Health Assess - Spring 1 2020, 322301
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Overvie
Subjective Data Collection: 22 of 23 (95.7%)
w
Transcri
pt
Subjective Data Collection
Hover To Reveal... Indicates an item that
Objective Data you found.
Hover over the Patient Data Indicates an item
Collection Education & items below to reveal that is available to be
important found.
Empathy
information, including Pro Tips
and
Documentati
Example Questions.
on Care Plan
Category Scored Items Patient Data
Not Scored
Experts selected these topics as essential
A combination of open and closed questions
components of a strong, thorough interview
will yiel better patient data. The following
with this patient.
details are facts of t patient's case.
Chief Complaint
Established chief complaint Reports chest pain
History of Presenting Illness
Asked about onset and duration of chest pain Reports chest pain started about five minutes
ago
Reports chest pain has been constant
since it began
Reports sitting in bed when pain began
Asked to rate chest pain on a scale Reports current pain is 6/10
Asked about on characteristics of the pain Describes pain as tight and uncomfortable
Denies crushing pain
Denies gnawing or tearing
pain Denies burning pain
Asked about location of the pain Reports pain location is in middle of the
chest Reports slight pain in left
shoulder
Denies arm
pain Denies
https://www.coursehero.com/file/54623498/Brian-Foster-Chest-Pain-Subjective-Data-Shadow-Healthpdf/
, back pain
Denies jaw
pain Denies
neck pain
Asked about pain triggers Reports pain is aggravated by movement
This study source was downloaded by 100000821877874 from CourseHero.com on 02-22-2022 12:44:04 GMT -06:00
https://www.coursehero.com/file/54623498/Brian-Foster-Chest-Pain-Subjective-Data-Shadow-Healthpdf/