Community-Acquired Pneumonia Anita Douglas shadow health Subjective Data

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

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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

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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

  • &nbspSubjective Action&nbspPro 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.&nbspExample 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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “can you describe your mucus?”” data-html=”true” data-title=”Reports coughing up rust-colored sputum (Found)” data-original-title=””>

    Finding:

    Reports coughing up rust-colored 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:

    Can you describe your mucus?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “can you describe your mucus?”” data-html=”true” data-title=”Reports nasal mucus varies from yellow to green in color (Available)” data-original-title=””>

    Finding:

    Reports nasal mucus varies from yellow to green in color

    (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:

    Can you describe your mucus?

 

  • Finding:

    Asked about aggravating factors

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “does deep breathing hurt your chest?”” data-html=”true” data-title=”Reports deep breathing aggravates chest pain (Found)” data-original-title=””>

    Finding:

    Reports deep breathing aggravates chest pain

    (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:

    Does deep breathing hurt your chest?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “does speaking hurt your chest?”” data-html=”true” data-title=”Reports speaking aggravates chest pain (Found)” data-original-title=””>

    Finding:

    Reports speaking aggravates chest pain

    (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:

    Does speaking hurt your chest?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “does exertion make your symptoms worse?”” data-html=”true” data-title=”Reports physical exertion aggravates chest pain and fatigue (Found)” data-original-title=””>

    Finding:

    Reports physical exertion aggravates chest pain and 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:

    Does exertion make your symptoms worse?

 

  • Finding:

    Asked about non-medicational relieving factors

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “does resting help your symptoms?”” data-html=”true” data-title=”Reports resting provides relief (Found)” data-original-title=””>

    Finding:

    Reports resting provides relief

    (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:

    Does resting help your symptoms?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you drink tea?”” data-html=”true” data-title=”Reports tea provides relief (Found)” data-original-title=””>

    Finding:

    Reports tea provides relief

    (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 drink tea?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you use a humidifier?”” data-html=”true” data-title=”Reports humidifier steam provides slight relief (Found)” data-original-title=””>

    Finding:

    Reports humidifier steam provides slight relief

    (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 use a humidifier?

 

  • Finding:

    Asked about severity of pain

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how severe is your chest pain when you’re not coughing?”” data-html=”true” data-title=”Reports chest pain when not coughing is 2 out of 10 (Found)” data-original-title=””>

    Finding:

    Reports chest pain when not coughing is 2 out of 10

    (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 severe is your chest pain when you’re not coughing?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how severe is your chest pain when coughing?”” data-html=”true” data-title=”Reports chest pain during normal coughing is 5 out of 10 (Found)” data-original-title=””>

    Finding:

    Reports chest pain during normal coughing is 5 out of 10

    (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 severe is your chest pain when coughing?

Past Medical History

 

  • Finding:

    Asked about pre-existing health conditions

  • &nbspSubjective Action&nbspPro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.&nbspExample Question: “do you have any existing health conditions?”” data-html=”true” data-title=”Reports chronic kidney disease stage 2 (Found)” data-original-title=””>

    Finding:

    Reports chronic kidney disease stage 2

    (Found)

    Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

    Example Question:

    Do you have any existing health conditions?

  • &nbspSubjective Action&nbspPro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.&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: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

    Example Question:

    Do you have any existing health conditions?

 

  • Finding:

    Asked about onset and duration of pre-existing health conditions

  • &nbspSubjective Action&nbspPro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.&nbspExample Question: “when were you diagnosed with chronic kidney disease?”” data-html=”true” data-title=”Reports chronic kidney disease was diagnosed 9 years ago (Found)” data-original-title=””>

    Finding:

    Reports chronic kidney disease was diagnosed 9 years ago

    (Found)

    Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

    Example Question:

    When were you diagnosed with chronic kidney disease?

  • &nbspSubjective Action&nbspPro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.&nbspExample Question: “when were you diagnosed with hypertension?”” data-html=”true” data-title=”Reports hypertension was diagnosed 14 years ago (Found)” data-original-title=””>

    Finding:

    Reports hypertension was diagnosed 14 years ago

    (Found)

    Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

    Example Question:

    When were you diagnosed with hypertension?

 

  • Finding:

    Asked about hospitalizations

  • &nbspSubjective Action&nbspPro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.&nbspExample Question: “have you been hospitalized recently?”” data-html=”true” data-title=”Denies recent hospitalizations (Found)” data-original-title=””>

    Finding:

    Denies recent hospitalizations

    (Found)

    Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

    Example Question:

    Have you been hospitalized recently?

 

  • Finding:

    Asked about allergies

  • &nbspSubjective Action&nbspPro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.&nbspExample Question: “do you have any allergies?”” data-html=”true” data-title=”Denies allergies (Found)” data-original-title=””>

    Finding:

    Denies allergies

    (Found)

    Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

    Example Question:

    Do you have any allergies?

