Experts selected these topics as essential
components of a strong, thorough interview
with this patient.
Patient Data
Not Scored
A combination of
... [Show More] open and closed questions
will yield better patient data. The following
details are facts of the patient's case.
Relevant Medical History
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
Subjective Data Collection: 34 of 34 (100.0%) Overview
Transcript
Subjective Data Collection
Objective Data Collection
Documentation
Hover To Reveal...
Hover over the Patient Data items
below to reveal important information,
including Pro Tips and Example
Questions.
This study source was downloaded by 100000859544396 from CourseHero.com on 03-04-2023 01:29:06 GMT -06:00
https://www.coursehero.com/file/49511638/Shadow-Health-HEENT-Tina-Jones-Subjectivepdf/
Asked about headache treatment Reports treating headaches with
acetaminophen (Tylenol)
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 [Show Less]