Conversation Concept Lab Shadow Health PDF

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Summary

Conversation Concept Lab in Shadow Health with patient Rachel Adler...

Description

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Conversation Concept Lab Results | Turned In Nursing Care of the Child - Fall 2021, NUR 2310C Return to Assignment (/assignments/508309/)

Your Results

Overview

Lab Pass (/assignment_attempts/10690067/lab_pass.pdf)

Subjective Data Collection: 18 of 19 (94.7%)

Transcript Subjective Data Collection Hover To Reveal...

Indicates an item that you found.

Objective Data Collection Hover over the Patient Data items below to reveal important information, including Pro Tips and

Documentation

Indicates an item that is available to be found.

Example Questions.

Category

Scored Items

Patient Data Not Scored

Experts selected these topics as essential components of a strong, thorough interview with this patient.

A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case.

Introduction and Medical History

Established reason for visit

Reports needing an annual physical

Asked about past medical history

Denies medical conditions

Medications

Asked about general medication use

Reports taking occasional ibuprofen Denies taking prescription medication Only OTC medication is ibuprofen (no others reported)

Followed up about reason for ibuprofen use

Takes ibuprofen to relieve menstrual cramps

Followed up on frequency and dosage of

Takes ibuprofen monthly

ibuprofen use

Takes 2 at a time Typically takes 2 doses on first day of period Unsure of the dosage, but reports they are "regular strength" Support Last dose was 2 weeks ago

Asked about supplements

Denies vitamins Denies herbal supplements

Allergies

Asked about general allergies

Followed up on peanut allergy symptoms

Reports allergy to peanuts

Discovered at age 4 Symptoms are itchy mouth and throat

Followed up on peanut allergy severity

Describes allergy as not severe Denies breathing problems after exposure Denies hospitalization for reaction to peanuts

Followed up on peanut allergy treatment

Treated with Benadryl Reports avoiding peanuts and peanut oil Denies use of epi-pen

Asked about medication allergies

Denies known medication allergies

Asked about other allergies

Denies latex allergy Denies food allergies or sensitivities (other than peanuts) Denies known environmental allergies

Substance Use

Asked about tobacco and nicotine use

Followed up on type of tobacco or nicotine

Reports "some" tobacco use

Reports smoking cigarettes Denies other forms of smoking tobacco such as cigars and pipes Denies using chew or smokeless forms of tobacco Denies vaping or e-cigarettes

Followed up on patterns of tobacco use

Reports smoking "really not very many" cigarettes Has smoked 3 times (one cigarette each time)

Explored patient's perception of tobacco use

Reports understanding of health impacts of smoking Reports negative experiences with smoking

Explored reasons that patient experimented with smoking

Asked about alcohol use

Describes peer pressure related to smoking Reports that she will avoid smoking in the future

Denies alcohol use Denies being around friends who consume alcohol Reports alcohol consumed by parents at home Reports that parents drink "a glass of wine at dinner"

Asked about drug use

Denies previous drug use Denies being around friends who use drugs

Comments If your instructor provides individual feedback on this assignment, it will appear here.

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