 

  • Finding:

    Asked about vaccines

  • &nbspSubjective Action&nbspPro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.&nbspExample Question: “have you had the pneumococcal vaccine?”” data-html=”true” data-title=”Reports receiving pneumococcal vaccine 12 years ago (Found)” data-original-title=””>

    Finding:

    Reports receiving pneumococcal vaccine 12 years ago

    (Found)

    Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

    Example Question:

    Have you had the pneumococcal vaccine?

  • &nbspSubjective Action&nbspPro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.&nbspExample Question: “have you had the flu shot this year?”” data-html=”true” data-title=”Reports receiving flu vaccine 3 months ago (Found)” data-original-title=””>

    Finding:

    Reports receiving flu vaccine 3 months ago

    (Found)

    Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

    Example Question:

    Have you had the flu shot this year?

Home Medications

 

  • Finding:

    Asked about home medications

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “are you currently taking medications?”” data-html=”true” data-title=”Reports taking trandolapril/verapamil combination drug (Found)” data-original-title=””>

    Finding:

    Reports taking trandolapril/verapamil combination drug

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Are you currently taking medications?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “are you currently taking medications?”” data-html=”true” data-title=”Reports taking chlorothiazide (Found)” data-original-title=””>

    Finding:

    Reports taking chlorothiazide

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Are you currently taking medications?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “are you currently taking medications?”” data-html=”true” data-title=”Reports taking aspirin (Found)” data-original-title=””>

    Finding:

    Reports taking aspirin

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Are you currently taking medications?

 

  • Finding:

    Followed up on trandolapril/verapamil

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “why do you take trandolaprilverapamil?”” data-html=”true” data-title=”Reports taking trandolapril/verapamil for hypertension and chronic kidney disease (Found)” data-original-title=””>

    Finding:

    Reports taking trandolapril/verapamil for hypertension and chronic kidney disease

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Why do you take trandolapril/verapamil?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “what dosage is the trandolaprilverapamil?”” data-html=”true” data-title=”Reports pill contains 2 milligrams of trandolapril and 180 milligrams of verapamil (Found)” data-original-title=””>

    Finding:

    Reports pill contains 2 milligrams of trandolapril and 180 milligrams of verapamil

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    What dosage is the trandolapril/verapamil?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “how often do you take trandolaprilverapamil?”” data-html=”true” data-title=”Reports taking trandolapril/verapamil pill once a day (Found)” data-original-title=””>

    Finding:

    Reports taking trandolapril/verapamil pill once a day

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    How often do you take trandolapril/verapamil?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “how long have you taken trandolaprilverapamil?”” data-html=”true” data-title=”Reports having taken trandolapril/verapamil for 9 years (Available)” data-original-title=””>

    Finding:

    Reports having taken trandolapril/verapamil for 9 years

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    How long have you taken trandolapril/verapamil?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “when was your last dose of trandolaprilverapamil?”” data-html=”true” data-title=”Reports last dose of trandolapril/verapamil was this morning (Available)” data-original-title=””>

    Finding:

    Reports last dose of trandolapril/verapamil was this morning

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    When was your last dose of trandolapril/verapamil?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “do you have adverse effects from trandolaprilverapamil?”” data-html=”true” data-title=”Denies adverse effects from trandolapril/verapamil (Available)” data-original-title=””>

    Finding:

    Denies adverse effects from trandolapril/verapamil

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Do you have adverse effects from trandolapril/verapamil?

 

  • Finding:

    Followed up on chlorothiazide

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “why do you take chlorothiazide?”” data-html=”true” data-title=”Reports taking chlorothiazide for hypertension (Available)” data-original-title=””>

    Finding:

    Reports taking chlorothiazide for hypertension

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Why do you take chlorothiazide?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “what dosage is the chlorothiazide?”” data-html=”true” data-title=”Reports chlorothiazide pill is 500 milligrams (Found)” data-original-title=””>

    Finding:

    Reports chlorothiazide pill is 500 milligrams

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    What dosage is the chlorothiazide?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “how often do you take chlorothiazide?”” data-html=”true” data-title=”Reports taking chlorothiazide pill twice a day (Available)” data-original-title=””>

    Finding:

    Reports taking chlorothiazide pill twice a day

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    How often do you take chlorothiazide?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “how long have you taken chlorothiazide?”” data-html=”true” data-title=”Reports having taken chlorothiazide for 14 years (Found)” data-original-title=””>

    Finding:

    Reports having taken chlorothiazide for 14 years

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    How long have you taken chlorothiazide?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “when was your last dose of chlorothiazide?”” data-html=”true” data-title=”Reports last dose of chlorothiazide was this morning (Available)” data-original-title=””>

    Finding:

    Reports last dose of chlorothiazide was this morning

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    When was your last dose of chlorothiazide?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “do you have adverse effects from chlorothiazide?”” data-html=”true” data-title=”Reports chlorothiazide increases frequency of urination (Available)” data-original-title=””>

    Finding:

    Reports chlorothiazide increases frequency of urination

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Do you have adverse effects from chlorothiazide?

