Subjective Data
Information reported by the patient (symptoms)
Definition
Subjective data are what the patient reports, such as symptoms, feelings, perceptions. They cannot be directly measured by the nurse.
Examples
- 'My chest hurts 7/10.'
- 'I feel nauseated.'
- 'I have been having shortness of breath.'
- 'I can't sleep at night.'
- Pain rating, quality, location
Contrast With Objective Data
Objective data = observable and measurable (BP 140/90, temperature 38°C, crackles, RR 24). Subjective = reported by patient.
Documentation
Document subjective data using direct quotes when possible. Use 'patient states' or 'patient reports' to indicate subjective information.
NCLEX Relevance
Differentiate from objective data; both are essential to nursing assessment.