108 tx plan toddler sick visit gastrointestinal zachary lafontaine 30 months old COMPLETE

4/12/23, 9:15AM
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| Shadow Health® │ Digital Clinical Experiences™ from Elsevier
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Follow Up Sick Visit: Musculoskeletal Results | Completed
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Primary Care Nursing - FNP II - Advanced Primary Care Adult Content - January 2023, NUR 532
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YourResults x
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Turn In (/assignment_attempts/14326091/choose
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Lab Pass (/assignment_attempts/14326091/lab_pass.p
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Overview
Subjective Data Collection: 49 of 57 (86.0%)
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Transcript
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Subjective DataCollection kx kx




HoverToReveal... x
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Indicatesanitemthat x
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Objective Data Collection
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you found.
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HoveroverthePatient Dataitems
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Indicatesanitemthat
Education & Empathy
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below to reveal important
isavailabletobefound.
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information,includingPro Tips and
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kx Documentation Example Questions.
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TreatmentPlan x
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Reflection
Category Scored Items Patient Data
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StudentSurvey
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Not Scored kx




Experts selected these topics as essential
kx kx kx kx kx A combination of open and closed questions
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componentsofastrong,thoroughinterview
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k will yield better patient data. The following
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with this patient.
kx kx kx details are facts of the patient's case.
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ChiefComplaint
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Asked about chief complaint kx kx kx Reports fatigue kx




kx Reportsjointpain x
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History of Present Illness
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Asked about onset of pain kx kx kx kx Reportshavingjointpainfor3months x
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Asked about location of pain kx kx kx kx Reports pain in hands and wrists kx kx kx kx kx




kx Reports full body pain kx kx kx




Asked about timing of pain kx kx kx kx Reportsthatthepainisworstinthe x
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morning when she wakes up
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, 4/12/23, 9:15AM
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| Shadow Health® │ Digital Clinical Experiences™ from Elsevier
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Reportsthatthepain isconstant
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kx Asked about characteristics of pain
kx kx kx kx Reports pain in wrists and ha
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kx
stiff
Reports full body pain is stiff
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kx Asked about aggravating factors of pain
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kReportsthatholdinghercoff x
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difficult
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kReportspainisworseafterlo x
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kx holding art tools kx kx




Reports pain is worse after lo
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Askedabout relievingfactorsof pain
kx kx kx kx kx kx kx Reports that hot showers ma kx kx kx kx




kx Asked about severity of pain
kx kx kx kx Reportspainiscurrentlyat2
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kx Reports pain was 3-4 before kx kx kx kx




kx Asked about onset of fatigue
kx kx kx kx kx Reports 3 months of fatigue kx kx kx kx




kx Asked about timing of fatigue
kx kx kx kx Reportsthatthefatigueisco
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kx Reports fatigue worsens as t kx kx kx kx




Asked about aggravating factors for fatigue
kx kx kx kx kx kx kx Denies aggravating factors f
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Askedaboutrelievingfactorsforfatigue
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k kx Denies relieving factors for fa
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kx Asked about impact on daily activities
kx kx kx kx kx kx Reports daily activities are d x
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Denies pain with daily activiti
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Reports daily activities take l
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Reportsfeelingdrainedafter
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kxAsked about perceived cause of fatigue
kx kx kx kx kx kx Reportsfeelingthatitmight kx kx kx kx




Past Medical History
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kx Asked about allergies
kx kx kx Reports codeine allergy kx kx




Reportscodeinereactionisr
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kx Denies latex allergy
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kx Denies food allergies kx kx




kx Denies environmental allergie
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Asked about existing health conditions
kx kx kx kx kx kx Deniesexistinghealthcondit
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Asked about history of mental health
kx kx kx kx kx kx kx Denieshistoryofmentalhea
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