Follow Up Sick Visit: Musculoskeletal | Completed | Shadow Health

2/24/22, 6:26 PM Follow Up Sick Visit: Musculoskeletal | Completed | Shadow Health


Follow Up Sick Visit: Musculoskeletal | Completed | Shadow Health


Follow Up Sick Visit: Musculoskeletal Results | Turned In
Advanced Nursing Practice I - Primary Care - Adult - January 2022 ONLINE, 202210nur6121801
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Your Results Lab Pass (/assignment_attempts/11777318/lab_pass.p




Overview
Subjective Data Collection: 57 of 57 (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.
Treatment Plan

Reflection
Category Scored Items Patient Data
Student Survey
Not Scored

Experts selected these topics as essential components A combination of open and closed questions will yiel
of a strong, thorough interview with this patient. better patient data. The following details are facts of
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
Reports that the pain is constant



Asked about characteristics of pain Reports pain in wrists and hands is dull,
throbbing, and stiff
This study source was downloaded by 100000870127142 from CourseHero.com on 08-26-2023 15:00:35 GMT -05:00 Reports full body pain is stiff and achy

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, 2/24/22, 6:26 PM Follow Up Sick Visit: Musculoskeletal | Completed | Shadow Health



Asked about aggravating factors of pain Reports that holding her coffee mug in the
morning is difficult
Reports pain is worse after long periods of typing
or holding art tools
Reports pain is worse after long periods of sitting



Asked about relieving factors of pain Reports that hot showers make her feel better



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



Asked about onset of fatigue Reports 3 months of fatigue



Asked about timing of fatigue Reports that the fatigue is constant
Reports fatigue worsens as the day goes on



Asked about aggravating factors for fatigue Denies aggravating factors for fatigue



Asked about relieving factors for fatigue Denies relieving factors for fatigue



Asked about impact on daily activities Reports daily activities are doable
Denies pain with daily activities
Reports daily activities take longer
Reports feeling drained after completing daily
activities



Asked about perceived cause of fatigue Reports feeling that it might be stress or
hormones



Past Medical History


Asked about allergies Reports codeine allergy
Reports codeine reaction is rash and itching on
body
Denies latex allergy
Denies food allergies
Denies environmental allergies



Asked about existing health conditions Denies existing health conditions



Asked about history of mental health Denies history of mental health conditions



Asked about hospitalizations Reports childbirth 3 times



Asked about surgeries Denies having had surgery



Home Medications


This study source was downloaded by 100000870127142 from CourseHero.com on 08-26-2023 15:00:35 GMT -05:00
Asked about home medications Reports previously taking ibuprofen
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