Scott Becker shadow health Subjective Data Collection

Scott Becker shadow health Subjective Data Collection
Scott Becker shadow health Subjective Data Collection
Subjective Data Collection: 26 of 26 (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.

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.

Patient Check In

Finding:
Asked about chief complaint

&nbspSubjective Action&nbspPro Tip: By asking a patient an open question about their reason for coming into the hospital, you can establish their current medical and comfort needs and assist in coordinating their care.&nbspExample Question: "What brings you to the hospital?"” data-html=”true” data-title=”Reports fatigue (Found)” data-original-title=””>
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Finding:
Reports fatigue
(Found)
Pro Tip: By asking a patient an open question about their reason for coming into the hospital, you can establish their current medical and comfort needs and assist in coordinating their care.
Example Question:
What brings you to the hospital?

&nbspSubjective Action&nbspPro Tip: By asking a patient an open question about their reason for coming into the hospital, you can establish their current medical and comfort needs and assist in coordinating their care.&nbspExample Question: "What brings you to the hospital?"” data-html=”true” data-title=”Reports small amount of blood in vomit (Found)” data-original-title=””>
Finding:
Reports small amount of blood in vomit
(Found)
Pro Tip: By asking a patient an open question about their reason for coming into the hospital, you can establish their current medical and comfort needs and assist in coordinating their care.
Example Question:
What brings you to the hospital?

&nbspSubjective Action&nbspPro Tip: By asking a patient an open question about their reason for coming into the hospital, you can establish their current medical and comfort needs and assist in coordinating their care.&nbspExample Question: "What brings you to the hospital?"” data-html=”true” data-title=”Reports stomach pain (Found)” data-original-title=””>
Finding:
Reports stomach pain
(Found)
Pro Tip: By asking a patient an open question about their reason for coming into the hospital, you can establish their current medical and comfort needs and assist in coordinating their care.
Example Question:
What brings you to the hospital? Scott Becker shadow health Subjective Data Collection

History of Present Illness

Finding:
Followed up on fatigue

&nbspSubjective Action&nbspPro Tip: Details of a patient’s 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.&nbspExample Question: "How long have you felt fatigued?"” data-html=”true” data-title=”Reports worsening fatigue over several weeks (Found)” data-original-title=””>
Finding:
Reports worsening fatigue over several weeks
(Found)
Pro Tip: Details of a patient’s 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 long have you felt fatigued?

Finding:
Followed up on vomit

&nbspSubjective Action&nbspPro Tip: Details of a patient’s 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.&nbspExample Question: "How often have you been vomiting?"” data-html=”true” data-title=”Reports vomiting only once (Found)” data-original-title=””>
Finding:
Reports vomiting only once
(Found)
Pro Tip: Details of a patient’s 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 have you been vomiting?

&nbspSubjective Action&nbspPro Tip: Details of a patient’s 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.&nbspExample Question: "When did you vomit?"” data-html=”true” data-title=”Reports vomiting this morning (Found)” data-original-title=””>
Finding:
Reports vomiting this morning
(Found)
Pro Tip: Details of a patient’s 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 you vomit?

&nbspSubjective Action&nbspPro Tip: Details of a patient’s 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.&nbspExample Question: "What was your vomit like?"” data-html=”true” data-title=”Reports noticing dark flecks in vomit (Available)” data-original-title=””>
Finding:
Reports noticing dark flecks in vomit
(Available)
Pro Tip: Details of a patient’s 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 was your vomit like?

Finding:
Followed up on stomach pain

&nbspSubjective Action&nbspPro Tip: Details of a patient’s 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.&nbspExample Question: "Where is your stomach pain?"” data-html=”true” data-title=”Reports pain in upper-left abdomen (Found)” data-original-title=””>
Finding:
Reports pain in upper-left abdomen Scott Becker shadow health Subjective Data Collection
(Found)
Pro Tip: Details of a patient’s 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 stomach pain?

&nbspSubjective Action&nbspPro Tip: Details of a patient’s 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.&nbspExample Question: "How would you describe the stomach pain?"” data-html=”true” data-title=”Reports stomach pain is gnawing or burning (Found)” data-original-title=””>
Finding:
Reports stomach pain is gnawing or burning
(Found)
Pro Tip: Details of a patient’s 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 would you describe the stomach pain?

