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Exam (elaborations)

Health History Results | Turned In

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Asked location of wound Reports right foot is injured Reports wound is on the plantar surface of her foot Asked details of the injury Reports she scraped foot on bottom rung of a step stool Reports injury occurred 1 week ago Denies other injuries besides foot wound Reports being barefoot at the time of injury Denies seeing a healthcare provider for the injury until now Asked about drainage from the foot wound Reports that the wound bled a little after sustaining the injury Reports seeing pus draining from wound Reports noticing pus 2 days ago Followed up on drainage Reports pus as white or yellow Denies odor from the wound Asked about home treatment of foot wound Reports wound care regimen of bandaging Reports cleaning wound twice a day Reports applying bacitracin, neomycin and polymyxin B (Neosporin) Followed up on effectiveness of ointment Reports bacitracin, neomycin and polymyxin B (Neosporin) was ineffective Asked about other foot wound symptoms Reports swelling around foot wound Reports swelling worsened in the past 2 days Reports redness around the wound Reports that the wound feels warm Explored impact of patient's foot injury on activities of daily living Reports pain affects ability to walk Reports pain affects ability to stand at work for long periods of time Reports pain prevented her from being able to walk to class Past Medical History Asked about preexisting medical conditions Reports diabetes Reports asthma Followed up on diabetes diagnosis Reports specific age of diagnosis was 24 Reports that her diabetes is Type 2 Asked about diabetes management through lifestyle changes Reports staying away from sweets Reports drinking diet coke instead of regular Asked about current diabetes medication use Reports that she does not currently take medication for diabetes Asked about past diabetes medication use Reports that she used to take diabetes medication Reports previous medication was prescription metformin Reports last use of medication was 3 years ago Followed up on stopping diabetes regimen Reports disliking diabetes medication side effects Reports that she didn't like checking sugar and taking daily pills Asked about blood glucose monitoring Reports infrequent blood glucose monitoring Reports she last checked blood sugar a month ago Reports confusion about what the numbers mean Asked about thirst Reports increased thirst Reports increased water intake Asked about frequency of urination Reports more frequent urination Reports urinating every hour or two during the day Reports urinating 2 to 3 times during the night Asked about diet Reports eating a bowl of cereal for breakfast yesterday Reports eating mac and cheese for lunch yesterday Reports eating chicken and roll for dinner yesterday

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Uploaded on
June 23, 2023
Number of pages
11
Written in
2022/2023
Type
Exam (elaborations)
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  • nur 305l
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