Homan sign: Subjective or Objective?

  1. For some reason I can't seem to figure this one out. Perhaps I'm overthinking here.
    If the client has a positive reponse to Homan's wouldn't that be subjective because it is based on the client's perception of pain? Or is it objective because I observed the client reaction?
    I just can't seem to arrive at a decision as to where to place this data.
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    About missninaRN

    Joined: Aug '05; Posts: 553; Likes: 191
    RN Case Manager
    Specialty: Med/Surg, Hospice


  3. by   VickyRN
    although this is a bit confusing, it is considered objective data, a sign. (the term "sign" helps classify this as objective.) you are performing an intervention on the client (dosiflexion of foot) and directly observing the client reaction (positive or negative report of calf pain). along with the homan's sign, you would also be eliciting other objective data in your assessment of the client's peripheral vascular status such as: appearance of skin and nail beds; capillary refill; symmetry of extremities; warmth of extremities; any edema, varicosities or tenderness; quality of carotid, brachial, radial, femoral, popliteal and pedal pulses.

    "objective:perceptible to persons other than the affected individual. "
    objective data is information collected by using the senses. information that can be seen (observation), felt (palpation), heard (auscultation) (percussion), or smelled. objective data can be called signs.

    signs are objective and can be observed by the five senses. rashes or other visible skin changes, lumps or masses that can be felt, and heart and lung sounds that can be heard are all objective signs. x-rays, ekg readouts, and laboratory tests also provide objective information that can be used to understand a health condition.

    "subjective: arising out of one's perception of one's own state."
    subjective data is the information the patient or the caretaker tells the nurse during the nursing assessment. subjective data can be called symptoms. symptoms are subjective and are experienced and reported by the individual being questioned. aches, pains, spasms, weakness, fatigue and feelings of irritability or anxiety are all subjective.

    symptom analysis: location, quality, quantity or severity, timing, setting, factors that make it better or worse, and association manifestations.

  4. by   missninaRN
    Thank you!