- Lives alone, no family nearby, no services
- Chest pains –
- S – the centre of chest
- O – when climbing stairs and never at rest
- C – tightness across chest
- R – no
- A – slight breathlessness.
- T – goes away after 10-15 mins.
- E – nothing else, better with rest
- S – 3 or 4 / 10
- Pulse – 68
- BP – 130/80
- U & Es taken– ramipril not at optimal dose
- Forgetful? Issues with medicine adherence
- Anxiety / depression – moderately elevated for both
- Inactive & lost confidence – Weight checked: 48.5kg, weight loss? distracted by low mood? Continue to monitor
- Struggling with stairs – only 1 hand rail
Pulse point
Using mnemonics such as SOCRATES can structure assessment of patients with chest pain. See modules 3 and 4 for more examples of its use.
Reference: Clayton, Holly A. (2000) SOCRATES on Pain Assessment, MedSurg Nursing.
Page last reviewed: 27 Jul 2020
