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108 TX PLAN TODDLER SICK VISIT GASTROINTESTINAL ZACHARY LAFONTAINE 30 MONTHS OLD

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Follow Up Sick Visit: Musculoskeletal Results | Completed Primary Care Nursing - FNP II - Advanced Primary Care Adult Content -NUR 532 Your Results Turn In (/assignment_attempts//choose Lab Pass (/assignment_attempts//lab_pass.p Overview Transcript Subjective Data Collection: 49 of 57 (86.0%) Subjective Data Collection Objective Data Collection Education & Empathy Documentation Treatment Plan Reflection Student Survey 108 TX PLAN TODDLER SICK VISIT GASTROINTESTINAL ZACHARY LAFONTAINE 30 MONTHS OLD 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 Asked about chief complaint Reports fatigue Reports joint pain History of Present Illness Asked about onset of pain Reports having joint pain for 3 months Asked about location of pain Reports pain in hands and wrists Reports full body pain Asked about timing of pain Reports that the pain is worst in the morning when

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Institution
NUR 532
Course
NUR 532

Content preview

Follow Up Sick Visit: Musculoskeletal Results | Completed
Primary Care Nursing - FNP II - Advanced Primary Care Adult Content -NUR 532




Your Results Turn In (/assignment_attempts/14326091/choose

Lab Pass (/assignment_attempts/14326091/lab_pass.p




Overview
Subjective Data Collection: 49 of 57 (86.0%)
Transcript

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

Treatment Plan

Reflection
Category Scored Items Patient Data
Student Survey Not Scored

Experts selected these topics as essential A combination of open and closed questions
components of a strong, thorough interview will yield better patient data. The following
with this patient. details are facts of the patient's case.


Chief Complaint


Asked about chief complaint Reports fatigue
Reports joint pain



History of Present Illness


Asked about onset of pain Reports having joint pain for 3 months



Asked about location of pain Reports pain in hands and wrists
Reports full body pain



Asked about timing of pain Reports that the pain is worst in the
morning when she wakes up


1/8

, Reports that the pain is constant



Asked about characteristics of pain Reports pain in wrists and ha
stiff
Reports full body pain is stiff



Asked about aggravating factors of pain Reports that holding her coff
difficult
Reports pain is worse after lo
holding art tools
Reports pain is worse after lo



Asked about relieving factors of pain Reports that hot showers ma



Asked about severity of pain Reports pain is currently at 2
Reports pain was 3-4 before



Asked about onset of fatigue Reports 3 months of fatigue



Asked about timing of fatigue Reports that the fatigue is co
Reports fatigue worsens as t



Asked about aggravating factors for fatigue Denies aggravating factors f



Asked about relieving factors for fatigue Denies relieving factors for fa



Asked about impact on daily activities Reports daily activities are d
Denies pain with daily activiti
Reports daily activities take l
Reports feeling drained after



Asked about perceived cause of fatigue Reports feeling that it might



Past Medical History


Asked about allergies Reports codeine allergy
Reports codeine reaction is r
Denies latex allergy
Denies food allergies
Denies environmental allergie



Asked about existing health conditions Denies existing health condit



Asked about history of mental health Denies history of mental hea




2/8

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Institution
NUR 532
Course
NUR 532

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