to breathe
• I’m fighting for breath
(gasping)
• I’m coughing up phlegm
• I’m coughing up green stuff
• I’ve got bad cough
1
8
CHEST
• I’ve got stomach ache/tummy-
ache/stomach upset/cramps in
my stomach
• I’ve got indigestion
(heartburn/wind)
• I feel like I’m going to vomit
• I keep retching/barfing
• I don’t have any appetite
1
9
STOMACH
• I’ve got diarrhea
• I’m incontinent
• I keep wetting myself
• I sometimes leak
• I’ve got weak bladder
• I keep farting
• I’ve got a lot of wind
• I’ve got constipation
• I can’t pee
• My stool is runny/hard
• My urine is yellowish
2
0
BOWELS &
BLADDER
• I have pain in my testicles
• I can’t get an erection
• I had hernia
• I’m impotent
• I come too early
• I’ve got vaginal discharge
• I missed my period
• I’m late
2
1
GENITAL
ORGAN
• I have pulled a muscle in my leg
• I have pulled a hamstring muscle
• I’ve torn s ligament
• I’ve snapped a tendon in my thigh
• I can’t bend my legs
• My knee hurts
• I get pain in my shins
2
2
LEGS
• I’ve twisted my ankle
• I’ve got pain in my heel
• My ankle gave out
• I’ve got blisters
• I’ve got cramp in my toes
• My ankles are swollen
2
3
FEET
• I’ve got a rash
• My skin is flaky
• I feel itchy
• I’ve got sensitive skin
• I have an acne problem
• I’m badly sunburned
• I’ve got mole that’s getting bigger in
size
2
4
SKIN
• I feel depressed/fed
up/exhausted/upset
• I want to commit suicide
• I can’t cope
• I get easily irritated
• I’m afraid to go out
• I’m always brooding
• I’ve been hearing voices
• I worry about little things
2
5
MENTAL STATE
• I can’t get to sleep
• I suffer from insomnia
• I snore
• I walk/talk in my sleep
2
6
SLEEP
2
7
Asking about stomach
condition
Asking about head’s
condition
Asking about mental state
NURSE-1
NURSE-2
NURSE-3
GROUP WORK
ASSIGNMENT
28
The Patient is
questioned
based on
his/her
complaint
Practice to
Interview the
Patient
Write a scenario
Record it and
submit it on WA
group
2
9
THANKS
Does anyone have
any questions?

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PATIENT'S COMPLAINT.pptx

  • 1. Dharma Husada Nursing Academy September 29, 2020 Patient’s Complaint
  • 2. What is complaint? 2 01 04 05 02 03 ABOUT THE PATIENT ABOUT THE FEELING & CONDITION PATIENT MONITORING TREATMENT THE NURSE ASKING & OBTAIN THE PATIENT’S RECORD
  • 3. INTRODUCTION - Knowing how to ask questions - Listening and emphasizing - Repeating to conclude the patient’s condition - Reviewing the Patient’s Record 3 Dealing with Patient’s Complain
  • 4. What seems to be the problem, sir/mam? How can I help, sir/mam? What do you feel? 4 INFORMATION: by Asking questions
  • 5. 2005 2008 2014 Have you ever been hospitalized before? - Have you ever felt this before? - What symptoms are you currently experiencing? - Can you describe the pain? - What do you feel now? 5 LOCATION: Mojoroto, Kediri ALLERGIES: None GENDER: Female AGE: 25 - 35 PATIENT’S MEDICAL HISTORY
  • 6. 6 REVIEW OF SYSTEMS Q: From 1 to 10 how can you scale your pain, sir/mam?
