Focused Exam_ UTI with Antibiotic Sensitivity- Subjective Checklist

Document Content and Description Below

Subjective Data Collection: 26 of 26 (100.0%) Chief Complaint History of Present Illness Your Results Turn In (/assignment_attempts/7379321/choos Reopen (/assignment_attempts/7379321/reopen Lab... Pass (/assignment_attempts/7379321/lab_pass.p Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Debrief Medication Selection Patient Teaching Prescription Writing 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. Established chief complaint Reports burning during urination Reports frequent need to urinate Reports changes in urine characteristics Asked about onset and duration of symptoms Reports increased urinary frequency, burning during urination, and change in urine characteristics started three days ago Asked about history of intercourse related to UTI Reports last intercourse was four days ago Reports did not urinate after intercourse Asked about additional symptoms of UTI Denies incontinence Denies holding in urine unnecessarily Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Support This study source was downloaded by 100000852290574 from CourseHero.com on 01-23-2023 14:28:02 GMT -06:00 https://www.coursehero.com/file/65679061/Focused-Exam-UTI-with-Antibiotic-Sensitivity-Subjective-Checklistpdf/ 7/25/2020 Focused Exam: UTI with Antibiotic Sensitivity | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/7379321 2/4 Past Medical History Home Medications Asked about location of pain Reports pain is in urethra, urinary tract Asked about characteristics of urine Reports urine as foul-smelling Reports urine has been dark and cloudy Asked about characteristics of pain Reports pain during urination as stinging Reports pain during urination as burning Asked about non-medication relieving factors of pain Reports drinking less water so she doesn't have burning Asked about aggravating factors of pain Reports urination makes the pain worse Asked about severity of pain Reports pain on urination as 7/10 Asked about relevant past medical history Reports no existing relevant health conditions Asked about general allergies Reports seasonal environmental allergy Reports itchy eyes, scratchy throat, and stuffy nose as rhinitis symptoms Asked about home medications Reports taking antihistamine for environmental allergies (seasonal allergic rhinitis) Reports oral birth control (contraceptive) Reports cranberry pills (supplement) Asked about medication regimen adherence Reports taking medications first thing in the morning Denies missing doses Followed up on daily environmental allergy pill Reports taking loratadine Reports taking one 10 mg pill once a day Reports no adverse effects Reports taking daily as a preventative measure Reports started taking allergy medication three months ago when her allergies started "acting up" [Show More]

Last updated: 1 year ago

Preview 1 out of 4 pages