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Exam (elaborations)

Shadow Health CAP subjective Data

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Shadow Health CAP subjective Data

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Shadow Health CAP Subjective Data
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Shadow Health CAP subjective Data

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3/31/24, 8:19 | Shadow Health® │ Digital Clinical Experiences™ from
PM Elsevier
Shadow Health CAP subjective Data



Focused Exam: Community-Acquired Pneumonia Results | Turned In
Advanced Clinical Pharmacology Section 10A Spring 2024, NURS 6013
Return to Assignment (/assignments/914908/)




Your Results


Overvie
Subjective Data Collection: 29 of 29 (100.0%)
w

Transcri
Hover To Reveal... Indicates an item that you
pt found.
Subjective Data Collection Hover over the Patient Data items Indicates an item that
below to reveal important
Objective Data is available to be found.
information, including Pro Tips and
Example Questions.
Collection Education &

Empathy

Documentation

Debrief
Category Scored Items Patient Data
Medication
Not Scored
Selection Patient
Experts selected these topics as essential A combination of open and closed
Teaching components of a strong, thorough questions yield better patient data. The
interview with this patient. following details are facts of the
Prescription
patient's case.
Writing



Chief Complaint


Established chief complaint and
Reports fever
reason for admittance
Reports chest
pain Reports
cough



History of Present Illness


Asked about additional symptoms Reports fatigue
Reports coughing up sputum
Reports sinus congestion
Reports muscle soreness



1/
5

, 3/31/24, 8:19 | Shadow Health® │ Digital Clinical Experiences™ from
PM Elsevier
Asked about onset and duration of symptoms

Reports fatigue began 3 days
ago Reports chest pain began 3 days ago Reports productive cough began 3 days
ago
Reports sinus congestion began 3 days ago
Reports fever began 1 day ago
Asked about frequency of symptoms Reports fatigue is

constant Reports fever
is constant
Reports congestion is constant
Reports less severe chest pain is constant
Reports more severe chest pain occurs with
coughing Reports coughing every few minutes



Followed up on location of pain Reports pain in lower right si



Followed up on characteristics of pain Reports chest pain is dull



Followed up on characteristics of discharge Reports coughing up

rust-col Reports nasal
mucus varies f



Asked about aggravating factors Reports deep breathing

aggr Reports speaking
aggravates
Reports physical exertion
ag fatigue



Asked about non-medicational relieving factors Reports resting provides relie

Reports tea provides relief
Reports humidifier steam pro



Asked about severity of pain Reports chest pain when

not Reports chest pain
during no



Past Medical History


Asked about pre-existing health conditions Reports chronic kidney

disea Reports
hypertension



Asked about onset and duration of pre-existing
Reports chronic kidney
health conditions disea ago
Reports hypertension was di


2/
5

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Shadow Health CAP subjective Data
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Shadow Health CAP subjective Data

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Uploaded on
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Number of pages
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Written in
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