A combination of open and closed questions will yield better patient data. The following details
are facts of the patient's case.
Chief Complaint
• Finding:
Established chief complaint
• Finding:
Reports cough
(Fo
...
A combination of open and closed questions will yield better patient data. The following details
are facts of the patient's case.
Chief Complaint
• Finding:
Established chief complaint
• Finding:
Reports cough
(Found)
Pro Tip: Asking a patient broadly about their chief complaint allows them to answer in their own
words and confirm information that you may have already received from another source.
Example Question:
Do you have a cough?
History of Presenting Illness
• Finding:
Asked about onset of cough
• Finding:
Reports cough started 3 days ago
(Found)
Pro Tip: Whenever you are assessing a symptom or a health condition, in this case the patient's
cough, inquiring about onset assesses the severity and the progression of the problem.Example Question:
How long have you had a cough?
• Finding:
Asked about characteristics of cough
• Finding:
Reports cough is wet
(Available)
Pro Tip: The characteristics of a cough, such as whether it is dry or wet, can indicate key
information about the type of illness the patient has.
Example Question:
Is your cough a wet cough?
• Finding:
Reports clear sputum with cough
(Found)
Pro Tip: The characteristics of a cough, such as whether it is productive, can indicate key
information about the type of illness the patient has.
Example Question:
Do you produce any phlegm or sputum with your cough?
• Finding:
Asked about frequency and duration of cough
• Finding:
Reports coughing every few minutes
(Found)
Pro Tip: Establishing how frequently Danny coughs will illustrate how long he has been
suffering these particular symptoms and might indicate possible triggers.
Example Question:
How frequently are you coughing?
• Finding:
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