24.9k views
2 votes
For chief complaint, a collection of symptoms to get a better understanding of the patient's problem. Be sure to collect ALL of them EVERY time!

1. Location: where is it? Does it migrate (move) or radiate (happen in other areas than central place)
2. Quality: what type of sensation is it ? (dull, sharp, crampy)
3. Quantity : how severe is it? 0-10 scale for comparison, number of episodes
4. Timing: frequency, date of onset, duration (chronic, intermittent, lasting x number of minutes)
5. Setting: the setting in which it first began, the setting (location, activity) where it happens
6. Aggravating Factors: what makes it worse? (think common ones and be sure to check on those)
7. Alleviating Factors: what makes it better? (think common ones and be sure to check on those)
8. Associated symptoms: additional symptoms that occur with CC. Ask about pertinent +/-
9. Treatments Tried: what was tried and was it effective (meds, herbals, OTC, chiro)
10. Impact: how is it impacting patient's life (physically, emotionally, financially, socially)
11. Cause: why does patient think this is happening or what does patient think is wrong?

1 Answer

2 votes

Final Answer:

Collecting a comprehensive chief complaint involves gathering information on the location, quality, quantity, timing, setting, aggravating factors, alleviating factors, associated symptoms, treatments tried, impact on the patient's life, and the patient's perception of the cause.

Step-by-step explanation:

When obtaining a chief complaint, thoroughness is essential for understanding the patient's problem comprehensively. The 11 aspects mentioned are crucial for a holistic assessment of the patient's condition. Location helps identify the specific area affected, while quality delves into the nature of the sensation, providing insights into the potential underlying causes. Quantity aids in gauging severity, and timing provides a temporal context, essential for diagnosis and treatment planning.

Setting explores the environment in which the issue began and where it manifests, shedding light on potential triggers. Aggravating and alleviating factors help pinpoint conditions that worsen or alleviate symptoms. Associated symptoms provide a broader picture, contributing to a more accurate diagnosis. Knowing the treatments tried and their effectiveness informs the healthcare provider about the patient's history and response to interventions. Evaluating the impact on the patient's life considers the broader implications, including physical, emotional, financial, and social aspects. Lastly, understanding the patient's perception of the cause contributes to a patient-centered approach, incorporating their beliefs into the diagnostic and therapeutic process.

Collecting this information systematically ensures that healthcare providers have a comprehensive understanding of the patient's chief complaint, facilitating accurate diagnosis and effective treatment planning. This patient-centered approach is fundamental to delivering high-quality healthcare.

User Oglester
by
7.9k points