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Gabriel asthma
Gabriel asthma
Course
Medical surgical (NURS 380)
67 Documents
Students shared 67 documents in this course
University
Nevada State College
Academic year: 2023/2024
Uploaded by:
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102Uploads
406upvotes
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PmhnpPreview text
(2020).
Experience Overview
Patient: Gabriel Martinez
Digital Clinical Experience Score
•
Students rated as “beginning” are starting to develop their nursing competencies and clinical reasoning skills. In comparabl
Subjective Data Collection
3
out of
31
Objective Data Collection
5.
out of
6
Education and Empathy
0
out of
4
(2020).
30%
This score measures your performance on the Student Performance Index in relation to
other students in comparable academic programs. Your instructor has chosen to scale
your Student Performance Index score so that the average score on the index is a
80%. This score may not be your final grade if your instructor chooses to include
additional components, such as documentation or time spent.
Student Performance Index
8.
out of
41
Chief Complaint Patient
(2020).
•
Finding:
Asked about patient's status
•
Finding:
Reports breathing is better
(Found)
Pro Tip: Assessing a pediatric patient's status involves asking about their current
comfort, needs, and chief complaint. It's important to check in with a patient's
status, because it may reveal insight into their current condition.
Example Question:
How are you?
•
Finding:
Reports chest soreness
(Available)
Pro Tip: Assessing a pediatric patient's status involves asking about their current
comfort, needs, and chief complaint. It's important to check in with a patient's
status, because it may reveal insight into their current condition.
Example Question:
How are you?
•
Finding:
Followed up on symptoms
(2020).
•
Finding:
Reports wheezing
(Available)
Pro Tip: Assessing a pediatric patient's status involves asking about their current
comfort, needs, and chief complaint. It's important to check in with a patient's
status, because it may reveal insight into their current condition.
Example Question:
What is your chief complaint?
•
Finding:
Reports coughing is less frequent
(Found)
Pro Tip: Assessing a pediatric patient's status involves asking about their current
comfort, needs, and chief complaint. It's important to check in with a patient's
status, because it may reveal insight into their current condition.
Example Question:
What is your chief complaint?
•
Finding:
Reports chest does not feel as tight
(Available)
Pro Tip: Assessing a pediatric patient's status involves asking about their current
comfort, needs, and chief complaint. It's important to check in with a patient's
status, because it may reveal insight into their current condition.
Example Question:
What is your chief complaint?
Home Medications Patient
(2020).
Followed up on aggravating factors
•
Finding:
Reports secondhand smoke exposure
(Available)
Pro Tip: Asking a pediatric patient about the duration and onset 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 triggers your asthma?
•
Finding:
Denies being around secondhand smoke normally
(Available)
Pro Tip: Asking a pediatric patient about the duration and onset 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 triggers your asthma?
•
Finding:
Followed up on rescue inhaler adherence
•
(2020).
Finding:
Reports carrying rescue inhaler with him in the past
(Found)
Pro Tip: A pediatric 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 is the name of the rescue inhaler you are currently using?
•
Finding:
Reports throwing away the rescue inhaler a few weeks ago
(Available)
Pro Tip: A pediatric 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 is the name of the rescue inhaler you are currently using?
•
Finding:
Reports disliking rescue inhaler because of side effects
(Found)
Pro Tip: A pediatric 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 do you take for your asthma?
(2020).
•
Finding:
Reports being mostly sedentary
(Available)
Pro Tip: A pediatric patient's social history encompasses their family and support
system, living situation, and daily behaviors such as diet and exercise. Even
though you are working with pediatric patients, it is important to ask about
sexual activity and substance use. These factors can influence their current
health and wellness. Asking about a pediatric patient's social history can also
unveil the influence of their present illnesses in their social lives.
Example Question:
Do you exercise?
•
Finding:
Asked about living situation
•
Finding:
Reports living with mother in an apartment
(Available)
Pro Tip: A pediatric patient's social history encompasses their family and support
system, living situation, and daily behaviors such as diet and exercise. Even
though you are working with pediatric patients, it is important to ask about
sexual activity and substance use. These factors can influence their current
health and wellness. Asking about a pediatric patient's social history can also
unveil the influence of their present illnesses in their social lives.
Example Question:
Where do you live?
•
Finding:
(2020).
Asked about patient's substance use
•
Finding:
Denies alcohol use
(Available)
Pro Tip: A pediatric patient's social history encompasses their family and support
system, living situation, and daily behaviors such as diet and exercise. Even
though you are working with pediatric patients, it is important to ask about
sexual activity and substance use. These factors can influence their current
health and wellness. Asking about a pediatric patient's social history can also
unveil the influence of their present illnesses in their social lives.
Example Question:
Do you drink alcohol?
•
Finding:
Denies using tobacco products
(Available)
Pro Tip: A pediatric patient's social history encompasses their family and support
system, living situation, and daily behaviors such as diet and exercise. Even
though you are working with pediatric patients, it is important to ask about
sexual activity and substance use. These factors can influence their current
health and wellness. Asking about a pediatric patient's social history can also
unveil the influence of their present illnesses in their social lives.