 

  • Finding:

    Followed up on aspirin

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “why do you take aspirin?”” data-html=”true” data-title=”Reports taking aspirin for pain and fever (Found)” data-original-title=””>

    Finding:

    Reports taking aspirin for pain and fever

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Why do you take aspirin?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “what dosage is the aspirin?”” data-html=”true” data-title=”Reports aspirin pill is 325 milligrams (Found)” data-original-title=””>

    Finding:

    Reports aspirin pill is 325 milligrams

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    What dosage is the aspirin?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “how often do you take aspirin?”” data-html=”true” data-title=”Reports taking 2 aspirin pills every 6 hours, 3 times a day (Found)” data-original-title=””>

    Finding:

    Reports taking 2 aspirin pills every 6 hours, 3 times a day

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    How often do you take aspirin?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “how long have you taken aspirin?”” data-html=”true” data-title=”Reports having taken aspirin pills for 3 days (Found)” data-original-title=””>

    Finding:

    Reports having taken aspirin pills for 3 days

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    How long have you taken aspirin?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “when was your last dose of aspirin?”” data-html=”true” data-title=”Reports last dose of aspirin was this morning (Available)” data-original-title=””>

    Finding:

    Reports last dose of aspirin was this morning

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    When was your last dose of aspirin?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “do you have adverse effects from aspirin?”” data-html=”true” data-title=”Denies adverse effects from aspirin (Available)” data-original-title=””>

    Finding:

    Denies adverse effects from aspirin

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Do you have adverse effects from aspirin?

 

  • Finding:

    Asked about vitamins and supplements

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “do you take vitamins or supplements?”” data-html=”true” data-title=”Reports taking calcium supplement (Found)” data-original-title=””>

    Finding:

    Reports taking calcium supplement

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Do you take vitamins or supplements?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “do you take vitamins or supplements?”” data-html=”true” data-title=”Reports taking vitamin D supplement (Found)” data-original-title=””>

    Finding:

    Reports taking vitamin D supplement

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Do you take vitamins or supplements?

 

  • Finding:

    Followed up on calcium supplement

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “why do you take calcium supplements?”” data-html=”true” data-title=”Reports taking calcium supplement for chronic kidney disease (Available)” data-original-title=””>

    Finding:

    Reports taking calcium supplement for chronic kidney disease

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Why do you take calcium supplements?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “what dosage are your calcium supplements?”” data-html=”true” data-title=”Reports calcium supplement is 1200 milligrams (Found)” data-original-title=””>

    Finding:

    Reports calcium supplement is 1200 milligrams

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    What dosage are your calcium supplements?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “how often do you take calcium supplements?”” data-html=”true” data-title=”Reports taking calcium supplement once a day (Available)” data-original-title=””>

    Finding:

    Reports taking calcium supplement once a day

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    How often do you take calcium supplements?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “how long have you been taking calcium supplements?”” data-html=”true” data-title=”Reports having taken calcium supplement for 9 years (Available)” data-original-title=””>

    Finding:

    Reports having taken calcium supplement for 9 years

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    How long have you been taking calcium supplements?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “when did you last take a calcium supplement?”” data-html=”true” data-title=”Reports last dose of calcium supplement was this morning (Available)” data-original-title=””>

    Finding:

    Reports last dose of calcium supplement was this morning

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    When did you last take a calcium supplement?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “do you have adverse effects from calcium supplements?”” data-html=”true” data-title=”Denies adverse effects from calcium supplement (Available)” data-original-title=””>

    Finding:

    Denies adverse effects from calcium supplement

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Do you have adverse effects from calcium supplements?

 

  • Finding:

    Followed up on vitamin D supplement

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “why do you take vitamin d supplements?”” data-html=”true” data-title=”Reports taking vitamin D supplement for chronic kidney disease (Available)” data-original-title=””>

    Finding:

    Reports taking vitamin D supplement for chronic kidney disease

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Why do you take vitamin D supplements?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “what dosage are your vitamin d supplements?”” data-html=”true” data-title=”Reports vitamin D supplement is 15 micrograms (Found)” data-original-title=””>

    Finding:

    Reports vitamin D supplement is 15 micrograms

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    What dosage are your vitamin D supplements?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “how often do you take vitamin d supplements?”” data-html=”true” data-title=”Reports taking vitamin D supplement once a day (Available)” data-original-title=””>

    Finding:

