Objective/ Subjective data
- 0Sep 12, '12 by nfleurantAm I correct in Identifying which is sub. or obj. data?
Swelling of foot: obj.
pain in abdomen: subj.
temperature of 100o orally:obj.
unsteady gait: obj.
urine contains mucus threads: obj.
fustrated with environment: subj
crying for long periods : subj.
itching/scratching: obj. (couldnt this be both objective and subjunctive??)
Rapid respirations: obj.
- 1Sep 13, '12 by Esme12 Senior ModeratorFirst off let me give you the definitions of subjective and objective data.
Objective data is information that you can perceive using your owns senses. Things that you can see, hear, smell, feel, sometimes taste, and sometimes measure objective data.
Subjective data is information supplied to you by the patient. They are things that you cannot yourself perceive with your senses of sight, sound, smell, or touch. For example, pain........ a patient tells you they have a pain in their leg. That is subjective data. It is based on the patient's statement for example........you cannot see, hear, smell, or feel the patient's pain. However, you can see a grimace on the face of someone in pain. tTe grimace on their face would be an objective observation.
The easiest way for me to remember is
Subjective= pt stated (symptoms)
Objective=Observed (by yourself, labs, during assessment,etc)
- 0Sep 13, '12 by psu_213Just a comment on dyspnea...
If a pt says that they are short of breath...that would be subjective. I have seen pts who appear perfectly fine, breathing easy, lungs sounds perfect, yet they say they are SOB. Totally subjective. You should also chart the objective--the breath sounds, respirations unlabored, sats 100% on RA, etc.
On the other hand, I have had pt's with RR of 36, huffing and puffing, accessory muscle use, etc. and they say they are not SOB (this may be their normal). Chart the subjective-"pt denies SOB" but also chart your observations--"accessory muscle use, RR 36, crackles in the bases, etc."