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.
•
Finding:
Established chief complaint
•
Finding:
Reports increased breathing problems and shortness of breath
(Found)
, Pro Tip: Foundational questions about general well-being are important in
assessing how a patient feels at the current moment. This creates a space for Tina to
contextualize her current feeling in relation to a chief complaint.
Example Question:
What brings you in today?
•
Finding:
Reports decreased effectiveness of inhaler
(Found)
Pro Tip: Initially establishing a chief complaint allows the patient to express their
reason for seeking care, primary concerns, or condition they are presenting with.
Example Question:
Why did you decide to seek treatment?
•
Finding:
Asked about onset of symptoms
•
Finding:
Reports symptoms began two days ago
(Found)
Pro Tip: Determining the onset of a health problem is the first step to understanding
if the underlying condition is acute or chronic.
Example Question:
How long have you had breathing problems?
•
, Finding:
Asked about frequency and duration of SOB episodes
•
Finding:
Reports exacerbations lasting several minutes
(Available)
Pro Tip: Knowing the duration of an asthma or shortness of breath episode will give
you insight into how effective the patient's interventions are, and how severe the
episode is.
Example Question:
How long do your asthma episodes last?
•
Finding:
Reports exacerbated breathing about every 4 hours since original episode
(Found)
Pro Tip: The frequency of asthma episodes or shortness of breath might vary over
time. Asking Tina about her recent experience will expound upon her current
condition.
Example Question:
How many times have you had breathing problems in the past two days?
•
Finding:
Reports waking up twice a night with asthma the past 2 nights
(Available)
Pro Tip: Many patients with asthma report trouble sleeping. Asking Tina if she has
trouble sleeping can indicate the severity of her asthma.
Example Question: