Your Results Reopen Lab Pass
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Documentation
Subjective Data Collection: 16 of 18 (88.9%)
Hover To Reveal...
Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions .
Found: Indicates an item that you found.
Available: Indicates an item that is available to be found.
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.
Relevant Medical History
Finding:
Asked about changes in sensation
Finding:
Reports belief that her sensation is normal
(Available)
Pro Tip: Subjective questions like this one will help you assess Tina's perception of her sensation and pursue the appropriate treatment.
Example Question:
Do you feel like your sensation is normal?
Finding:
Reports belief that she can feel warm and cold normally
(Available)
Pro Tip: Because symptoms often vary from patient to patient, asking Tina questions about her sensation will allow you to see the ways in which her individual symptoms manifests.
Example Question:
Can you feel warm and cold normally
Finding:
Asked about numbness
Finding:
Reports no history of numbness
(Found)
Pro Tip: Because symptoms often vary from patient to patient, asking Tina questions about her sensation, like if she has a history of numbness, will allow you to see the ways in which her individual symptoms manifests.
Example Question:
Do you have a history of numbness?
Finding:
Reports no current numbness
(Found)
Pro Tip: Because symptoms often vary from patient to patient, asking Tina questions about her sensation, like if she has numbness, will allow you to see the ways in which her individual symptoms manifests.
Example Question:
Are you experiencing numbness?
Finding:
Asked about tingling
Finding: Reports no tingling
(Available)
Pro Tip: Tingling sensations can suggest a herniated disc. Asking Tina whether she's experiencing tingling sensations might indicate additional musculoskeletal damage.
Example Question:
Are you experiencing tingling?
Finding:
Asked about vision problems
Finding:
Reports vision problems
(Available)
Pro Tip: Eye and vision problems are fairly common after a brain injury. Asking Tina whether she has current visual problems might indicate that she sustained a head injury.
Example Question:
Are you having vision problems?
Finding:
Asked vision problem patterns
Finding:
Reports vision problems for past few months
(Available)