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Focused Exam: Cognition Results | Turned In
Medical Surgical Nursing: Promoting Wellness in the Older Adult - January 2020, nurs201-da_nurs201_202001spi_befghjk
Return to Assignment (/assignments/304562/)
Your Results Lab Pass (/assignment_attempts/6318592/lab_pass.pdf)
m
er as
Overview
Subjective Data Collection: 55 of 56 (98.2%)
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eH w
Transcript
o.
Subjective Data Collection
Indicates an item that you
Objective Data Collection
rs e Hover To Reveal...
found.
ou urc
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.
o
Documentation
aC s
SBAR
vi y re
Category Scored Items Patient Data
Reflections
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 the
ed d
patient's case.
ar stu
Chief Complaint
Established chief complaint Reports headache
is
Reports recent memory loss
Reports changes in concentration - recent
Th
difficulty concentrating
Orientation
sh
Established orientation Oriented to person
Oriented to place
Oriented to time
Oriented to situation
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Asked about onset of symptoms Reports headache began 2 days ago
Reports memory loss in the past 2 days
Asked about frequency and duration of Reports headache pain has been constant
headaches Reports headache pain has gotten gradually
worse since it began
Reports that headache are not episodic
Asked about location of pain Reports headache is "up high, behind my
forehead"
Asked about characteristics of pain Describes headache pain as "pounding" or
"throbbing"
Reports a sensation of pressure
Denies sharp or shooting pain
m
er as
Asked about aggravating factors of pain Reports not remembering if anything caused the
headache
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Reports that lying flat increases headache pain
o.
rs e Asked about severity of pain Reports that current pain is 4/10
Reports that pain upon arrival was 9/10
ou urc
Asked about non-medication treatment and Reports taking herbs to help headache
o
relieving factors of pain Reports herbs were not effective
Reports applying cold compress
aC s
Reports cold compress provided some relief
vi y re
Past Medical History
ed d
Asked about existing health conditions Reports hypertension
ar stu
Followed up on hypertension diagnosis Diagnosed with hypertension at age 54
Reports typical blood pressure is 120/70
is
Reports belief that blood pressure is well-
controlled
Th
Asked about allergies Denies general allergies
Denies environmental allergies
Reports latex allergy
sh
Denies food allergy
Asked specifically about medication allergies Denies medication allergies
Home Medications
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