History Assignment Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-October-2018
Return to Assignment
Your Results
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Educa
...
History Assignment Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-October-2018
Return to Assignment
Your Results
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Information Processing
Health History Tips and Tricks
Self-Reflection
Indicates an item that you found.
Indicates an item that is available to be
found.
Category Scored Items
Experts selected these topics as essential
components of a strong, thorough interview
with this patient.
Patient Data
Not Scored
A combination of open and closed questions
will yield better patient data. The following
details are facts of the patient's case.
Chief Complaint
Established chief complaint Reports pain
Reports open foot wound
History of Present Illness
Asked for details about the pain Describes the pain as throbbing
Describes the pain as sharp when she
attempts to stand
Initial injury occurred 1 week ago
Pain has increased in the past 2 days
Reports feeling pain radiating into ankle
Pain prevents bearing weight on foot
Asked to rate pain on a scale Rates present pain at a 7 out of 10
Subjective Data Collection: 94 of 104 (90.4%)
© Shadow Health 2018 ®
History Assignment | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/4119094
1 of 12 11/20/2018, 5:30 PM
Clarified location of wound Confirmed that right foot is injured
Confirmed that wound is on the plantar surface of her
foot
Determined details of the injury Scraped foot on a cement step
Reports mild ankle injury
Was not drinking at the time of the injury
Was not wearing shoes at the time of injury
Asked about the assessment of the injury at the ER Went to the ER after sustaining the injury
Decided to go because she suspected an ankle sprain
Received an x-ray
X-ray showed no broken bones
Received a prescription for pain pills
Asked about drainage from the foot wound Reports that the wound bled a little after sustaining the
injury
Reports seeing pus draining from wound
Began noticing pus 2 days ago
Followed up about character of drainage from the foot
wound
Describes pus as white or yellow in color
Reports no odor from the wound
Asked about home treatment of foot wound Describes wound care regimen of cleaning and
bandaging
Cleaned wound twice a day
Cleaned wound with hydrogen peroxide
Changed bandage twice a day
Applied neosporin
Asked about other foot wound symptoms Reports swelling around foot wound
Noticed swelling getting worse in the past 2 days
Reports redness around the wound
[Show More]
