Shadow Health HEENT Tina Jones Subjective

HEENT Results | Turned In Health Assessment Laboratory - Fall 2019, NUR 305L Return to Assignment Your Results LLaabb PPaassss Indicates an item that you found. Indicates an item that is available to be found. Cat ...

HEENT Results | Turned In Health Assessment Laboratory - Fall 2019, NUR 305L Return to Assignment Your Results LLaabb PPaassss 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. Relevant Medical History Asked about head problems Reports occasional headaches Denies current headache Denies head problems other than headaches Asked about frequency of headaches Reports headaches occur once a week Asked about duration of headaches Reports headaches last a few hours Asked about character and location of headaches Reports headaches as tight and throbbing Reports headache located behind her eyes Asked to rate headache pain on a scale Reports headaches as a 2/10 or 3/10 Subjective Data Collection: 34 of 34 (100.0%) Overview Transcript Subjective Data Collection Objective Data Collection Documentation 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 03-17-2022 07:51:22 GMT -05:00 https://www.coursehero.com/file/49511638/Shadow-Health-HEENT-Tina-Jones-Subjectivepdf/ Asked about headache treatment Reports treating headaches with acetaminophen (Tylenol) Reports resting to treat headache Reports acetaminophen (Tylenol) and rest usually resolve symptoms Asked about headache triggers Reports headaches only happen when reading or studying Reports that blurry vision and headaches often coincide Asked about vision Reports occasional blurry vision Asked about onset and frequency of blurry vision Reports worsening vision began within the past year Reports blurry vision only occurs when reading for long periods Reports noticing blurry vision increasing in the past few months Asked about relieving factors for blurry vision Reports that resting eyes helps Asked about vision care Reports last vision exam was in childhood Denies use of corrective lenses Asked about additional eye problems Reports occasional itchy eyes Reports occasional eye redness Denies eye pain Denies eye dryness Asked about triggers for eye symptoms Reports cat allergy is a trigger for itchy eyes Reports dust is a trigger for itchy eyes Asked about treatment of eye symptoms Denies taking medication for itchy eyes Asked about nasal problems Reports occasional runny nose Denies nosebleeds Asked about sinus problems Denies frequent sinus problems This study source was downloaded by 100000831988016 from CourseHero.com on 03-17-2022 07:51:22 GMT -05:00 https://www.coursehero.com/file/49511638/Shadow-Health-HEENT-Tina-Jones-Subjectivepdf/ Followed up on trigger of nasal problem Reports cat allergy is trigger for runny nose Followed up on treatment of nasal problem Denies taking medication for runny nose Reports treatment is avoiding trigger Reports treatment is showering Asked about current nasal problems Denies current runny nose Risk Factors Asked about alcohol 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 tobacco use Denies tobacco use Denies vaping Review of Systems Asked about ear problems Denies ear pain Denies ear discharge Denies vertigo Reports using cotton swabs in ears weekly Asked about hearing Denies hearing changes Denies difficulty hearing Asked about mouth problems Denies bleeding gums Denies mouth sores Denies tongue problems Denies dry mouth