6/4/2018 Focused Exam: Cough | Completed | Shadow Health

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Focused Exam: Cough Results | Turned In

Advanced Health Assessment - Chamberlain, NR509-April-2018

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Your Results

Lab Pass

Transcrip

t

Started: Jun 04, 2018 | Patient Exam Time: 86 min

All Lines

(180)

Interview Questions

(76)

Statements

(8)

Exam Actions

(96)

Hello, My name is Sara an FNP student and I will be interviewing

you today

Hi.

What brought you into the clinic today?

Greet

06/04/18 2:50 PM

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Question

06/04/18 2:51 PM

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My Abuela brought me here because I've been feeling sick. I have

been coughing a lot. . . and I feel kinda tired.

What is your name?

Question

06/04/18 2:52 PM

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My name is Daniel Rivera, but I just go by Danny.

And how old are you?

Question

06/04/18 2:52 PM

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I'm eight.

What is your date of birth?

Question

06/04/18 2:52 PM

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I was born March 4th in, um . . . [Danny reports correct birth year.]

[AUDIO COMING SOON]

Overview

Transcript

Subjective Data

Collection Objective Data

Collection Education &

Empathy Documentation

Self-Reflection

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I'm sorry you feel so bad

Thank you.

When did your cough start?

I think the cough started four. . . No, it started five days ago.

Can you describe your place to me?

My cough seems kind of gurgly and watery.

Do you have any sputum?

Is that the gross, slimy stuff? Yeah, I've been coughing some of that up. It's not any strange color, though. It's just clear.

How often are you coughing?

I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night.

How long does a cough last?

I think the cough started four. . . No, it started five days ago.

What is the duration of your cough? (Clarified to How would you describe your cough?.)

My cough seems kind of gurgly and watery.

What makes your cough worse?

Empathize

06/04/18 2:54 PM

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06/04/18 2:55 PM

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06/04/18 2:55 PM

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06/04/18 2:56 PM

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06/04/18 2:59 PM

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06/04/18 2:59 PM

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06/04/18 3:00 PM

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06/04/18 3:00 PM

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