| Descriptor | Client Data |
| Character | Persistent Jaw Pain Sharp Pain |
| Onset | The patient felt fine until two months ago when she started feeling slight jaw pains two months ago when after having breakfast. |
| Location | Sharp pain in the Bilateral Jaw Bone |
| Duration | The patient denies any past history of Jaw pain until two months ago The patient reports that she feels pain in the jaw almost every day for the last two months, especially. |
| Exacerbation | The pain increases when the patient is having meals. The patient denies radiation of the pain. |
| Relief | When not masticating. The patient takes 100mg Ibuprofen to relieve pain. |
| Antecedent | The client reports that the pain also occurs each time she yawns |
| Associated | The patient reports that the jaw pain has affected her eating habits; she skips meals or avoids certain meals to prevent the pain from exacerbating. |
HPI
The patient is a 32-year-old African American female who presents to the hospital seeking care for complaints of pain in the jaw. The patient reports that the pain began two months ago after she had taken breakfast. The patient states that she had not sought care before until today. The patient reports that she had taken 100mg Ibuprofen to relieve the pain, and she noticed improvements. She also reports she had not taken any meals since she experiences increased sharp pains immediately after having a meal. The patient reports the jaw pain has interfered with her feeding habit, and she is unable to chew food due to discomfort. The patient also admits to discomfort when brushing teeth. The patient denies radiation of the pain. The patient denies any other symptoms.
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Nursing Diagnosis
Bilateral Jaw discomfort and altered eating habits evidenced by the client’s claim of “inability to chew due to discomfort.”
Smart Goals
The patient will verbalize the understanding of jaw exercises before the client is discharged from the hospital.
