2/27/2019 Focused Exam: Infection | Completed | Shadow Health
Subjective Data Collection: 50 of 53
(94.3%)
Hover To Reveal... Indicates an item that you found.
Hover over the Patient Data items Indicates an item that is available to be
below to reveal important information, found.
including Pro Tips and Example
Questions.
Cate Scored Patient Data
gory Items Not Scored
A combination of open and closed questions
will yield better patient data. The following
Experts selected these topics as essential details are facts of the patient's case.
components of a strong, thorough interview
with this patient.
Chief Complaint
Established chief complaint Reports pain
Orientation
Established orientation Oriented to person
Disoriented to place
Disoriented to time
Oriented somewhat to situation
Patient Status
Asked about fluid intake and hydration Denies current thirst
Reports does not remember eating today
Reports does not remember drinking fluids
today
History of Presenting Illness
This study source was downloaded by 100000827506713 from CourseHero.com on 02-09-2022 04:34:35 GMT -06:00
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, 2/27/2019 Focused Exam: Infection | Completed | Shadow Health
Asked about onset, duration, and Reports pain began last night
frequency of symptoms Reports pain has been constant
Reports that pain increased this morning
Asked about location of pain Reports generalized abdominal pain
Reports back pain
Reports pain during urination
Asked about characteristics of pain Reports pain during urination as "burning"
Reports back and abdominal pain as
"aching"
Denies sharp or shooting pain
Denies cramping pain
Asked about aggravating factors of pain Reports no known aggravating factors
Asked about treatment and relieving Denies treatment with medication at home
factors of pain Denies use of heating pad
Asked about severity of pain Patient is unable to quantify
Past Medical History
Asked about existing health conditions Reports history of UTIs as an adult
Reports hypercholesterolemia
Followed up on history of UTI Reports UTIs once or twice annually
Reports typical UTI treatment is to see a
doctor for antibiotics
Followed up on hypercholesterolemia Diagnosed age 58
Asked about allergies Denies general allergies
Denies environmental allergies
Denies latex allergy
Denies food allergies
Asked specifically about medication Denies medication allergies
allergies
This study source was downloaded by 100000827506713 from CourseHero.com on 02-09-2022 04:34:35 GMT -06:00
https://app.shadowhealth.com/assignment_attempts/4570688 2/7
https://www.coursehero.com/file/38404259/Focused-Exam-Gerontology-Infection-Completed-Shadow-Healthpdf/
Subjective Data Collection: 50 of 53
(94.3%)
Hover To Reveal... Indicates an item that you found.
Hover over the Patient Data items Indicates an item that is available to be
below to reveal important information, found.
including Pro Tips and Example
Questions.
Cate Scored Patient Data
gory Items Not Scored
A combination of open and closed questions
will yield better patient data. The following
Experts selected these topics as essential details are facts of the patient's case.
components of a strong, thorough interview
with this patient.
Chief Complaint
Established chief complaint Reports pain
Orientation
Established orientation Oriented to person
Disoriented to place
Disoriented to time
Oriented somewhat to situation
Patient Status
Asked about fluid intake and hydration Denies current thirst
Reports does not remember eating today
Reports does not remember drinking fluids
today
History of Presenting Illness
This study source was downloaded by 100000827506713 from CourseHero.com on 02-09-2022 04:34:35 GMT -06:00
https://app.shadowhealth.com/assignment_attempts/4570688 1/7
https://www.coursehero.com/file/38404259/Focused-Exam-Gerontology-Infection-Completed-Shadow-Healthpdf/
, 2/27/2019 Focused Exam: Infection | Completed | Shadow Health
Asked about onset, duration, and Reports pain began last night
frequency of symptoms Reports pain has been constant
Reports that pain increased this morning
Asked about location of pain Reports generalized abdominal pain
Reports back pain
Reports pain during urination
Asked about characteristics of pain Reports pain during urination as "burning"
Reports back and abdominal pain as
"aching"
Denies sharp or shooting pain
Denies cramping pain
Asked about aggravating factors of pain Reports no known aggravating factors
Asked about treatment and relieving Denies treatment with medication at home
factors of pain Denies use of heating pad
Asked about severity of pain Patient is unable to quantify
Past Medical History
Asked about existing health conditions Reports history of UTIs as an adult
Reports hypercholesterolemia
Followed up on history of UTI Reports UTIs once or twice annually
Reports typical UTI treatment is to see a
doctor for antibiotics
Followed up on hypercholesterolemia Diagnosed age 58
Asked about allergies Denies general allergies
Denies environmental allergies
Denies latex allergy
Denies food allergies
Asked specifically about medication Denies medication allergies
allergies
This study source was downloaded by 100000827506713 from CourseHero.com on 02-09-2022 04:34:35 GMT -06:00
https://app.shadowhealth.com/assignment_attempts/4570688 2/7
https://www.coursehero.com/file/38404259/Focused-Exam-Gerontology-Infection-Completed-Shadow-Healthpdf/
