Tina Jones Respiratory Subjective Data Shadow Health

Document Content and Description Below

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 His... tory 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 If your instructor provides individual feedback on this assignment, it will appear here. [Show More]

Last updated: 1 year ago

Preview 1 out of 3 pages