Davao Medical School Foundation, Inc

ARTS AND SCIENCE OF MEDICINE 2

RATING SCALE FOR APPROACH TO SYMPTOM:

CHESTPAIN

A. OBJECTIVE: At the end of this activity, the students are able to:

1. Enumerate the possible causes of CHESTPAIN

2. demonstrate the skills in the history taking of patient with CHESTPAIN

B. TEACHING AIDS:
Lecture
Tablets
Checklist
Internet connection for online class

D. THE CHECKLIST

Name of Student: _______________________________________ Date:

__________
Legend: 3 points = Done COMPLETELY and CORRECTLY
2 points = Done CORRECTLY but INCOMPLETE
1 point = Done INCORRECTLY and INCOMPLETE
0 point= NOT DONE

ESTABLIHING
A. ESTABLISHING RAPPORT RAPPORT IS REMARKS
AND ASKS FOR CHIEF GRADED AS 1
COMPLAINT POINT OR 0(ZERO)

1. Greets the patient politely

2. Introduces self

3. Asks for the identifying data:

NAME, AGE, OCCUPATION,
RELIGION, ADDRESS

4. Tells the patient the purpose of

the interview, assures patient to
maintain confidentiality and
secures consent

5. Asks the CHIEF COMPLAINT

B. CHESTPAIN. ASKS ABOUTH THE FOLLOWING:

PLEASE USE LICKET SCALE OF
0 TO 3 FROM THIS PART 3 2 1 0 REMARKS

1. Onset of CHESTPAIN
“When did your chestpain start?”
2. Location of CHESTPAIN
*Can you point to me exactly where
the pain is?
3. Duration of CHESTPAIN
e.g: During an episode of
CHESTPAIN, how long will it
last? Is it persistent?

4. Character of CHESTPAIN
Can you describe to me your chestpain,
Is it heaviness, excrutiaing? Sharp
pain?
5. Aggravating factors

Is there any factor, which can

increase the CHESTPAIN?
6. Alleviating Factors

e.g: Did you take any

medication for CHESTPAIN? Or
what medication did you take?
Or What factors can relieve your
CHESTPAIN?
7. Associated symptoms

e.g: Aside from CHESTPAIN

what other symptoms do you
have? Do you difficulty of
breathing? Do you have
sweating? What else do feel
right now?
8. RADIATION: Does your pain
radiates in the left shoulder and
neck?
9. Timing

How often do you have your

CHESTPAIN? When you are
having physical exertion or even
at rest?
10. Severity

Can you tell me how severe is

the chest pain, if 1 is a very
minimal pain and 10 is the most
painful, where is your pain right
now?
ESTABLIHING
B. DISCUSSION OF THE RAPPORT IS REMARKS
PATIENT’S CASE AND GRADED AS 1
SUMMARY POINT OR 0(ZERO)
1. Explains to the patient the
possible cause of the symptoms
2. Shares and explains the
diagnostic and therapeutic
 plan
3. Allows the patient to
decide on the diagnostic
and treatment option
4. Summarizes the plan to
the patient
5. Asks the patients for
further clarification and
questions AND Thanks the
patient
Name and Signature of Preceptor__________________________________
Date__________

Made by: Dr. Gladys Ogatis-Sermon