Respiratory Completed Shadow Health PDF

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Respiratory Results | Turned In Holistic Health Assessment Across the Lifespan - August 2020, NURS 3315 Return to Assignment (/assignments/360795/)

Your Results

Overview

Lab Pass (/assignment_attempts/7665012/lab_pass.p

Subjective Data Collection: 27 of 27 (100.0%)

Transcript Subjective Data Collection

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Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

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Objective Data Collection Documentation

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 yiel better patient data. The following details are facts of patient's case.

Chief Complaint

Asked about asthma

Reports having asthma Reports asthma exacerbations

Relevant Medical History

Asked about severity of asthma

Asked asthma frequency and duration

Reports asthma is intermittent

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

Asked asthma management

Asked about asthma medication

Reports inhaler

Reports albuterol inhaler (Proventil) 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

Review of Systems

Asked cough history

Reports only coughing when she has a cold Denies coughing up blood

Asked about sputum

Denies sputum

Risk Factors

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

Asked about tobacco use

Denies currently smoking tobacco Denies history of smoking tobacco Denies vaping

Asked about marijuana use

Followed up on marijuana

Reports past recreational marijuana smoking

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

Relevant Family History

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

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