Respiratory Results | Turned In
Health Assess - Spring 1 2020, 322301
Return to Assignment (/assignments/289764/)
Subjective Data Collection: 25 of 27 (92.6%)
Chief Complaint
Relevant Medical History
Your Results R
...
Respiratory Results | Turned In
Health Assess - Spring 1 2020, 322301
Return to Assignment (/assignments/289764/)
Subjective Data Collection: 25 of 27 (92.6%)
Chief Complaint
Relevant Medical History
Your Results Reopen (/assignment_attempts/5973338/reopen
Lab Pass (/assignment_attempts/5973338/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 asthma Reports having asthma
Reports asthma exacerbations
Asked about severity of asthma Reports asthma is intermittent
Asked asthma frequency and duration Reports asthma exacerbations occur up to 2 times
a week
Reports asthma exacerbations last around five
minutes
Asked most recent asthma exacerbation Reports last exacerbation was three days ago
Reports last exacerbation around cats at cousin's
house
Asked about asthma triggers Reports cat allergy as asthma trigger
Reports dust as asthma trigger
Denies asthma problems at work
Denies asthma problems at home
Asked asthma management Reports inhaler
Asked about asthma medication Reports albuterol inhaler (Proventil)
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 05-06-2022 05:30:40 GMT -05:00
https://www.coursehero.com/file/54138506/Tina-JonesRespiratory-Subjective-Data-Shadow-Healthpdf/
Review of Systems
Risk Factors
Reports last inhaler use was three days ago
Reports using inhaler no more than 2 times per
week
Asked about number of puffs when using asthma
inhaler
Reports recommended dose is 1-3 puffs as
needed
Reports typically taking 2 puffs
Reports sometimes needing 3 puffs to control
symptoms
Asked exacerbation symptoms Reports chest tightness during exacerbation
Reports wheezing during exacerbation
Reports shortness of breath during exacerbation
Denies coughing during exacerbation
Denies chest pain during exacerbation
Denies painful breathing
Asked current breathing Denies current breathing problems
Asked cough history Reports only coughing when she has a cold
Denies coughing up blood
Asked about sputum Denies sputum
Asked about respiratory illness history besides
asthma
Denies history of bronchitis
Denies history of pneumonia
Denies history of emphysema
Followed up on asthma diagnosis Reports specific age of diagnosis is 2.5 years old
Asked about seeing an asthma specialist Reports not seeing asthma doctor in two years
Asked about past hospitalizations Reports past hospitalizations for asthma
Reports five past hospitalizations for asthma
Reports most recent hospitalization at age 16
Reports hospital treatment was usually steroids
and a nebulizer
Asked about general allergies Reports allergy to cats
Followed up on allergy symptoms Reports sneezing, itchy eyes, and wheezing
Asked about allergy treatment Reports avoiding cats when possible
Reports using inhaler
Reports showering
This study source was downloaded by 100000831988016 from CourseHero.com on 05-06-2022 05:30:40 GMT -05:00 Asked about tobacco use Denies currently smoking tobacco
https://www.coursehero.com/file/54138506/Tina-JonesRespiratory-Subjective-Data-Shadow-Healthpdf/
Relevant Family History
Denies history of smoking tobacco
Denies vaping
Asked about marijuana use Reports past recreational marijuana smoking
Followed up on marijuana Reports smoking marijuana for 5 or 6 years
Reports stopped smoking marijuana 6 or 7 years
ago
Reports stopping because of health reasons and
waning interest
Asked about secondhand smoke Denies secondhand smoke exposure
Asked family history of asthma Reports sister has asthma
Asked family history of other respiratory illness Denies family history of respiratory illness
Asked family tobacco use Denies family history of tobacco use
Asked about family history of lung cancer Denies family history of lung cancer
Comments
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