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Focused Exam-Cough Danny Rivera Shadowhealth Documentation
Course: Family Nurse Practitioner Ii (NUR 535)
24 Documents
Students shared 24 documents in this course
University: Southern Connecticut State University
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Focused Exam: Cough Results | Turned In
Documentation / Electronic Health Record
Document: Provider Notes
Student Documentation Model Documentation
Subjective
Danny reports a cough lasting four to ûve days. He describe
cough as <watery and gurgly.= He reports the cough is worse
night and keeps him up. He reports general fatigue due to la
sleep. He reports pain in his right ear. He is experiencing mil
soreness in his throat. He reports his mother treated his cou
symptoms with over-the-counter medicine, but it was only
temporarily effective. He reports frequent cold and runny nos
and he states that he had frequent ear infections as a child.
reports a history of pneumonia in the past year. He reports n
bowel movements. He denies fever, headache, dizziness, tro
swallowing, nosebleed, phlegm or sputum, chest pain, troub
breathing and abdominal pain. He denies cough aggravation
activity.
Your Results
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Program Competency Progress
Document: Vitals Document: Provider Notes
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