Shadow Health Simulation with Robert Hall - Mobility! RATED A+, Assignments of Health sciences

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Subjective Data - Robert Hall - Mobility Shadow Health

Complex Concepts of Adult Health (Lone Star College System)

Focused Exam: Mobility Results | Turned In

Complex Concepts of Adult Health Med/Surg 2 - Gerontology Assignments - Spring 2022, RNSG 1362

Return to Assignment (/assignments/602493/) Your Results (^) Reopen (/assignment_attempts/11535958/reope Lab Pass (/assignment_attempts/11535958/lab_pass. Overview Transcript Subjective Data Collection: 53 of 54 (98.1%) Subjective Data Collection Objective Data Collection Education & Empathy Documentation Care Plan Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Indicates an item that you found. Indicates an item that is available to be found. Reflections 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 yi better patient data. The following details are facts o patient's case.

Chief Complaint

Established chief complaint Reports leg pain Reports leg swelling

Orientation

Established orientation Oriented to person Oriented to place Oriented to time Oriented to situation

History of Present Illness

Asked about onset and duration of symptoms Reports fall was 9 am this morning Shadow Health will be performing planned maintenance this Monday, from 7:00am until 7:30am Eastern. During this time assignment attempts will be disabled. Thank you for he improve your Shadow Health experience! My Courses (/)My Results (/users/601534/results_book)My Subscriptions (/subscriptions)Help Desk (https://s (/) (/)

Home Medications

Asked specifically about medication allergies Denies medication allergies Asked about home medications Reports medication for hypertension Reports medication for prostate enlargement Reports occasionally taking a sleep aid Denies taking vitamins Denies taking herbal supplements Asked about medication regimen adherence Reports using a pillbox to organize medications Denies missing doses of medication Denies missing doses of medication because of side effects Denies difficulty obtaining medications because finances Denies difficulty obtaining medications because transportation Followed up on last dose of home medications Reports taking hypertension medication this morning Reports last dose of medication for prostate enlargement yesterday Reports last dose of sleep aid was earlier this week Followed up on medication for hypertension Reports taking metoprolol Reports metoprolol dosage: 25 mg Reports metoprolol frequency: 1x daily Denies metoprolol side effects Followed up on medication for prostate enlargement Reports taking Proscar (finasteride) Reports Proscar dosage: 5 mg Reports Proscar frequency: 1x daily Denies Proscar side effects Followed up on sleep aid Reports taking Benadryl to make him drowsy Reports Benadryl dosage: Isn't sure Reports Benadryl frequency: once or twice a we Denies Benadryl side effects

Family History

Asked about relevant family history Reports father died of colon cancer Reports mother died of heart failure

Social History

Asked about substance use Reports occasional alcohol use Denies illicit drug use Reports past cigarette smoking Followed up on alcohol use Reports occasional beer or cocktails Reports drinking only at gatherings

Reports drinking less than 1 drink per week Reports that drinking often gives heartburn so he tends to avoid alcohol Followed up on cigarette smoking Reports started smoking age 20 Reports quitting smoking age 60 (20 years ago) Reports smoking 1 pack a day when actively smoking Asked about exercise Reports occasional exercise Reports enjoying walking, but only short distances, as he does not have the energy any mo to walk long distances. Reports that dizziness has interfered with walkin

Review of Systems

Asked about general symptoms Denies feeling feverish Denies chills Denies night sweats Asked about review of systems for HEENT Reports hearing loss Reports wearing a hearing aid Reports vision problems Reports wearing glasses for reading and watchin TV Asked about review of systems for respiratory Denies shortness of breath Denies cough Denies dyspnea on exertion Denies wheezing Asked about review of systems for cardiovascular Denies history of blood clots Denies history of DVT Denies chest pain Denies palpitations Reports claudication Asked about review of systems for gastrointestinal Denies abdominal pain Denies difficulty swallowing Denies nausea Denies vomiting Denies constipation Denies diarrhea Denies changes in stool or bowel patterns Asked about review of systems for musculoskeletal Reports occasional joint pain from arthritis Reports erythema of joints Reports edema of joints Asked about review of systems for neurological Reports overall weakness Denies frequent headaches Reports numbness and tingling in left lower leg Denies numbness / tingling elsewhere in body

Asked about evidence of falls Reports recent fall Reports history of falls Reports falling twice in the last 6 months Reports recent dizziness Reports increased dizziness the past 2 weeks Reports dizziness gets worse when he stands Asked about gait and ambulatory aids Reports some gait impairment Denies bedrest Denies use of wheelchair Reports occasionally using cane to walk Reports balance problems Asked about skin breakdown Reports thin skin Denies open wounds Denies rashes or lesions Reports Bruising Denies pruritus, itching or scratching Asked about weight changes Reports weight loss Reports 10 lbs weight loss Reports weight loss occurred over the last 6 months Reports weight loss was unintentional Asked about oral or dental problems Denies tooth problems and dental pain Denies issues with mouth, jaw, or gums Reports no issues with being able to chew food Asked about appetite changes Reports anorexia Reports anorexia for the last few months Reports feeling full quickly Asked about effects of health on social activity Reports that health sometimes prevents him from engaging in social activity Denies that emotional problems prevent him from engaging in social activity Asked about patient's perception of health Reports poor health Asked about tiredness, energy levels, and fatigue Reports fatigue Reports activity increases fatigue Reports some fatigue most days Asked about recent ER visits or hospitalizations Reports ER visit in the last 3 months Denies hospitalization in the last 3 months Reports going to the ER after a fall Reports getting a hip x-ray Reports x-ray revealed no fracture Denies being admitted to hospital Asked about confusion Denies confusion Comments

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