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Subjective/Objective Symptom

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exam1 exam1 (New) New

I am trying to determine from the followings which one is subjective and which one is objective within the Physical Examination. I would appreciate your input.

Bleeding

Abdominal Pain

Fatigue

Diarrhea

Chest Pain

Depression

Feer

Nausea

Vomiting.

edmia, BSN, RN

Specializes in Emergency, ICU. Has 10 years experience.

I would suggest a physical assessment text, such as Bates, to help you discern the difference between objective and subjective.

I am trying to determine from the followings which one is subjective and which one is objective within the Physical Examination. I would appreciate your input.

Bleeding

Abdominal Pain

Fatigue

Diarrhea

Chest Pain

Depression

Feer

Nausea

Vomiting.

loriangel14, RN

Specializes in Acute Care, Rehab, Palliative.

We are not here to do your homework for you. What do YOU think? Do you understand the difference between subjective and objective?

What is "feer"?

RunBabyRN

Specializes in L&D, infusion, urology. Has 2 years experience.

One thing that helped me learn was thinking about something that is observable or measurable as objective, and things that are stated are subjective. For example, you can see someone is bleeding, that's objective. There's no arguing that there is blood coming from site X. Pain is a stated symptom, and will vary from one person to the next, even for the same issue, thus it is subjective. Does that make sense?

As RunBabyRN stated....

Objective: observable or measurable; a fact or reality that can be detected by any observer

(vital signs, bleeding)

Subjective: cannot be measured and are stated by the patient; how the patient perceives something

(pain, depression)

Hope this helps, however, I do agree that you should find a good textbook and put the effort into making sure you understand the difference. I don't think you're going to find many people willing to do your homework for you and I doubt you're instructor is going to let you reference AN during your exam ;)

Good luck!

Edited by ICURN3020

Esme12, ASN, BSN, RN

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 40 years experience.

Welcome!

duplicate thread merged as per the Terms of Service.

OP....here at AN we are happy to help with homework...however you need to show us your work first...tell us what you think and why...we will then jump right in and help you.

Our goal is to make you the best nurse you can be...by doing the work for you is not the correct path.

It sounds as if you are copying your paper/exam question right off the page in front of you and wanting someone to go down your list with an answer for each.

Please realize you are not doing yourself any favors by not taking the time to understand the concepts you will need to know to be a competent nurse (I'm just guessing that you are in some type of nursing program). And we would not be doing you any favors by just giving you the answers.

We've all been there....and we're all proud that we made it though. I'm sure there are a few here and there who slid by, doing the minimal work with minimal effort to just barely pass, but most of us worked our behinds off in school (many in addition to working, kids, keeping a household going) because we wanted to be able to properly care for our patients.

Which type of nurse would you want taking care of YOU?

I hope after reading the above, you can understand why some of us take offense to your request for answers. Take your education seriously; people will literally be putting their lives, safety and trust into your hands.

Edited by ICURN3020

What is "feer"?

I'm really hoping an auto-correct blooper.

Esme12, ASN, BSN, RN

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 40 years experience.

Fear....is what I think

emtb2rn, BSN, RN, EMT-B

Specializes in Emergency. Has 21 years experience.

Tell us what you think and then I'll give you a really easy way to differentiate subjective from objective.

Thank you for the replies!

I was confused in particular regarding chest pain as some textbooks categorizes it as objective and other sources as subjective. I believe it to be subjective but after reading other textbooks I was not sure about that. Feer is Fever. So here what I came up with - like I said I believe pain to be subjective but the answers below are according to some textbook materials:

Bleeding - Objective

Abdominal pain - Objective

Fatigue - Objective

Pupil observation - Objective

Diarrhea - Subjective

Chest pain- Objective

Depression - Objective

Fever -Objective

Nausea - Subjective

Vomiting - Objective

Chest and abdominal pain, fatigue and depression I say are subjective...you are going by what the patients tells you (even if there are signs, such as guarding, they can be faked or exaggerated, so you really are just going by what patient is saying). Diarrhea I say objective...you can "see" that they have it.

:)

Thank you for the reply! The other sources were saying that if you observe the patient in pain that is objective versus where the patient says that he/she is in pain which would be subjective. The same with fatigue: if the patient says she/he could only sleep 3 hours at night, comes yawning and is visibily tired, then you observe fatigue and that is objective too. There are so many angles to think this through and Bates does not have a clear chart to categorize objective and subjective, so everyone can come up with their own interpretations!!!

edmia, BSN, RN

Specializes in Emergency, ICU. Has 10 years experience.

Thank you for the reply! The other sources were saying that if you observe the patient in pain that is objective versus where the patient says that he/she is in pain which would be subjective. The same with fatigue: if the patient says she/he could only sleep 3 hours at night, comes yawning and is visibily tired, then you observe fatigue and that is objective too. There are so many angles to think this through and Bates does not have a clear chart to categorize objective and subjective, so everyone can come up with their own interpretations!!!

Well the thing is that you are only given 1 word to decide. For example bleeding: is it observed bleeding or the patient telling you they bled? Any of these can be either objective or subjective depending on the context. If they only gave you a list as you posted, then go with it at face value. Pain: can you see it? Sure! Do you generally see it or are you generally getting the patient's report of pain? For me pain is subjective. The objective observation would be: patient on stretcher in fetal position, clutching abdomen, with facial grimacing and moaning noted. That's my observation. Pain is the subjective report of the signs that are visible.

Hope that helped!

Yes, it helps thank you. Still, like mentioned it really depends on the context - usually what you observe is objective but again, there are other angles. I looked for a textbook or article that sheds more light like really categorizing these at their face values so that it is not so much room for interpretation and discussion and I have not found something like this anywhere. Therefore, I guess we go with what we believe is best instead of a much clearer direction.

Edited by exam1

loriangel14, RN

Specializes in Acute Care, Rehab, Palliative.

Bleeding - Objective

Abdominal pain - Objective

Fatigue - Objective

Pupil observation - Objective

Diarrhea - Subjective

Chest pain- Objective

Depression - Objective

Fever -Objective

Nausea - Subjective

Vomiting - Objective

Abdo pain is subjective. you cannot see the pain, the patient has to report it. Diarrhea is objective, you can see it. Chest pain is subjective, the patient has to report it. Depression is subjective, you cannot measure it.

Yes, it helps thank you. Still, like mentioned it really depends on the context - usually what you observe is objective but again, there are other angles. I looked for a textbook or article that sheds more light like really categorizing these at their face values so that it is not so much room for interpretation and discussion and I have not found something like this anywhere. Therefore, I guess we go with what we believe is best instead of a much clearer direction.

Unfortunately, it's not black and white......lots of grey areas due to differences in opinions based on the context and one's interpretation of it.