Focused Exam_ COPD - Week 12 NURS 615 Shadow Health.pdf/ DOWNLOAD TO SCORE A

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Focused Exam: COPD - Week 12 Results | Turned In Advanced Pharmacotherapeutics - Maryville University - August 2019, nurs_615 Return to Assignment (/assignments/270297/) Your Results R... eopen (/assignment_attempts/5755233/reopen) Lab Pass (/assignment_attempts/5755233/lab_pass.pdf) Overview Transcript Subjective Data Collection: 32 of 32 (100.0%) Subjective Data Collection Objective Data Collection Education & Empathy Documentation Debrief 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. Medication Selection Patient Teaching Prescription Writing Student Survey Categor y 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 yield better patient data. The following details are facts of the patient's case. Chief Complaint Established chief complaint and reason for admittance Reports a bronchospasm three days ago Reports increased difficulty breathing Reports desire for smoking cessation aids History of Present Illness Asked about additional symptoms Reports fatigue and weakness Reports purulent sputum Reports cough Reports feeling anxious about symptoms and worsening health issues Asked about onset and duration of symptoms Reports most severe fatigue and difficulty breathing began three days ago Reports purulent sputum production started two weeks ago Reports respiratory symptoms increased in the last four months Followed up on characteristics of respiratory distress Reports sputum is mostly clear with occasional yellow, gray, or dark color Reports wheezing Reports cough sounds like crackling Asked about aggravating factors Reports exertion worsens symptoms Reports coughing fits after smoking Asked about treatment and relieving factors of respiratory symptoms Reports trying to hold off on smoking cigarettes as long as possible Asked about severity of respiratory distress Reports breathing difficulty and associated discomfort is a 6/10 Asked about effects of health on social activity Reports low social activity - doesn't feel up to getting out and about Past Medical History Asked about existing health conditions Reports chronic bronchitis related to COPD Followed up on chronic bronchitis COPD diagnosis Reports diagnosed with "Class B" COPD Reports diagnosed after respiratory distress episode Asked about ER visits or hospitalizations Reports hospitalization after miscarriage at age 24 Reports most recent hospitalization was two years ago Reports most recent hospitalization was for respiratory distress episode Home Medications Asked about home medications Reports taking a long-acting beta-agonist (LABA) Followed up on LABA Reports the LABA is formoterol inhaler Reports formoterol dose of 12 micrograms Reports only using once every 12 hours, once in the morning and once at night Reports using LABA this morning Reports the LABA is not very effective Denies medication side effects Asked about supplements and vitamins Denies use of supplements or vitamins Asked about medication regimen adherence Denies missing doses Asked about spirometry Reports sporadic spirometry readings at home Reports most recent FEV1 reading was 1.37 L, 49% of her predicted FEV1 Asked about oxygen use Denies oxygen therapy due to cigarette smoking Asked about allergies Denies allergies Asked about vaccines Denies recent influenza vaccine Denies recent pneumococcal vaccines [Show More]

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