Example Question:
Do you smoke cigarettes?
•
Finding:
Asked about education
•
(2020).
•
Finding:
Denies current skin problems
(Available)
Pro Tip: Understanding a pediatric patient's health involves a comprehensive
overview of their physiological systems. This is necessary to understand what
symptoms may indicate larger issues, and what treatments the patient may
require.
Example Question:
Do you have skin problems?
•
Finding:
Reports using prescription cream to treat skin
(Available)
Pro Tip: Understanding a pediatric patient's health involves a comprehensive
overview of their physiological systems. This is necessary to understand what
symptoms may indicate larger issues, and what treatments the patient may
require.
Example Question:
Do you have skin problems?
•
Finding:
Asked about mental health
•
Finding:
Reports frustration with diagnosis
(Available)
History of Present Illness Guardian
(2020).
Pro Tip: Understanding a pediatric patient's health involves a comprehensive
overview of their physiological systems. This is necessary to understand what
symptoms may indicate larger issues, and what treatments the patient may
require.
Example Question:
Are you depressed?
•
Finding:
Followed up on patient's asthma diagnosis
•
Finding:
Reports patient has mild asthma
(Available)
Pro Tip: Asking a pediatric patient's guardian about the duration and onset of the
patient's 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 are your son's symptoms
•
Finding:
Reports patient was diagnosed at age 5
(Available)
Pro Tip: Asking a pediatric patient's guardian about the duration and onset of the
patient's 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
Home Medications Guardian
(2020).
present conditions or symptoms, such as the location of their pain or the amount
of pain they may be experiencing.
Example Question:
Have you tried treatments at home?
•
Finding:
Confirms home medications with guardian
•
Finding:
Confirms patient is prescribed a rescue inhaler
(Available)
Pro Tip: A pediatric patient's home medications can provide insight into their
current treatment and its efficacy. Asking their guardian about medication
history, dosage, and frequency will help you understand the patient's background
and how it may affect their current situation.
Example Question:
Does your son have an inhaler for exacerbations?
•
Finding:
Confirms patient is prescribed a maintenance inhaler
(Available)
Pro Tip: A pediatric patient's home medications can provide insight into their
current treatment and its efficacy. Asking their guardian about medication
history, dosage, and frequency will help you understand the patient's background
and how it may affect their current situation.
Example Question:
(2020).
What is the prescription for your son's daily inhaler?
•
Finding:
Followed up on rescue inhaler
•
Finding:
Reports rescue inhaler is albuterol
(Available)
Pro Tip: A pediatric patient's home medications can provide insight into their
current treatment and its efficacy. Asking their guardian about medication
history, dosage, and frequency will help you understand the patient's background
and how it may affect their current situation.
Example Question:
What is the name of your son's rescue inhaler?
•
Finding:
Reports rescue inhaler dose is two puffs as needed
(Available)
Pro Tip: A pediatric patient's home medications can provide insight into their
current treatment and its efficacy. Asking their guardian about medication
history, dosage, and frequency will help you understand the patient's background
and how it may affect their current situation.
Example Question:
what dose is your son's rescue inhaler
•
Finding:
Followed up on maintenance inhaler
(2020).
Pro Tip: A pediatric patient's home medications can provide insight into their
current treatment and its efficacy. Asking their guardian about medication
history, dosage, and frequency will help you understand the patient's background
and how it may affect their current situation.
Example Question:
How is your son's medication adherence?
•
Finding:
Reports patient has not needed rescue inhaler in the past year
(Available)
Pro Tip: A pediatric patient's home medications can provide insight into their
current treatment and its efficacy. Asking their guardian about 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 the last time your son used the rescue inhaler?
•
Finding:
Asked about over the counter medications
•
Finding:
Reports occasional antihistamine use for allergy symptom treatment
(Available)
Pro Tip: A pediatric patient's home medications can provide insight into their
current treatment and its efficacy. Asking their guardian about medication
history, dosage, and frequency will help you understand the patient's background
and how it may affect their current situation.
Example Question:
What over the counter medications has your son had?
Past Medical History Guardian
(2020).
•
Finding:
Asked about patient's general allergies
•
Finding:
Denies patient has food allergies
(Available)
Pro Tip: Asking a guardian about the pediatric patient's relevant medical 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:
What allergies does your son have?
•
Finding:
Denies patient has a latex allergy
(Available)
Pro Tip: Asking a guardian about the pediatric patient's relevant medical 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:
What allergies does your son have?
•
Finding:
Denies patient has medication allergies
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Gabriel asthma
Course: Medical surgical (NURS 380)
67 Documents
Students shared 67 documents in this course
University: Nevada State College
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Gabriel Martinez Asthma Shadow Health- Experience Overview and Digital Clinical Experience
(2020).
Experience Overview
Patient: Gabriel Martinez
Digital Clinical Experience Score
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