  • 7. Head Bone & Skin Legs, Feet, Skin Body Shoulder, Arm, Back, Chest, Stomach, Bowels, Bladder, Genital Organs 7 Head, Eyes, Ears, Nose, Mouth (Teeth, Tongue, Lips), Throat, & Neck Understanding kinds of Patient’s Complaint Mind Mental State, Sleep
  • 8. • I’ve got a headache • I’ve got awful/terrible/bad headache • I’ve got a migraine • I feel woozy/queer/light-headed when I get up suddenly • I feel the room spinning • I had a blackout 8 HEAD
  • 9. • I’ve got a headache • I’ve got awful/terrible/bad headache • I’ve got a migraine • I feel woozy/queer/light-headed when I get up suddenly • I feel the room spinning • I had a blackout 9 EYES
  • 10. • I’ve got a headache • I’ve got awful/terrible/bad headache • I’ve got a migraine • I feel woozy/queer/light-headed when I get up suddenly • I feel the room spinning • I had a blackout 1 0 EARS
  • 11. • I’ve got a headache • I’ve got awful/terrible/bad headache • I’ve got a migraine • I feel woozy/queer/light-headed when I get up suddenly • I feel the room spinning • I had a blackout 1 1 NOSE
  • 12. • I’ve got toothache • My gums are swollen • My gums are receding • My wisdom tooth is erupting/giving me trouble/ in agony • My gums are bleeding • I have an abscess • I’ve got mouth ulcer • I have buck teeth 1 2 TEETH
  • 13. • My tongue is black/white/yellow • My mouth feels dry • I have bad breath • My lips feel swollen/bruised/dry/flaky • I’ve got a cut lip/split lip 1 3 TONGUE & LIPS
  • 14. • I’ve got sore throat • My throat aches • I’m hoarse • I’ve lost my voice • I can’t breathe • I can’t swallow 1 4 THROAT
  • 15. • I’ve got a stiff neck • My glands are swollen • I have cricked/ricked my neck • My neck aches • I strained my neck 1 5 NECK
  • 16. • I’ve got stiff shoulders • I’ve twisted my shoulder • I’ve bruised my shoulder • I’ve got backache • I have pulled a muscle in my back • I have wrenched/strained/ricked my back 1 6 BACK & SHOULDER
  • 17. • I’ve twisted my wrist • I strained my elbow • I’ve got frostbite • I feel a tingling sensation in my fingers • I have chilblains • My fingers are numb • I’ve got body odor • I smell under the armpits • My nails break off easily 1 7 ARM / HAND
  • 18. • I feel a tightness in my chest • I’ve got a pain under my ribs • I find it difficult to breathe • I’m fighting for breath (gasping) • I’m coughing up phlegm • I’m coughing up green stuff • I’ve got bad cough 1 8 CHEST
  • 19. • I’ve got stomach ache/tummy- ache/stomach upset/cramps in my stomach • I’ve got indigestion (heartburn/wind) • I feel like I’m going to vomit • I keep retching/barfing • I don’t have any appetite 1 9 STOMACH
  • 20. • I’ve got diarrhea • I’m incontinent • I keep wetting myself • I sometimes leak • I’ve got weak bladder • I keep farting • I’ve got a lot of wind • I’ve got constipation • I can’t pee • My stool is runny/hard • My urine is yellowish 2 0 BOWELS & BLADDER
  • 21. • I have pain in my testicles • I can’t get an erection • I had hernia • I’m impotent • I come too early • I’ve got vaginal discharge • I missed my period • I’m late 2 1 GENITAL ORGAN
  • 22. • I have pulled a muscle in my leg • I have pulled a hamstring muscle • I’ve torn s ligament • I’ve snapped a tendon in my thigh • I can’t bend my legs • My knee hurts • I get pain in my shins 2 2 LEGS
  • 23. • I’ve twisted my ankle • I’ve got pain in my heel • My ankle gave out • I’ve got blisters • I’ve got cramp in my toes • My ankles are swollen 2 3 FEET
  • 24. • I’ve got a rash • My skin is flaky • I feel itchy • I’ve got sensitive skin • I have an acne problem • I’m badly sunburned • I’ve got mole that’s getting bigger in size 2 4 SKIN
  • 25. • I feel depressed/fed up/exhausted/upset • I want to commit suicide • I can’t cope • I get easily irritated • I’m afraid to go out • I’m always brooding • I’ve been hearing voices • I worry about little things 2 5 MENTAL STATE
  • 26. • I can’t get to sleep • I suffer from insomnia • I snore • I walk/talk in my sleep 2 6 SLEEP
  • 27. 2 7 Asking about stomach condition Asking about head’s condition Asking about mental state NURSE-1 NURSE-2 NURSE-3 GROUP WORK ASSIGNMENT
  • 28. 28 The Patient is questioned based on his/her complaint Practice to Interview the Patient Write a scenario Record it and submit it on WA group