Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data

Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data
Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data
Subjective Data Collection: 20 of 20 (100.0%)

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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.
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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. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data

Chief Complaint

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Finding:
Established chief complaint

&nbspSubjective Action&nbspPro Tip: Asking about the characteristics of your patient’s cough and voice quality should guide your assessment.&nbspExample Question: "Do you have a cough?"” data-html=”true” data-title=”Reports cough (Found)” data-original-title=””>
Finding:
Reports cough
(Found)
Pro Tip: Asking about the characteristics of your patient’s cough and voice quality should guide your assessment. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data
Example Question:
Do you have a cough?

History of Present Illness

Finding:
Asked about onset of cough

&nbspSubjective Action&nbspPro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem.&nbspExample Question: "How long have you had a cough?"” data-html=”true” data-title=”Reports cough started 5 days ago (Found)” data-original-title=””>
Finding:
Reports cough started 5 days ago
(Found)
Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem.
Example Question:
How long have you had a cough?

Finding:
Asked about frequency and duration of cough

&nbspSubjective Action&nbspPro Tip: Establishing a timeline for Danny’s coughing will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers.&nbspExample Question: "How frequently have you been coughing?"” data-html=”true” data-title=”Reports coughing every couple minutes (Found)” data-original-title=””>
Finding:
Reports coughing every couple minutes
(Found)
Pro Tip: Establishing a timeline for Danny’s coughing will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data
Example Question:
How frequently have you been coughing?

Finding:
Asked about character of cough

&nbspSubjective Action&nbspPro Tip: Asking about the characteristics of your patient’s cough and voice quality should guide your assessment.&nbspExample Question: "Is your cough a wet cough?"” data-html=”true” data-title=”Reports cough is wet (Found)” data-original-title=””>
Finding:
Reports cough is wet
(Found)
Pro Tip: Asking about the characteristics of your patient’s cough and voice quality should guide your assessment. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data
Example Question:
Is your cough a wet cough?

&nbspSubjective Action&nbspPro Tip: Asking if your patient’s cough is productive should guide your assessment.&nbspExample Question: "Do you produce any phlegm or sputum with your cough?"” data-html=”true” data-title=”Reports clear sputum with cough (Found)” data-original-title=””>
Finding:
Reports clear sputum with cough
(Found)
Pro Tip: Asking if your patient’s cough is productive should guide your assessment.
Example Question:
Do you produce any phlegm or sputum with your cough? Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data

Finding:
Asked about aggravating factors for cough

&nbspSubjective Action&nbspPro Tip: Establishing a timeline for Danny’s coughing will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers.&nbspExample Question: "Is your cough worse at night?"” data-html=”true” data-title=”Reports cough is worse at night (Found)” data-original-title=””>
Finding:
Reports cough is worse at night
(Found)
Pro Tip: Establishing a timeline for Danny’s coughing will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers.
Example Question:
Is your cough worse at night?

&nbspSubjective Action&nbspPro Tip: Tobacco use puts the patient at risk for many medical conditions. Asking about all types of tobacco products assesses this risk factor.&nbspExample Question: "Do you smoke?"” data-html=”true” data-title=”Reports exposure to secondhand smoke (Found)” data-original-title=””>
Finding:
Reports exposure to secondhand smoke
(Found)
Pro Tip: Tobacco use puts the patient at risk for many medical conditions. Asking about all types of tobacco products assesses this risk factor.
Example Question:
Do you smoke?

&nbspSubjective Action&nbspPro Tip: Follow-up questions will enable Danny to more fully and specifically describe his condition, experience, or symptoms. Establishing what makes Danny’s cough worse will allow you to more effectively treat his symptoms.&nbspExample Question: "What makes your cough worse?"” data-html=”true” data-title=”Reports not knowing specific triggers that make the cough worse (Found)” data-original-title=””>
Finding:
Reports not knowing specific triggers that make the cough worse
(Found)
Pro Tip: Follow-up questions will enable Danny to more fully and specifically describe his condition, experience, or symptoms. Establishing what makes Danny’s cough worse will allow you to more effectively treat his symptoms.
Example Question:
What makes your cough worse?

Finding:
Asked about relieving factors for cough

&nbspSubjective Action&nbspPro Tip: Asking what relieves the patient’s chief complaint will determine the efficacy of possible treatment and may provide important insight into the condition itself.&nbspExample Question: "Does resting help your cough?"” data-html=”true” data-title=”Reports cough "stays the same" with rest (Available)” data-original-title=””>
Finding:
Reports cough “stays the same” with rest
(Available)
Pro Tip: Asking what relieves the patient’s chief complaint will determine the efficacy of possible treatment and may provide important insight into the condition itself.
Example Question:
Does resting help your cough?

&nbspSubjective Action&nbspPro Tip: Asking what relieves the patient’s chief complaint will determine the efficacy of possible treatment and may provide important insight into the condition itself.&nbspExample Question: "Does drinking water help your cough?"” data-html=”true” data-title=”Reports cough "stays the same" despite drinking water (Available)” data-original-title=””>
Finding:
Reports cough “stays the same” despite drinking water
(Available)
Pro Tip: Asking what relieves the patient’s chief complaint will determine the efficacy of possible treatment and may provide important insight into the condition itself. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data
Example Question:
Does drinking water help your cough?

Finding:
Asked about nasal symptoms

&nbspSubjective Action&nbspPro Tip: Asking your patient if his nose is running will allow you to determine the symptoms he is experiencing and possible triggers.&nbspExample Question: "Do you have a runny nose?"” data-html=”true” data-title=”Reports current runny nose (Found)” data-original-title=””>
Finding:
Reports current runny nose
(Found)
Pro Tip: Asking your patient if his nose is running will allow you to determine the symptoms he is experiencing and possible triggers. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data
Example Question:
Do you have a runny nose?

