Obtaining missing and supplemental information
Read the patient statement below, and using the five interrogatories as your guide (WHO, WHAT, WHEN, WHERE, HOW) answer the questions following. Write your answers on a piece of paper . After you have written your answers, check them with the answers under each section below(n/s=not supplied). Click on the down arrow on the answer box to see the answer.
Patient, Mrs. Lake
"I came in today because I get these rough areas all inside my cheek and I can't eat anything without it burning."
List the information the patient has supplied (what you know) beside the interrogatory to which it is related.
WHO: Mrs. lake
WHAT: rough areas
WHERE: inside my cheek
HOW: can't eat without burning
List the Missing information the patient has not supplied beside the interrogatory to which it is related.
WHEN: duration, constant vs off and on, circumstance of discovery, times free of pain
List the Supplemental information to flesh out what the patient has told you.
Supplemental information: confirm texture, location, details of burning
Construct questions or list other means (examinations etc.) to elicit the information you need in Missing information and Supplemental information.
- When did the burning start?
- How long does it last?
- Are there times when it doesn't burn?
- What were you doing the first time you noticed burning?
- Palpate cheeks to feel areas.
- Look at cheeks to see the areas she says are burning.
- What foods cause the burning?
- Have you tried anything that makes it feel better?
- Does the pain keep you up at night?
- Describe how the pain affects your function during the day?