wk2 option 1.__ Western Michigan University__ NUR MISC__Rated A
S: waken up at night with a bitter taste in her mouth about four times per week for the past two months, interfering with her sleep. HPI Onset: 2 months Location: mouth Duration: woken up at ni ght wi th a bitter taste in her mouth about 4 times per week Characteristic: bitter taste Aggravating factors: taking any medications? What type of diet do you follow? Alcohol, drugs, caffeine? Relieving factors: are you doing any oral care? Does anything make it better? Treatment: currently taking any medications, even OTC? Severity: interfering with her sleep PH: ask patient for any surgical history, past medical history, family past medical history Social History: ask regarding tobacco, alcohol, drug use Allergies: ask about medication and food allergies Medications: ask about routine and OTC medications ROS: HEENT: waken up at night with a bitter taste in her mouth about four times per week for the past two months, interfering with her sleep Cardiac: ask for cardiac symptoms and or history Respiratory: ask if patient has any respiratory symptoms GI: ask for any gastrointestinal symptoms such as constipation, diarrhea, pain, n/v GU: ask for urinary symptoms, gentile abnormal symptoms O: Physical Assessment General appearance: describe current patient’s appearance and vital signs, ask for presence of fever or chills, any recent travel HEENT:
Document information
- Uploaded on
- September 27, 2022
- Number of pages
- 5
- Written in
- 2022/2023
- Type
- Exam (elaborations)
- Contains
- Questions & answers
