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Respiratory Completed Shadow Health Subjective, Objective, Education, Documentation - NSG 562 / NSG562

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Respiratory Completed Shadow Health Subjective, Objective, Education, Documentation - NSG 562 / NSG562 Nursing 562/562L Advanced Health Assessment - Spring 2021, N562

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Voorbeeld van de inhoud

2/17/2021 Respiratory | Completed | Shadow Health


Respiratory Results | Turned In
Nursing 562/562L Advanced Health Assessment - Spring 2021,
N562
Return to Assignment (/assignments/433792/)




Your Results



Overview
Experience Overview
Transcript


Subjective Data Collection Patient: Tina Jones Student Performance Index
Objective Data Collection 31 out of 31
Education & Empathy

Documentation




Proficiency Level: Proficient
BeginningDevelopingProficient


Students rated as “proficient” demonstrate an entry-level expertis
of a proficient practitioner.
Digital Clinical Experience Score



100%
Subjective Data Collection Objective Data Collection
21 out of 21 6 out of 6
This score measures your performance on the Student Performance Index in relation to and
Education otherEmpathy
students in comparable academic programs. Yo
4 out of 4

Time
75 minutes total spent in assignment


Interaction with patient
75 minutes



Comments

If your instructor provides individual feedback on this assignment, it will appear here.




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https://app.shadowhealth.com/assignment_attempts/ 1

,2/17/20 Respiratory | Completed | Shadow

Respiratory Results | Turned In
Nursing 562/562L Advanced Health Assessment - Spring 2021, N562
Return to Assignment (/assignments/433792/)




Your Results Reopen

(/assignment_attempts/9138323/reopen Lab Pass

(/assignment_attempts/9138323/lab_pass.p




Overview
Subjective Data Collection: 21 of 21 (100.0%)
Transcript
Subjective Data
Hover To Reveal... Indicates an item that
Collection Objective Data you found.
Hover over the Patient Data Indicates an item that
Collection Education & items below to reveal important is available to be found.
information, including Pro Tips
Empathy Documentation and Example Questions.




Category Scored Items Patient Data
Not Scored
Experts selected these topics as essential components
A combination of open and closed questions will
of a strong, thorough interview with this patient.
yiel better patient data. The following details are
facts of patient's case.



Chief Complaint


Established chief complaint Reports increased breathing problems and
shortness of breath
Reports decreased effectiveness of inhaler



History of Presenting Illness


Asked about onset of symptoms Reports symptoms began two days ago



Asked about frequency and duration of SOB Reports exacerbations lasting several minutes
episodes 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
Reports asthma has been interfering
with activities of daily life


Support
Asked about character of symptoms Reports recent wheezing

https://app.shadowhealth.com/assignment_attempts/ 1

, 2/17/20 Respiratory | Completed | Shadow
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



Asked about aggravating factors Reports symptoms worse at night

Reports symptoms increase when lying flat on
back
Reports symptoms aggravated by movement



Medical History


Confirmed use of medications Confirms medications (no new medications
reported)



Followed up about inhaler use Uses an inhaler to treat asthma symptoms
Inhaler is Proventil
Reports most recent inhaler use was this morning
Reports using inhaler every 4 hours or so since
exacerbation
Prescribed usage is 2 puffs
Reports needing more than 2 puffs to
resolve asthma symptoms



Confirmed allergies Confirms allergies (no new allergies reported)



Followed up on exposure to allergy and asthma
Reports cat allergy triggered recent
triggers episodes Reports dust as a known trigger
Reports activity such as walking up stairs as a
known trigger
Denies seasonal pattern
Denies changes in weather as a trigger
Reports minimal exposure to asthma triggers at
work



Asked detailed questions about asthma history No current asthma doctor

Diagnosed with asthma in childhood
Age of diagnosis was 2 1/2 years old



Asked about hospitalizations for asthma Reports prior hospitalizations for asthma

Reports last hospitalization was age 16
Estimates 5 total hospitalizations for
asthma Reports she has never been
intubated



Followed up about non-medication forms
Denies record keeping of asthma exacerbation or
of asthma management shortness of breath episodes


https://app.shadowhealth.com/assignment_attempts/ 2

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