Respiratory Results | Turned In
Nursing 562/562L Advanced Health Assessment - Spring 2021, N562
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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
Beginning Developing Proficient
Students rated as “proficient” demonstrate an entry-level expertis
advanced practice competencies and clinical reasoning skills
Digital Clinical Experience Score comparable programs, the top 25% of students perform at the l
of a proficient practitioner.
100%
Subjective Data Collection Objective Data Collection
21 out of 21 6 out of 6
Education and Empathy
This score measures your performance on the Student Performance 4 out of 4
Index in relation to other students in comparable academic programs.
Your instructor has chosen to scale your Student Performance Index Time
score so that the average score on the index is a 80.0%. This score
may not be your final grade if your instructor chooses to include
75 minutes total spent in assignment
additional components, such as documentation or time spent.
Interaction with patient
75 minutes
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
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,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 Reopen (/assignment_attempts/9138323/reopen)
Lab Pass (/assignment_attempts/9138323/lab_pass.pd
Overview
Subjective Data Collection: 21 of 21 (100.0%)
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
Documentation
Example Questions.
Category Scored Items Patient Data
Not Scored
Experts selected these topics as essential components A combination of open and closed questions will yield
of a strong, thorough interview with this patient. better patient data. The following details are facts of t
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/9138323 1/4
, 2/17/2021 Respiratory | Completed | Shadow Health
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 episodes
triggers 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 of Denies record keeping of asthma exacerbation or
asthma management shortness of breath episodes
Denies using peak flow meter
Denies nebulizer use
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