    Reports taking vitamin D supplement once a day

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    How often do you take vitamin D supplements?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “how long have you been taking vitamin d supplements?”” data-html=”true” data-title=”Reports having taken vitamin D supplement for 9 years (Available)” data-original-title=””>

    Finding:

    Reports having taken vitamin D supplement for 9 years

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    How long have you been taking vitamin D supplements?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “when did you last take a vitamin d supplement?”” data-html=”true” data-title=”Reports last dose of vitamin D was this morning (Available)” data-original-title=””>

    Finding:

    Reports last dose of vitamin D was this morning

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    When did you last take a vitamin D supplement?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “do you have adverse effects from vitamin d supplements?”” data-html=”true” data-title=”Denies adverse effects from vitamin D (Available)” data-original-title=””>

    Finding:

    Denies adverse effects from vitamin D

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Do you have adverse effects from vitamin D supplements?

 

  • Finding:

    Asked about medication regimen adherence

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “do you miss doses of your medication?”” data-html=”true” data-title=”Denies missing medication doses (Found)” data-original-title=””>

    Finding:

    Denies missing medication doses

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Do you miss doses of your medication?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “are you able to afford your medication?”” data-html=”true” data-title=”Reports being able to afford medication (Available)” data-original-title=””>

    Finding:

    Reports being able to afford medication

    (Available)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Are you able to afford your medication?

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “do you use a pillbox for your medication?”” data-html=”true” data-title=”Reports using pillbox (Found)” data-original-title=””>

    Finding:

    Reports using pillbox

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Do you use a pillbox for your medication?

 

  • Finding:

    Asked about history of antibiotic use

  • &nbspSubjective Action&nbspPro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.&nbspExample Question: “have you taken antibiotics recently?”” data-html=”true” data-title=”Denies recent antibiotic regimen (Found)” data-original-title=””>

    Finding:

    Denies recent antibiotic regimen

    (Found)

    Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

    Example Question:

    Have you taken antibiotics recently?

Social History

 

  • Finding:

    Asked about substance use

  • &nbspSubjective Action&nbspPro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.&nbspExample Question: “do you drink alcohol?”” data-html=”true” data-title=”Reports drinking 1-2 glasses of wine per week (Available)” data-original-title=””>

    Finding:

    Reports drinking 1-2 glasses of wine per week

    (Available)

    Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

    Example Question:

    Do you drink alcohol?

  • &nbspSubjective Action&nbspPro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.&nbspExample Question: “do you use tobacco products?”” data-html=”true” data-title=”Denies tobacco use (Available)” data-original-title=””>

    Finding:

    Denies tobacco use

    (Available)

    Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

    Example Question:

    Do you use tobacco products?

  • &nbspSubjective Action&nbspPro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.&nbspExample Question: “do you use illicit drugs?”” data-html=”true” data-title=”Denies illicit drug use (Found)” data-original-title=””>

    Finding:

    Denies illicit drug use

    (Found)

    Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

    Example Question:

    Do you use illicit drugs?

 

  • Finding:

    Asked about exercise

  • &nbspSubjective Action&nbspPro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.&nbspExample Question: “what type of exercise do you do?”” data-html=”true” data-title=”Reports taking 10 minute walks 2-3 times per week (Found)” data-original-title=””>

    Finding:

    Reports taking 10 minute walks 2-3 times per week

    (Found)

    Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

    Example Question:

    What type of exercise do you do?

 

  • Finding:

    Asked about diet

  • &nbspSubjective Action&nbspPro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.&nbspExample Question: “do you have any dietary restrictions?”” data-html=”true” data-title=”Reports being a lacto-ovo-vegetarian (Found)” data-original-title=””>

    Finding:

    Reports being a lacto-ovo-vegetarian

    (Found)

    Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

    Example Question:

    Do you have any dietary restrictions?

  • &nbspSubjective Action&nbspPro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.&nbspExample Question: “what do you eat on a typical day?”” data-html=”true” data-title=”Reports usually eating pasta or salad (Found)” data-original-title=””>

    Finding:

    Reports usually eating pasta or salad

    (Found)

    Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

    Example Question:

    What do you eat on a typical day?

 

  • Finding:

    Asked about activities of daily living

  • &nbspSubjective Action&nbspPro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.&nbspExample Question: “are you able to complete activities of daily living?”” data-html=”true” data-title=”Reports no difficulties with activities of daily living (Found)” data-original-title=””>

    Finding:

    Reports no difficulties with activities of daily living

    (Found)

    Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

    Example Question:

    Are you able to complete activities of daily living?

Family Medical History

 

  • Finding:

    Asked about relevant family medical history

  • &nbspSubjective Action&nbspPro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.&nbspExample Question: “what health problems run in your family?”” data-html=”true” data-title=”Reports father had hypertension (Found)” data-original-title=””>

    Finding:

    Reports father had hypertension

    (Found)

    Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

    Example Question:

    What health problems run in your family?

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