[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-190083-105":53,"doc-detail-190083-en":119},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":112,"head_meta":114,"extra_data":116,"updated_unix":118},105,"en","nursing-intake-form-symptom-checklist","Nursing Intake Form - Symptom Checklist","","Symptom checklist covering multiple body systems to help document patient complaints during nursing intake. 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Also records neuro, psychiatric, eye/ENT, genitourinary, musculoskeletal, cardiovascular, endocrine, allergy, hematology, and dermatology concerns including rash, itching, numbness, seizures, confusion, suicidal thoughts, urinary changes, joint pain, abnormal bruising, and enlarged lymph 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should a patient indicate symptoms during intake?","Question",{"text":109,"@type":110},"Select the symptoms that apply using the check-style “Areas of Pain Click All That Apply” list across the different body systems.","Answer","https://schema.org",{"og:url":78,"og:type":113,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":115,"canonical":78},"index,follow",{"doc_id":117,"site_id":56},190083,1788400651,{"code":4,"msg":5,"data":120},{"doc_id":117,"user_id":121,"nickname":88,"user_avatar":122,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":123,"file_id":124,"file_url":125,"file_type":126,"file_size":127,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":128,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":129,"faqs":130,"seo_title":131,"seo_description":61,"update_tm":118,"read_time":9},137451207643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","| AREAS OF PAIN Click All That Apply On Drawing |\n| --- |\n|  |\n| |\n\n\n|  |\n| --- |\n|  |\n\n\n| General | Resp |  | Derm |  |\n| --- | --- | --- | --- | --- |\n| 􀀀 Fever | 􀀀 | Cough | 􀀀 Rash/itching/dryness to skin |  |\n| 􀀀 Chills | 􀀀 | Trouble breathing at rest | 􀀀 Suspicious lesions on skin |  |\n| 􀀀 Sweats | 􀀀 | Excessive sputum/phlegm | Neuro |  |\n| 􀀀 Anorexia | 􀀀 | Coughing up blood | 􀀀 Paralysis |  |\n| 􀀀 Fatigue/weakness | 􀀀 | Wheezing | 􀀀 Tingling |  |\n| 􀀀 Malaise | 􀀀 | Pleurisy | 􀀀 Numbness |  |\n| 􀀀 Weight loss | GI |  | 􀀀 Seizures |  |\n| 􀀀 Sleep Disorder | 􀀀 | Nausea | 􀀀 Tremors |  |\n| Eyes | 􀀀 | Vomiting | 􀀀 Vertigo |  |\n| 􀀀 Blurred vision | 􀀀 | Diarrhea | 􀀀 Episodes of blindness |  |\n| 􀀀 Double vision | 􀀀 | Constipation | 􀀀 Frequent falls |  |\n| 􀀀 Eye irritation | 􀀀 | Change in bowel habits | 􀀀 Frequent headaches |  |\n| 􀀀 Drainage from your eyes | 􀀀 | Abdominal pain | 􀀀 Difficulty walking |  |\n| 􀀀 Vision loss | 􀀀 | Blood in your stool | Psych |  |\n| 􀀀 Eye pain | 􀀀 | Jaundice/yellowing of your skin | 􀀀 Depression |  |\n| 􀀀 Sensitivity to light | 􀀀 | Gas/Bloating | 􀀀 Anxiety |  |\n| ENT | 􀀀 | Indigestion/heartburn | 􀀀 Memory loss |  |\n| 􀀀 Earache | 􀀀 | Trouble swallowing | 􀀀 Suicidal thoughts |  |\n| 􀀀 Ear drainage | GU |  | 􀀀 Hallucinations |  |\n| 􀀀 Ringing in your ears | 􀀀 | Loss of control of bladder | 􀀀 Paranoia/phobia |  |\n| 􀀀 Decreased hearing | 􀀀 | Trouble urinating | 􀀀 Confusion |  |\n| 􀀀 Nasal congestion | 􀀀 | Urinary frequency | Endo |  |\n| 􀀀 Nose bleeds | 􀀀 | Pelvic pain | 􀀀 Cold/heat intolerance |  |\n| 􀀀 Sore throat | MS |  | 􀀀 Excessive thirst/hunger |  |\n| 􀀀 Hoarseness | 􀀀 | Back pain | 􀀀 Frequent urination |  |\n| CV | 􀀀 | Joint pain | 􀀀 Unusual weight change |  |\n| 􀀀 Chest pains/palpitations | 􀀀 | Joint swelling | Heme |  |\n| 􀀀 Passing out | 􀀀 | Muscle cramps | 􀀀 Abnormal bruising/bleeding |  |\n| 􀀀 Trouble breathing w/ activity | 􀀀 | Muscle weakness | 􀀀 Enlarged lymph nodes |  |\n| 􀀀 Trouble breathing unless standing | 􀀀 | Muscle stiffness | Allergy |  |\n| 􀀀 Waking up at night unable to breathe | 􀀀 | Arthritis | 􀀀 Itching or rash to skin |  |\n| 􀀀 Swelling in your feet | 􀀀 | Sciatica | 􀀀 Hay fever |  |\n|  | 􀀀 | Restless legs | 􀀀 Recurrent infections |  |\n|  | 􀀀 | Leg pain at night/with activity |  |  |","cbCaifQNiEx7NVcp","https://ap.wps.com/l/cbCaifQNiEx7NVcp","pdf",388698,"English","# Symptom Checklist\n## General\n## Respiratory\n## Skin and Neuro\n## Eyes and ENT\n## Gastrointestinal\n## GU and MS\n## Cardiovascular and Endocrine\n## Hematology and Allergy","[{\"question\":\"How should a patient indicate symptoms during intake?\",\"answer\":\"Select the symptoms that apply using the check-style “Areas of Pain Click All That Apply” list across the different body systems.\"}]","Nursing Intake Form - Symptom Checklist | PDF"]