Respiratory | Completed | Shadow Health
7/26/18, 2)22 PM
Respiratory Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-June-2018
Your Results
Overview
Transcript
Started: Jul 21, 2018 | Patient Exam Time: 738 min
Subjective Data Collection
All Lines (297)
Interview Questions (216)
Statements (23)
Exam Actions (58)
Objective Data Collection
Greet
Education & Empathy
Tina, it's good to see you again. If you don't remember me, I'm Scott,
Tina, it's good to see you again. If you don't r
07/21/18 11:17 PM
your nurse practitioner. I'll be doing your examination today
your nurse practitioner
. I'll be doing your examination today
CDT
Documentation
Student Pre-Survey
Hey.
Lifespan
Question
Review Questions
What brings you in today?
07/21/18 11:18 PM
CDT
Self-Reflection
I came in because I've been having breathing problems, and my inhaler
just isn't working the way it normally does.
Question
Tell me about the br
eathing issues your experiencing?
ell me about the br
07/21/18 11:18 PM
CDT
It feels like it's been hard to take in air. My chest feels all tight and I've
been wheezing... I've had to use my inhaler a lot, and it doesn't feel like
it's totally working.
Question
To make sur
e I understand, you feel like you can't get enough air? (No
o make sur
07/21/18 11:19 PM
matching questions found.)
CDT
https://chamberlain.shadowhealth.com/assignment_attempts/3664486
Page 1 of 39
Respiratory | Completed | Shadow Health
7/26/18, 2)22 PM
Question
You can't get enough air in to your lungs? (No matching questions
07/21/18 11:19 PM
found.)
CDT
Empathize
I'm sorry, thats a terrible feeling.
I'm sorry
07/21/18 11:20 PM
CDT
Thanks for saying that.
I know that we have been through these same set of questions, so I'm
I know that we have been thr
Educate
sorry I'm going to ask them again. I'm not really insulting your
sorry I'm going to ask them again. I'm not r
07/21/18 11:22 PM
intelligence, although it may seem like I am.
CDT
Alright, thanks for letting me know.
Question
When did your breathing issues begin?
When did your br
07/21/18 11:22 PM
CDT
All of these breathing problems started two days ago, at my cousin's
house.
Question
Wer
W e you ar
ound cats?
e you ar
07/21/18 11:22 PM
CDT
Two days ago, at my cousin's house. She has three of them, and my
asthma always goes crazy when I'm there.
Question
Because your allergic to cats, right?
Because your aller
07/21/18 11:22 PM
CDT
Definitely. Cats make my asthma go crazy.
Question
How long were you exposed to these cats? (No matching questions
How long wer
07/21/18 11:23 PM
found.)
CDT
Question
Has your asthma gotten worse since you were exposed to the cats?
Has your asthma gotten worse since you wer
07/21/18 11:23 PM
CDT
https://chamberlain.shadowhealth.com/assignment_attempts/3664486
Page 2 of 39
Respiratory | Completed | Shadow Health
7/26/18, 2)22 PM
No, my asthma has definitely got better since I was little. It used to be
really bad--I would get asthma attacks all the time. Just lately, though,
it's been worse than usual.
Question
Did anything make you asthma feel better? (No matching questions
07/21/18 11:24 PM
found.)
CDT
Question
Your inhaler didn't help your asthma? (Clarified to what do you do if
07/21/18 11:24 PM
your inhaler doesn't work.)
CDT
I guess I don't really have a backup plan; it's always worked in the
past, though lately I've needed more puffs than usual.
Question
How many puff
How many pu s do you need?
ff
07/21/18 11:25 PM
CDT
Sometimes I have to take three puffs instead of two, and the past
couple days, always three. [Nurse confirmed with Pharmacy: albuterol
90mcg/spray MDI]
Question
How many times did you use your inhaler the past two days? (Clarified
07/21/18 11:25 PM
to how many times have you used your inhaler in the past two days.)
CDT
I've been needing my inhaler about every four hours, I'd say.
Question
What have you done to treat your asthma? (Clarified to how do you
What have you done to tr
07/21/18 11:26 PM
manage your asthma.)
CDT
I try to avoid things that give me breathing problems, but when my
asthma starts to act up, I just use my inhaler.
Question
Why didn't you avoid the cats this time?
07/21/18 11:26 PM
CDT
I haven't been sleeping as well because my asthma has been getting a
little worse at night, and it's been waking me up, too.
Question
How many times to you wake up with asthma?
07/21/18 11:27 PM
CDT
https://chamberlain.shadowhealth.com/assignment_attempts/3664486
Page 3 of 39