&nbspSubjective Action&nbspPro Tip: Details of a patient’s 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.&nbspExample Question: "How long have you had stomach pain?"” data-html=”true” data-title=”Reports experiencing stomach pain for past 3 to 4 months (Found)” data-original-title=””>
Finding:
Reports experiencing stomach pain for past 3 to 4 months
(Found)
Pro Tip: Details of a patient’s 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 long have you had stomach pain?

&nbspSubjective Action&nbspPro Tip: Details of a patient’s 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.&nbspExample Question: "Does the pain get better or worse after eating?"” data-html=”true” data-title=”Reports stomach pain worsens after eating (Found)” data-original-title=”” aria-describedby=”popover322876″>
Finding:
Reports stomach pain worsens after eating
(Found)
Pro Tip: Details of a patient’s 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:
Does the pain get better or worse after eating?

&nbspSubjective Action&nbspPro Tip: Details of a patient’s 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.&nbspExample Question: "Has your stomach pain gotten worse over time?"” data-html=”true” data-title=”Reports stomach pain increasing over the past week (Found)” data-original-title=””>
Finding:
Reports stomach pain increasing over the past week
(Found)
Pro Tip: Details of a patient’s 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:
Has your stomach pain gotten worse over time?

&nbspSubjective Action&nbspPro Tip: Details of a patient’s 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.&nbspExample Question: "Do you take anything for your stomach pain?"” data-html=”true” data-title=”Reports taking antacids daily (Found)” data-original-title=””>
Finding:
Reports taking antacids daily Scott Becker shadow health Subjective Data Collection
(Found)
Pro Tip: Details of a patient’s 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 take anything for your stomach pain?

&nbspSubjective Action&nbspPro Tip: Details of a patient’s 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.&nbspExample Question: "Does anything relieve your stomach pain?"” data-html=”true” data-title=”Reports antacids are moderately effective (Found)” data-original-title=””>
Finding:
Reports antacids are moderately effective
(Found)
Pro Tip: Details of a patient’s 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:
Does anything relieve your stomach pain?

Past Medical History

Finding:
Asked about allergies

&nbspSubjective Action&nbspPro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.&nbspExample Question: "Do you have any food allergies?"” data-html=”true” data-title=”Denies food allergies (Available)” data-original-title=””>
Finding:
Denies food allergies
(Available)
Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have any food allergies?

&nbspSubjective Action&nbspPro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.&nbspExample Question: "Do you have any environmental allergies?"” data-html=”true” data-title=”Denies environmental allergies (Found)” data-original-title=””>
Finding:
Denies environmental allergies
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have any environmental allergies?

&nbspSubjective Action&nbspPro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.&nbspExample Question: "Are you allergic to latex?"” data-html=”true” data-title=”Denies latex allergy (Available)” data-original-title=””>
Finding:
Denies latex allergy
(Available)
Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Are you allergic to latex?

&nbspSubjective Action&nbspPro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.&nbspExample Question: "Do you have any medication allergies?"” data-html=”true” data-title=”Denies medication allergies (Found)” data-original-title=””>
Finding:
Denies medication allergies
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have any medication allergies?

Finding:
Asked about existing health conditions

&nbspSubjective Action&nbspPro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.&nbspExample Question: "Do you have any existing health conditions?"” data-html=”true” data-title=”Reports hypertension (Found)” data-original-title=””>
Finding:
Reports hypertension
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have any existing health conditions?

&nbspSubjective Action&nbspPro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.&nbspExample Question: "Do you have any existing health conditions?"” data-html=”true” data-title=”Reports high cholesterol (Found)” data-original-title=””>
Finding:
Reports high cholesterol
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have any existing health conditions?

&nbspSubjective Action&nbspPro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.&nbspExample Question: "Do you have any existing health conditions?"” data-html=”true” data-title=”Reports coronary artery disease (Found)” data-original-title=””>
Finding:
Reports coronary artery disease
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have any existing health conditions?

&nbspSubjective Action&nbspPro Tip: A patient’s past medical history includes their health conditions, what preve