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Community-Acquired Pneumonia Anita Douglas shadow health Subjective Data
Community-Acquired Pneumonia Anita Douglas shadow health Subjective Data
Subjective Data Collection: 29 of 29 (100.0%)
Hover To Reveal…
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.
Chief Complaint
Finding:
Established chief complaint and reason for admittance
 Subjective Action Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. Example Question: “Do you have a fever?”” data-html=”true” data-title=”Reports fever (Found)” data-original-title=””>
Finding:
Reports fever
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
Do you have a fever?
 Subjective Action Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. Example Question: “Do you have chest pain?”” data-html=”true” data-title=”Reports chest pain (Found)” data-original-title=””>
Finding:
Reports chest pain
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
Do you have chest pain?
 Subjective Action Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. Example Question: “Do you have a cough?”” data-html=”true” data-title=”Reports cough (Found)” data-original-title=””>
Finding:
Reports cough
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
Do you have a cough?
History of Present Illness
Finding:
Asked about additional symptoms
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “Are you fatigued?”” data-html=”true” data-title=”Reports fatigue (Found)” data-original-title=””>
Finding:
Reports fatigue
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Are you fatigued?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “Do you cough anything up?”” data-html=”true” data-title=”Reports coughing up sputum (Found)” data-original-title=””>
Finding:
Reports coughing up sputum
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Do you cough anything up?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “Are you feeling congested?”” data-html=”true” data-title=”Reports sinus congestion (Found)” data-original-title=””>
Finding:
Reports sinus congestion
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Are you feeling congested?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “Are your muscles sore?”” data-html=”true” data-title=”Reports muscle soreness (Found)” data-original-title=””>
Finding:
Reports muscle soreness
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Are your muscles sore?
Finding:
Asked about onset and duration of symptoms
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “When did your fatigue start?”” data-html=”true” data-title=”Reports fatigue began 3 days ago (Found)” data-original-title=””>
Finding:
Reports fatigue began 3 days ago
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did your fatigue start?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “When did your chest pain start?”” data-html=”true” data-title=”Reports chest pain began 3 days ago (Found)” data-original-title=””>
Finding:
Reports chest pain began 3 days ago
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did your chest pain start?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “When did your cough start?”” data-html=”true” data-title=”Reports productive cough began 3 days ago (Found)” data-original-title=””>
Finding:
Reports productive cough began 3 days ago
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did your cough start?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “When did your congestion start?”” data-html=”true” data-title=”Reports sinus congestion began 3 days ago (Found)” data-original-title=””>
Finding:
Reports sinus congestion began 3 days ago
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did your congestion start?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “When did your fever start?”” data-html=”true” data-title=”Reports fever began 1 day ago (Found)” data-original-title=””>
Finding:
Reports fever began 1 day ago
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did your fever start?
Finding:
Asked about frequency of symptoms
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “How often are you fatigued?”” data-html=”true” data-title=”Reports fatigue is constant (Found)” data-original-title=””>
Finding:
Reports fatigue is constant
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
How often are you fatigued?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “Is the fever constant?”” data-html=”true” data-title=”Reports fever is constant (Available)” data-original-title=””>
Finding:
Reports fever is constant
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Is the fever constant?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “How often are you congested?”” data-html=”true” data-title=”Reports congestion is constant (Available)” data-original-title=””>
Finding:
Reports congestion is constant
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
How often are you congested?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “How often do you have less severe chest pain?”” data-html=”true” data-title=”Reports less severe chest pain is constant (Found)” data-original-title=””>
Finding:
Reports less severe chest pain is constant
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
How often do you have less severe chest pain?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “How often do you have more severe chest pain?”” data-html=”true” data-title=”Reports more severe chest pain occurs with coughing (Found)” data-original-title=””>
Finding:
Reports more severe chest pain occurs with coughing
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
How often do you have more severe chest pain?
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “How often do you cough?”” data-html=”true” data-title=”Reports coughing every few minutes (Available)” data-original-title=””>
Finding:
Reports coughing every few minutes
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
How often do you cough?
Finding:
Followed up on location of pain
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “Where is your pain located?”” data-html=”true” data-title=”Reports pain in lower right side of chest (Found)” data-original-title=””>
Finding:
Reports pain in lower right side of chest
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Where is your pain located?
Finding:
Followed up on characteristics of pain
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “What is the pain like?”” data-html=”true” data-title=”Reports chest pain is dull (Found)” data-original-title=””>
Finding:
Reports chest pain is dull
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What is the pain like?
Finding:
Followed up on characteristics of discharge
 Subjective Action Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: “Can you describe your mucus?”” data-html=”true” data-title=”Reports coughing up rust-colored sputum (Found)” data-original-title=””>
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