Exam (elaborations) Makayla Henderson Shadow Health Focused Exam UTI With Antibiotic Sensitivity- Subjective Data Collection

Exam (elaborations) Makayla Henderson Shadow Health Focused Exam UTI With Antibiotic Sensitivity- Subjective Data Collection Focused Exam: UTI with Antibiotic Sensitivity Results | Turned In Advanced Pharmacology - Summer 2019, NURS 5304 Return to Assignment If you are using Safari and have issues with audio in your assignment, please click here for assistance. Click here for more information Your Results Lab Pass 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. Chief Complaint Established chief complaint Reports burning during urination Reports frequent need to urinate Reports changes in urine characteristics History of Present Illness Asked about onset and duration of symptoms Reports increased urinary frequency, burning during urination, and change in urine characteristics started three days ago Asked about history of intercourse related to UTI Reports last intercourse was four days ago Reports did not urinate after intercourse Subjective Data Collection: 26 of 26 (100.0%) Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Debrief Medication Selection Patient Teaching Prescription Writing 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 from CourseH on :24:15 GMT -06:00 This study resource was shared via CourseH Asked about additional symptoms of UTI Denies incontinence Denies holding in urine unnecessarily Asked about location of pain Reports pain is in urethra, urinary tract Asked about characteristics of urine Reports urine as foul-smelling Reports urine has been dark and cloudy Asked about characteristics of pain Reports pain during urination as stinging Reports pain during urination as burning Asked about non-medication relieving factors of pain Reports drinking less water so she doesn't have burning Asked about aggravating factors of pain Reports urination makes the pain worse Asked about severity of pain Reports pain on urination as 7/10 Past Medical History Asked about relevant past medical history Reports no existing relevant health conditions Asked about general allergies Reports seasonal environmental allergy Reports itchy eyes, scratchy throat, and stuffy nose as rhinitis symptoms Home Medications Asked about home medications Reports taking antihistamine for environmental allergies (seasonal allergic rhinitis) Reports oral birth control (contraceptive) Reports cranberry pills (supplement) Asked about medication regimen adherence Reports taking medications first thing in the morning Denies missing doses Followed up on daily environmental allergy pill Reports taking loratadine Reports taking one 10 mg pill once a day Reports no adverse effects This study source was downloaded by from CourseH on :24:15 GMT -06:00 This study resource was shared via CourseH Reports taking daily as a preventative measure Reports started taking allergy medication three months ago when her allergies started "acting up" Followed up on oral birth control pill Reports taking ethinyl estradiol and norgestimate combination oral contraceptive Reports taking once a day Reports 28-pill pack Reports tracking dosages through medication click pack Reports been on birth control for three years Reports no adverse effects Followed up on cranberry pills Reports taking two gel capsules with morning pills Reports unsure of dosage Reports capsules were ineffective Reports began taking pills three days ago when symptoms started Asked about medication allergies Reports hypersensitivity to penicillin Followed up on reaction to penicillin Reports red rash and itching Reports nausea and vomiting Social History Asked about substance use Reports alcohol use Reports use of marijuana in the past Denies use of nicotine and tobacco Followed up on alcohol use Reports drinking alcohol one or two nights a week Reports 2-3 drinks per week Asked about sexual activity Reports sexually active Reports birth control and condoms as contraceptives Reports using lubricated condoms with spermicide Family Medical History Denies fever (Available) Subjective Action Pro Tip: Understanding a patient's health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient This study source was downloaded by from CourseH on :24:15 GMT -06:00 may require. This study resource was shared via CourseH Asked about relevant family medical history Reports father is healthy Reports mother is breast cancer survivor, but healthy and cancer free Patient had genetic testing and is not at risk for breast cancer Review of Systems Asked about general symptoms Denies fever Asked about review of systems for gastrointestinal Reports lower abdominal cramping Asked about menstrual cycle Reports LMP two weeks ago Reports typical MP lasts four days, with light bleeding for 3 days after Reports MPs are regular/predictable due to oral contraceptive Comments If your instructor provides individual feedback on this assignment, it will appear here. © Shadow Health ® Example Question: "Do you have a fever?" This study source was downloaded by from CourseH on :24:15 GMT -06:00 This study resource was shared via Course