4/12/23, 9:15 AM | Shadow Health® │ Digital Clinical Experiences™ from Elsevier
Follow Up Sick Visit: Musculoskeletal Results | Completed
Primary Care Nursing - FNP II - Advanced Primary Care Adult Content - January 2023, NUR 532
Your Results Turn In (/assignment_attempts/14326091/choose)
Lab Pass (/assignment_attempts/14326091/lab_pass.pd
Overview
Subjective Data Collection: 49 of 57 (86.0%)
Transcript
Subjective Data Collection
Hover To Reveal... Indicates an item that
Objective Data Collection you found.
Hover over the Patient Data items Indicates an item that
Education & Empathy below to reveal important
is 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 A combination of open and closed questions
components of a strong, thorough interview will yield better patient data. The following
with this patient. details are facts of the 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
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, lOMoARcPSD|27309302
4/12/23, 9:15 AM | Shadow Health® │ Digital Clinical Experiences™ from Elsevier
Reports that the pain is constant
Asked about characteristics of pain Reports pain in wrists and ha
stiff
Reports full body pain is stiff
Asked about aggravating factors of pain Reports that holding her coff
difficult
Reports pain is worse after lo
holding art tools
Reports pain is worse after lo
Asked about relieving factors of pain Reports that hot showers ma
Asked about severity of pain Reports pain is currently at 2
Reports pain was 3-4 before
Asked about onset of fatigue Reports 3 months of fatigue
Asked about timing of fatigue Reports that the fatigue is co
Reports fatigue worsens as t
Asked about aggravating factors for fatigue Denies aggravating factors fo
Asked about relieving factors for fatigue Denies relieving factors for fa
Asked about impact on daily activities Reports daily activities are do
Denies pain with daily activiti
Reports daily activities take lo
Reports feeling drained after
Asked about perceived cause of fatigue Reports feeling that it might b
Past Medical History
Asked about allergies Reports codeine allergy
Reports codeine reaction is r
Denies latex allergy
Denies food allergies
Denies environmental allergie
Asked about existing health conditions Denies existing health condit
Asked about history of mental health Denies history of mental heal
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