&nbspSubjective Action&nbspPro Tip: Asking your patient if he has been sneezing will allow you to determine the symptoms he is experiencing and possible triggers.&nbspExample Question: "Have you been sneezing?"” data-html=”true” data-title=”Denies sneezing (Found)” data-original-title=””>
Finding:
Denies sneezing
(Found)
Pro Tip: Asking your patient if he has been sneezing will allow you to determine the symptoms he is experiencing and possible triggers.
Example Question:
Have you been sneezing?

&nbspSubjective Action&nbspPro Tip: Establishing how frequently your patient experiences symptoms, like a runny nose, will most effectively enable you to treat your patient’s symptoms.&nbspExample Question: "Do you get runny noses often?"” data-html=”true” data-title=”Reports frequent rhinorrhea (Found)” data-original-title=””>
Finding:
Reports frequent rhinorrhea
(Found)
Pro Tip: Establishing how frequently your patient experiences symptoms, like a runny nose, will most effectively enable you to treat your patient’s symptoms.
Example Question:
Do you get runny noses often?

Finding:
Followed up on nasal discharge

&nbspSubjective Action&nbspPro Tip: Asking your patient about their specific symptoms and the way that they manifest, like the character of his nasal discharge, will help you to understand his symptoms.&nbspExample Question: "What color is your snot?"” data-html=”true” data-title=”Reports nasal discharge is clear (Found)” data-original-title=””>
Finding:
Reports nasal discharge is clear
(Found)
Pro Tip: Asking your patient about their specific symptoms and the way that they manifest, like the character of his nasal discharge, will help you to understand his symptoms.
Example Question:
What color is your snot?

&nbspSubjective Action&nbspPro Tip: Asking your patient about their specific symptoms and the way that they manifest, like the character of his nasal discharge, will help you to understand his symptoms.&nbspExample Question: "Is your snot thin?"” data-html=”true” data-title=”Reports nasal discharge is thin (Found)” data-original-title=””>
Finding:
Reports nasal discharge is thin
(Found)
Pro Tip: Asking your patient about their specific symptoms and the way that they manifest, like the character of his nasal discharge, will help you to understand his symptoms.
Example Question:
Is your snot thin?

Finding:
Asked about ear symptoms

&nbspSubjective Action&nbspPro Tip: Ear pain can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing. Asking Danny if he has ear pain might indicate a possible ear infection and a reason for changes in his hearing.&nbspExample Question: "Do you have any ear pain?"” data-html=”true” data-title=”Reports pain in right ear (Found)” data-original-title=””>
Finding:
Reports pain in right ear
(Found)
Pro Tip: Ear pain can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data. Asking Danny if he has ear pain might indicate a possible ear infection and a reason for changes in his hearing.
Example Question:
Do you have any ear pain?

Finding:
Followed up on ear pain

&nbspSubjective Action&nbspPro Tip: It is important to know how long your patient has suffered pain to determine how urgently treatment is needed.&nbspExample Question: "How long have you had ear pain?"” data-html=”true” data-title=”Reports ear pain started yesterday (Available)” data-original-title=””>
Finding:
Reports ear pain started yesterday
(Available)
Pro Tip: It is important to know how long your patient has suffered pain to determine how urgently treatment is needed.
Example Question:
How long have you had ear pain?

&nbspSubjective Action&nbspPro Tip: It is important to determine the severity of your patient’s paint to determine how urgently treatment is needed and how best to address it.&nbspExample Question: "How bad is your ear pain?"” data-html=”true” data-title=”Reports pain rating of 3 for ear pain (Available)” data-original-title=””>
Finding:
Reports pain rating of 3 for ear pain
(Available)
Pro Tip: It is important to determine the severity of your patient’s paint to determine how urgently treatment is needed and how best to address it.
Example Question:
How bad is your ear pain?

&nbspSubjective Action&nbspPro Tip: Asking your patient about their specific symptoms and the way that they manifest, like if he has ear discharge, will help you to understand his symptoms.&nbspExample Question: "Do you have any ear discharge?"” data-html=”true” data-title=”Denies ear discharge (Found)” data-original-title=””>
Finding:
Denies ear discharge
(Found)
Pro Tip: Asking your patient about their specific symptoms and the way that they manifest, like if he has ear discharge, will help you to understand his symptoms. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data.
Example Question:
Do you have any ear discharge?

Finding:
Asked about throat symptoms

&nbspSubjective Action&nbspPro Tip: Asking about the patient’s mouth and throat should guide your assessment.&nbspExample Question: "Is your throat sore?"” data-html=”true” data-title=”Reports sore throat (Found)” data-original-title=””>
Finding:
Reports sore throat
(Found)
Pro Tip: Asking about the patient’s mouth and throat should guide your assessment.
Example Question:
Is your throat sore?

&nbspSubjective Action&nbspPro Tip: Asking your patient about their specific symptoms and the way that they manifest, like if he has ear discharge, will help you to understand his symptoms.&nbspExample Question: "Does it hurt when you swallow?"” data-html=”true” data-title=”Reports "a little" pain with swallowing (Found)” data-original-title=””>
Finding:
Reports “a little” pain with swallowing
(Found)
Pro Tip: Asking your patient about their specific symptoms and the way that they manifest, like if he has ear discharge, will help you to understand his symptoms.
Example Question:
Does it hurt when you swallow?

Medical History

Finding:
Confirmed use of medications

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