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Overview
Transcript
Subjective Data
... [Show More] Collection
Objective Data Collection
Documentation
Video Tutorial
Hallway
Lifespan
Review Questions
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 yield
better patient data. The following details are facts of the
patient's case.
Asked about head problems Reports occasional headaches
Denies current headache
Denies head problems other than headaches
Asked about frequency of headaches Reports headaches occur once a week
Asked about duration of headaches Reports headaches last a few hours
Asked about character and location of
headaches
Reports headaches as tight and throbbing
Reports headache located behind her eyes
Asked to rate headache pain on a scale Reports headaches as a 2/10 or 3/10
Asked about headache treatment Reports treating headaches with acetaminophen
(Tylenol)
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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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Risk Factors
Reports resting to treat headache
Reports acetaminophen (Tylenol) and rest usually
resolve symptoms
Asked about headache triggers Reports headaches only happen when reading or
studying
Reports that blurry vision and headaches often
coincide
Asked about vision Reports occasional blurry vision
Asked about onset and frequency of blurry vision Reports worsening vision began within the past
year
Reports blurry vision only occurs when reading for
long periods
Reports noticing blurry vision increasing in the
past few months
Asked about relieving factors for blurry vision Reports that resting eyes helps
Asked about vision care Reports last vision exam was in childhood
Denies use of corrective lenses
Asked about additional eye problems Reports occasional itchy eyes
Reports occasional eye redness
Denies eye pain
Denies eye dryness
Asked about triggers for eye symptoms Reports cat allergy is a trigger for itchy eyes
Reports dust is a trigger for itchy eyes
Asked about treatment of eye symptoms Denies taking medication for itchy eyes
Asked about nasal problems Reports occasional runny nose
Denies nosebleeds
Asked about sinus problems Denies frequent sinus problems
Followed up on trigger of nasal problem Reports cat allergy is trigger for runny nose
Followed up on treatment of nasal problem Denies taking medication for runny nose
Reports treatment is avoiding trigger
Reports treatment is showering
Asked about current nasal problems Denies current runny nose [Show Less]