10/16/24, 11:50 Subjective Data - Robert Hall - Mobility Shadow
AM Health
Shadow Health will be performing planned maintenance this Monday, from 7:00am until 7:30am Eastern. During this time assignment attempts will be disabled.
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Focused Exam: Mobility Results | Turned In
Complex Concepts of Adult Health Med/Surg 2 - Gerontology Assignments - Spring 2022, RNSG 1362
Return to Assignment (/assignments/602493/)
(/)
(/)
Your Results Reopen (/assignment_attempts/11535958/reop
Lab Pass (/assignment_attempts/11535958/lab_pass
Overview
Subjective Data Collection: 53 of 54 (98.1%)
Transcrip
t
Subjective Data Collection
Hover To Reveal... Indicates an item that you
Objective Data Collection found.
Hover over the Patient Data Indicates an item that is
Education & Empathy items below to reveal available to be found.
important information,
Documentation
including Pro Tips and Example
Questions.
Care Plan
Reflection
Patient Data
s Category Scored Items Not Scored
Experts selected these topics as essential A combination of open and closed questions
components of a strong, thorough interview with will y better patient data. The following
this patient. details are facts patient's case.
Chief Complaint
Established chief complaint Reports leg pain
Reports leg
swelling
Orientation
Established orientation Oriented to
person Oriented
to place Oriented
to time Oriented
to situation
History of Present Illness
Asked about onset and duration of symptoms Reports fall was 9 am this morning
about:blan 1/
k 7
, 10/16/24, 11:50 Subjective Data - Robert Hall - Mobility Shadow
AM Health
Reports lower leg pain started 2 days
ago. Also reports mild constant pain in his
knees and hips due to arthritis.
Reports leg swelling started 2 days ago
Reports pain has been constant since
onset Reports pain steadily gets worse
Asked about location of pain Reports pain in left lower calf
Asked about characteristics of pain Describes pain as
"nagging" Describes pain
as sharp Denies stinging
or burning pain Reports
sensation of warmth
Asked about aggravating factors of pain Reports pain is worse with walking
Asked about treatment and relieving
factors of pain Reports taking Advil
Reports Advil did not relieve leg pain
Denies home treatments such as heating or
icing for pain today
Asked about severity of pain Current pain level is 2/10
Pain level arriving at ER was 10/10
Past Medical History
Asked about existing health conditions Reports hypertension
Reports osteoarthritis
Reports prostate
enlargement
Followed up about hypertension diagnosis Hypertension diagnosed at age 57
Reports belief that hypertension is "okay" (well-
controlled)
Reports that typical number in the
doctor's offic is "never above 140 for the
first number"
Reports that he doesn't check BP at home
Reports that he only checks BP at doctor's
offic
every few months
Denies checking BP before taking medication
Followed up about osteoarthritis diagnosis Arthritis diagnosed at age 57
Reports hip
pain Reports
knee pain
Reports morning stiffness
Reports using heat to relieve pain
Reports doing exercises to help symptoms
Followed up about prostate
enlargement diagnosis Diagnosed at age 69
Asked about allergies Denies general allergies
Denies environmental
allergies Denies latex
allergy
about:blan 2/
k 7
AM Health
Shadow Health will be performing planned maintenance this Monday, from 7:00am until 7:30am Eastern. During this time assignment attempts will be disabled.
Thank you for h improve your Shadow Health experience!
Focused Exam: Mobility Results | Turned In
Complex Concepts of Adult Health Med/Surg 2 - Gerontology Assignments - Spring 2022, RNSG 1362
Return to Assignment (/assignments/602493/)
(/)
(/)
Your Results Reopen (/assignment_attempts/11535958/reop
Lab Pass (/assignment_attempts/11535958/lab_pass
Overview
Subjective Data Collection: 53 of 54 (98.1%)
Transcrip
t
Subjective Data Collection
Hover To Reveal... Indicates an item that you
Objective Data Collection found.
Hover over the Patient Data Indicates an item that is
Education & Empathy items below to reveal available to be found.
important information,
Documentation
including Pro Tips and Example
Questions.
Care Plan
Reflection
Patient Data
s Category Scored Items Not Scored
Experts selected these topics as essential A combination of open and closed questions
components of a strong, thorough interview with will y better patient data. The following
this patient. details are facts patient's case.
Chief Complaint
Established chief complaint Reports leg pain
Reports leg
swelling
Orientation
Established orientation Oriented to
person Oriented
to place Oriented
to time Oriented
to situation
History of Present Illness
Asked about onset and duration of symptoms Reports fall was 9 am this morning
about:blan 1/
k 7
, 10/16/24, 11:50 Subjective Data - Robert Hall - Mobility Shadow
AM Health
Reports lower leg pain started 2 days
ago. Also reports mild constant pain in his
knees and hips due to arthritis.
Reports leg swelling started 2 days ago
Reports pain has been constant since
onset Reports pain steadily gets worse
Asked about location of pain Reports pain in left lower calf
Asked about characteristics of pain Describes pain as
"nagging" Describes pain
as sharp Denies stinging
or burning pain Reports
sensation of warmth
Asked about aggravating factors of pain Reports pain is worse with walking
Asked about treatment and relieving
factors of pain Reports taking Advil
Reports Advil did not relieve leg pain
Denies home treatments such as heating or
icing for pain today
Asked about severity of pain Current pain level is 2/10
Pain level arriving at ER was 10/10
Past Medical History
Asked about existing health conditions Reports hypertension
Reports osteoarthritis
Reports prostate
enlargement
Followed up about hypertension diagnosis Hypertension diagnosed at age 57
Reports belief that hypertension is "okay" (well-
controlled)
Reports that typical number in the
doctor's offic is "never above 140 for the
first number"
Reports that he doesn't check BP at home
Reports that he only checks BP at doctor's
offic
every few months
Denies checking BP before taking medication
Followed up about osteoarthritis diagnosis Arthritis diagnosed at age 57
Reports hip
pain Reports
knee pain
Reports morning stiffness
Reports using heat to relieve pain
Reports doing exercises to help symptoms
Followed up about prostate
enlargement diagnosis Diagnosed at age 69
Asked about allergies Denies general allergies
Denies environmental
allergies Denies latex
allergy
about:blan 2/
k 7
