Shadow Health: Mobility Focused Exam Questions and Answers Rated A

Shadow Health: Mobility Focused Exam Questions and Answers Rated A Orientation +1 Please verify your name and date of birth Chief Complaint +1 Why are you at the hospital? History of Present Illness +1 Where is your pain? History of Present Illness +1 Can you describe the pain? History of Present Illness +1 Does anything make the pain better or worse? History of Present Illness +1 How long have you had the pain? History of Present Illness +1 On a scale of 0-10. how would you rate your pain? Past Medical History +1 Do you have family history of vertigo? Functional Status and Geriatric Syndromes +1 Do you live alone? Functional Status and Geriatric Syndromes +2 Do you use any walking aids at home? Social History +2 Do you smoke? Social History +1 Do you drink alcohol often? Home Medications +1 Do you take any medications? Review of Systems +1 Do you have family history of neurological disorders? Review of Systems +1 Do you have history of stroke? Family History +1 Does your family suffer from any medical conditions? Past Medical History +1 Do you have any allergies? History of Present Illness +1 Does anything aggravate your pain? Past Medical History +1 When were you diagnosed with hypertension? Past Medical History +1 When were you diagnosed with arthritis? Functional Status of Geriatric Syndrome +1 Do you feel safe at home? Review of Systems +1 Do you have any thoughts of self harm? Social History +1 Do you exercise? Functional Status of Geriatric Syndrome +1 Do you have trouble sleeping? Functional Status of Geriatric Syndrome +1 How is your diet? Review of Systems +1 How is your bowel movement? Past Medical History +1 Do you have any pain upon urination? Functional Status of Geriatric Syndrome +1 Do you eat enough fiber? Functional Status of Geriatric Syndrome +1 Have you ever been to the hospital before? Functional Status of Geriatric Syndrome +1 Do you have any hobbies? Functional Status of Geriatric Syndrome +1 Do you have a support system? Past Medical History +1 Are you allergic to any medications? Review of Systems +1 Do you have history of impaired vision? Functional Status of Geriatric Syndrome +1 Have you had any recent weight loss? Review of Systems +1 Any history of injuries? Functional Status of Geriatric Syndrome +1 Have you had any history of memory loss? Functional Status of Geriatric Syndrome +1 Does your skin feel dry? Functional Status of Geriatric Syndrome +1 Have you had problems with your teeth? Review of Systems +1 Do you have any shortness of breath? Home Medications +1 What do you take for your blood pressure? Home Medications +1 What do you take for your prostate? Home Medications +1 Are you needing your home medications? Home Medications +2 When was the last time you took your medications? Functional Status of Geriatric Syndrome +1 Do you need help getting dressed? Functional Status of Geriatric Syndrome +1 Do you need help going to the bathroom? Functional Status of Geriatric Syndrome +1 Do you feel tired? Functional Status of Geriatric Syndrome +1 Do you feel healthy? Functional Status of Geriatric Syndrome +1 Does your health prevent you from doing daily activities? Chief Complaint reports a recent fall and left leg pain Orientation Oriented to person, place, time, situation History of Present Illness patient presents recent feeling of dizziness upon standing up reports feeling weak reports installing a shower bar reports use of a cane reports poor health and feeling tired Allergies None Past Medical History no history of stroke history of osteoarthritis history of hypertension past injury of broken ribs Past Surgical History Abdominal Hernia Medication History Metoprolol 50mg 1/2tab PO daily Proscar Family History Mother had cardiovascular history Father died of colon cancer Social History No history of smoking no history of alcohol use retired Review of Relevant Systems trouble seeing and use of glasses use of hearing aide Functional Status and Geriatric Syndroms no report of depression lives alone, but his daughter comes to help on the weekends reports feeling safe at home is able to perform ADLs alone history of falls, 2x in past 6 months reports thin skin, but no breakdown lost 10 pounds recently Elder Abuse Assessment feels safe at home has 2 daughter who help him on the weekends does not feel depressed Nursing Diagnosis Patient is at risk for impaired skin integrity related to alteration in skin tugor, history of falls, altered skin characteristics, alteration in skin integrity, difficulty with gait