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Tina Jones Neurological Subjective Data Shadow Health

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Neurological Results | Completed Holistic Health Assessment for RN's - Summer 2020, 4506 Return to Assignment (/assignments/349311/) Subjective Data Collection: 21 of 21 (100.0%) Relevant Medical History Your Results Turn In (/assignment_attempts/7363862/choos Reopen (/assignment_attempts/7363862/reopen Lab Pass (/assignment_attempts/7363862/lab_pass.p Overview Transcript Subjective Data Collection Objective Data Collection Documentation 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 t patient's case. Asked about numbness Denies history of numbness Denies current numbness Asked about tingling Denies tingling Asked about vision Reports vision problems Followed up on vision problems Reports vision problems for past few months Reports periods of blurry vision Reports vision problems occur only when reading Denies double vision Asked about headaches Reports occasional headaches Reports last headache was a few days ago Denies current headache Asked about headache patterns Reports headaches have been occurring for six months Reports headaches occur a few times per month Reports headaches last a few hours Asked about headache triggers Reports headaches occur only when reading or studying Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. This study source was downloaded by 100000831988016 from CourseHero.com on 03-16-2022 09:10:20 GMT -05:00 https://www.coursehero.com/file/65350544/Tina-Jones-Neurological-Subjective-Data-Shadow-Healthpdf/ 7/19/2020 Neurological | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/7363862 2/3 Review of Systems Risk Factors Asked about headache character Reports headaches are not severe Reports headaches feel the same on both sides of the head Reports headaches are tight Reports headaches are throbbing Asked headache treatment Reports treating headaches with acetaminophen (Tylenol) Reports taking regular strength acetaminophen medication Reports taking two pills at a time Asked about dizziness Denies dizziness Asked about speech Denies difficulty speaking Asked about swallowing Denies difficulty swallowing Asked about fainting Denies fainting Asked about muscle function Denies weakness Denies tremors Denies problems with balance Denies problems with coordination Asked about memory loss Denies memory loss Asked about behavior changes Denies recent changes in behavior Denies recent changes in mood Asked about illicit drug use Reports history of recreational marijuana smoking Asked about tobacco use Denies smoking tobacco Denies vaping Asked about alcoholic intake Reports last alcoholic drink was 3 weeks ago Reports no more than 2 or 3 alcoholic drinks in one sitting Reports no more than 1 or 2 nights a week drinking alcohol Asked about history of neurological problems Denies history of meningitis Denies history of strokes Denies history of concussion Denies history of seizures

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