SHADOW HEALTH ASSIGNMENTS TEMPLATE
Before entering the exam room, check yourself and be prepared by having all necessary
equipment to conduct the exam and assessment (appearance, badge, etc.)
Make sure you ask questions clearly, educate, and empathize
(E/E at least 5-10)
Introduction Process: Start with “good morning” and address them by their Sir name,
identify yourself, and your role. Explain that you will be conducting a physical exam
and assessing patients' needs or concerns. Please inform the patient that you will be
pulling the curtain for privacy and performing hand hygiene. Then follow up with,
“Then we can get started.” Could you please provide your name and date of birth?
Chief Complaint : What has brought you in today? (usually answered by one comment
from the patient)
History of Presenting Issue : This process is essential and may require 40-80 questions
(The facts presented and verbalized will keep you focused and ensure all areas have been
answered). This will be beneficial when documenting subjective areas in the patient’s
chart.
o Sample question that you can build from:
o “Are you in any pain at this time?”
o “Inquire about location.”
o “Ask patient to rate their pain from 1-10.”
o “Ask what aggravates the pain.”
o “Describe the pain (sharp, dull, ache),
o “Ask what helps to relieve the pain…”
o When was your last physical examination
o When was your last hospital stay
o Any known medication or food allergies
o Do you have any SOB
o Do you have any difficulty falling asleep
o Do you have difficulty staying asleep
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, Shadow_Health_Assessment_Template_Guideline.docx.pdf| Full Q&A | 2026/2027
o Average hours of sleep per night
o Have you ever been diagnosed with sleep Apnea
o High Blood Pressure
o History of Surgeries
o Prescribed Medications
o OTC medications
o Do you take any supplemental
o Have you ever experienced any chest pain
o Have you ever experienced tightness in your chest
o Do you have high cholesterol
o Do you experience any limitations with walking
o Do you ever experience SOB when walking up a flight of stairs
o Have you experienced any weight loss or gain recently
o Do you experience heartburn
o When was the last time you had labs drawn
o Do you have any musculoskeletal problems with the range of motion
o What do you usually eat for breakfast
o What do you usually eat for lunch
o What do you usually eat for dinner
o Do you have snacks in between meals
o Are you thirsty all the time
o How often do you have bowel movements
o Do you experience constipation
o Do you have indigestion
o When was your last dental examination
o Do you have difficulty chewing your food
o Do you have any difficulty in swallowing
o Do you urinate frequently throughout the day
o How often do you wake up in the middle of the night to urinate
o Have you experienced any neurological issues
o Do you experience leg cramps
o Do you have swellings in your hands or feet
o Do you have any skin conditions
This study source was downloaded by 1827175 from cliffsnotes.com on 01-08-2026 20:26:35 GMT -06:00
https://www.cliffsnotes.com//study-notes/28343400