Exam (elaborations)
Shadow Health Focused Exam, COPD- Subjective Data Collection
- Course
- NURS 5304 (NURS5304)
- Institution
- Houston Baptist University
Shadow Health Focused Exam, COPD- Subjective Data Collection
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If you are using Safari and have issues with audio in your assignment, please click here for assistance. Click here for more informationFocused Exam: COPD Results | Turned In
Advanced Pharmacology - Summer 2019, NURS 5304
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Your Results Lab Pass
Overview
Subjective Data Collection: 32 of 32 (100.0%)
Transcript
Subjective Data Collection Hover To Reveal... Indicates an item that you found.
Hover over the Patient Data items Indicates an item that is available to be
Objective Data Collection
below to reveal important information, found.
including Pro Tips and Example
Education & Empathy
Questions.
Documentation
Debrief Category Scored Items Patient Data
Not Scored
Medication Selection
Experts selected these topics as essential A combination of open and closed questions
Patient Teaching
components of a strong, thorough interview will yield better patient data. The following
with this patient. details are facts of the patient's case.
Prescription Writing
Chief Complaint
Established chief complaint and reason Reports a bronchospasm three days ago
for admittance Reports increased difficulty breathing
Reports desire for smoking cessation aids
History of Present Illness
Asked about additional symptoms Reports fatigue and weakness
Reports purulent sputum
Reports cough
Reports feeling anxious about symptoms
and worsening health issues
Asked about onset and duration of Reports most severe fatigue and difficulty
, Reports purulent sputum production
started two weeks ago
Reports respiratory symptoms increased
in the last four months
Followed up on characteristics of Reports sputum is mostly clear with
respiratory distress occasional yellow, gray, or dark color
Reports wheezing
Reports cough sounds like crackling
Asked about aggravating factors Reports exertion worsens symptoms
Reports coughing fits after smoking
Asked about treatment and relieving Reports trying to hold off on smoking
factors of respiratory symptoms cigarettes as long as possible
Asked about severity of respiratory Reports breathing difficulty and associated
distress discomfort is a 6/10
Asked about effects of health on social Reports low social activity - doesn't feel up
activity to getting out and about
Past Medical History
Asked about existing health conditions Reports chronic bronchitis related to
COPD
Followed up on chronic bronchitis COPD Reports diagnosed with "Class B" COPD
diagnosis Reports diagnosed after respiratory
distress episode
Asked about ER visits or hospitalizations Reports hospitalization after miscarriage
at age 24
Reports most recent hospitalization was
two years ago
Reports most recent hospitalization was
for respiratory distress episode
Home Medications
Asked about home medications Reports taking a long-acting beta-agonist
(LABA)
Followed up on LABA Reports the LABA is formoterol inhaler
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