we had a case study in class today where we had to decide what info was objective and what info was subjective. i won't go into the whole case study, but after taking the assignment up in class the teacher put info i thought would be subjective under the objective colomn.
this is from the case study:
"the nasal examination reveals a slightly reddened color of the nose, with some tenderness noted across the bridge of the nose
"both frontal and maxillary sinuses transilluminate; the frontal sinus area is slightly tender to palpation
the areas i bolded i had put under the subjective category because tenderness is a form of pain...pain is 'subjective'. the teacher suggested that if the person grimaced that would indicate objective. true...but the case study didn't say that. is it possible to 'feel' that an area is tender? if the frontal and maxillary sinuses didn't transilluminate then that could possibly mean the frontal sinus was tender because that would indicate a sinus filled with pus...but it did
transilluminate! and even then, i still think tenderness is something the clt feels...not something the nurse can observe!
i guess i just want to know if i'm right!!
thanks for your help, guys!!!!
Jun 5, '10
Quote from headliner1889
objective is something that you can see, feel, or smell. you can see the reddened areas and you can feel the tenderness. therefore i think both are objective
i completely agree that seeing that an area is red is objective...and that point did in fact go under the objective colomn. however, what
does 'tender' feel
like. if i am palpating the nose while the pt is unconsious...how can i 'feel' that it is tender? will it feel mushy or spongy? will it feel hard or soft? for instance a sprained ankle...you can 'feel' that it's swollen. you can 'see' that it's swollen...but only the pt can tell you if it's tender. to me tender is a feeling and therefore subjective. if the pt had no feeling in their legs, would the ankle still be considered tender?
just thinking out loud....
Last edit by sunkissed75 on Jun 5, '10
: Reason: made a boo boo!! Put subjective instead of objective!