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Subjective Data Collection: 21 of 21 (100.0%)
Chief Complaint
History of Presenting Illness
Your Results Reopen (/assignment_attempts/8143991/reopen
Lab Pass (/assignment_attempts/8143991/lab_pass.p
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Lifespan
Self-Reflection
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Category Scored Items
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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 t
patient's case.
Established chief complaint Reports increased breathing problems and
shortness of breath
Reports decreased effectiveness of inhaler
Asked about onset of symptoms Reports symptoms began two days ago
Asked about frequency and duration of SOB
episodes
Reports exacerbations lasting several minutes
Reports exacerbated breathing about every 4
hours since original episode
Reports waking up twice a night with asthma the
past 2 nights
Asked about severity of symptoms Describes asthma severity as "not full attack," but
worse than usual
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Example Questions.
Support
10/14/2020 Respiratory | Completed | Shadow Health
https://app.shadowhealth.com/assignment_attempts/8143991 2/4
Medical History
Reports asthma has been interfering with activities
of daily life
Asked about character of symptoms Reports recent wheezing
Reports chest tightness
Denies chest pain
Asked about cough Reports cough
Cough has persisted since original asthma
exacerbation 2 days ago
Describes cough as "dry"
Describes cough as "small" and not severe
Reports cough slightly relieved by drinking water
Has not treated cough with medication or home
remedies [Show Less]