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Focused Exam: Infection Results | Completed
Gerontology - Fall 2021, RNSG 1261
Return to Assignment (/assignments/547119/)
Your Results Turn In (/assignment_attempts/10516331/choo
Reopen (/assignment_attempts/10516331/reope
Lab Pass (/assignment_attempts/10516331/lab_pass.
Overview
Subjective Data Collection: 52 of 53 (98.1%)
Transcript
Subjective Data Collection
Hover To Reveal... Indicates an item that you
Objective Data Collection found.
Hover over the Patient Data items Indicates an item that is
Education & Empathy below to reveal important available to be found.
information, including Pro Tips and
QSEN Competencies
Example Questions.
Documentation
Care Plan
Category Scored Items Patient Data
Reflections
Not Scored
Experts selected these topics as essential components A combination of open and closed questions will yie
of a strong, thorough interview with this patient. better patient data. The following details are facts o
patient's case.
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
Support
This study source was downloaded by 100000847426977 from CourseHero.com on 07-06-2022 05:23:15 GMT -05:00
https://www.coursehero.com/file/105720416/21-09-10-Patricia-Young-Infection-Pain-Subjective-Datapdf/
, History of Presenting Illness
Asked about onset, duration, and frequency of Reports pain began last night
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 factors of Denies treatment with medication at home
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 allergies Denies medication allergies
Home Medications
Asked about home medications Reports taking 2 medications for
hypercholesterolemia
Denies taking vitamins
Denies taking herbal supplements
Asked about medication regimen adherence Denies using a pillbox to organize medications
Reports that she occasionally misses doses "her
and there" if she forgets
This study source was downloaded by 100000847426977 from CourseHero.com on 07-06-2022 05:23:15 GMT -05:00
https://www.coursehero.com/file/105720416/21-09-10-Patricia-Young-Infection-Pain-Subjective-Datapdf/
ET. Attempts will be disabled during this time period. Once the maintenance window concludes, assignments will be available again.
Focused Exam: Infection Results | Completed
Gerontology - Fall 2021, RNSG 1261
Return to Assignment (/assignments/547119/)
Your Results Turn In (/assignment_attempts/10516331/choo
Reopen (/assignment_attempts/10516331/reope
Lab Pass (/assignment_attempts/10516331/lab_pass.
Overview
Subjective Data Collection: 52 of 53 (98.1%)
Transcript
Subjective Data Collection
Hover To Reveal... Indicates an item that you
Objective Data Collection found.
Hover over the Patient Data items Indicates an item that is
Education & Empathy below to reveal important available to be found.
information, including Pro Tips and
QSEN Competencies
Example Questions.
Documentation
Care Plan
Category Scored Items Patient Data
Reflections
Not Scored
Experts selected these topics as essential components A combination of open and closed questions will yie
of a strong, thorough interview with this patient. better patient data. The following details are facts o
patient's case.
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
Support
This study source was downloaded by 100000847426977 from CourseHero.com on 07-06-2022 05:23:15 GMT -05:00
https://www.coursehero.com/file/105720416/21-09-10-Patricia-Young-Infection-Pain-Subjective-Datapdf/
, History of Presenting Illness
Asked about onset, duration, and frequency of Reports pain began last night
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 factors of Denies treatment with medication at home
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 allergies Denies medication allergies
Home Medications
Asked about home medications Reports taking 2 medications for
hypercholesterolemia
Denies taking vitamins
Denies taking herbal supplements
Asked about medication regimen adherence Denies using a pillbox to organize medications
Reports that she occasionally misses doses "her
and there" if she forgets
This study source was downloaded by 100000847426977 from CourseHero.com on 07-06-2022 05:23:15 GMT -05:00
https://www.coursehero.com/file/105720416/21-09-10-Patricia-Young-Infection-Pain-Subjective-Datapdf/
