Health History Results | Turned In
Advanced Health Assessment - January 2022, NUR3065C
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information (https://support.shadowhealth.com/hc/en-us/articles/360009548313)
Subjective Data Collection: 88 of 88 (100.0%)
Chief Complaint
History of Presenting Illness
Your Results Lab Pass (/assignment_attempts/5897371/lab_pass.pd
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Care Plan
Health History Tips and Tricks
Self-Reflection
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 yie
better patient data. The following details are facts of
patient's case.
Established chief complaint Reports pain
Reports foot wound
Asked to rate current pain level on a scale Reports current pain is 7/10
Asked for details about the pain Reports pain is throbbing
Reports pain is sharp when she attempts to
stand
Reports pain has increased in the past 2 days
Reports feeling pain radiating into ankle
Reports pain prevents bearing weight on foot
Asked location of wound Reports right foot is injured
Reports wound is on the plantar surface of her
foot
Asked details of the injury Reports she scraped foot on bottom rung of a
step stool
Reports injury occurred 1 week ago
Denies other injuries besides foot wound
Hover To Reveal...
Hover over the Patient Data items
below to reveal important
information, including Pro Tips and
Example Questions.
https://www.coursehero.com/file/54913993/Health-History-Completed-Shadow-Healthpdf/
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shared via CourseHero.com2/10/2020 Health History | Completed | Shadow Health
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Past Medical History
Reports being barefoot at the time of injury
Denies seeing a healthcare provider for the injury
until now
Asked about drainage from the foot wound Reports that the wound bled a little after
sustaining the injury
Reports seeing pus draining from wound
Reports noticing pus 2 days ago
Followed up on drainage Reports pus as white or yellow
Denies odor from the wound
Asked about home treatment of foot wound Reports wound care regimen of bandaging
Reports cleaning wound twice a day
Reports applying bacitracin, neomycin and
polymyxin B (Neosporin)
Followed up on effectiveness of ointment Reports bacitracin, neomycin and polymyxin B
(Neosporin) was ineffective
Asked about other foot wound symptoms Reports swelling around foot wound
Reports swelling worsened in the past 2 days
Reports redness around the wound
Reports that the wound feels warm
Explored impact of patient's foot injury on
activities of daily living
Reports pain affects ability to walk
Reports pain affects ability to stand at work for
long periods of time
Reports pain prevented her from being able to
walk to class [Show Less]