Rachel Adler Concept Lab Shadow Health: NURS 6512N Week 3 Conversation

Question 1: What brings you in today?
Response: I’m here for my physical.

Struggling to meet your deadline?

Get your assignment on Rachel Adler Concept Lab Shadow Health: NURS 6512N Week 3 Conversation done by certified MDs and PhDs in the USA. ORDER NOW!

Meet my deadline

Question 2: What health problems do you have?
Response: I’ve never had any health problems. I almost never get, like, a cold, and I’ve never been in the hospital. I’ve never even broken a bone.

Question 3: What medications are you taking?
Response: I don’t take any medications. I mean, unless you count ibuprofen every so often.

Question 4: What supplement are you taking?
Response: I don’t take any vitamins, supplements, anything like that.

Question 5: Why are you taking ibuprofen?
Response: For cramps — when I get my period.

Question 6: What is the dosage?
Response: Um, I don’t know how many milligrams… It’s not extra-strength or anything. I think it’s just kind of regular Advil.

Question 7: How often do you take it?
Response: I only take Advil once a month.

Question 8: Are you allergic to any medications?
Response: No, I’m not allergic to any medications that I know of.

Question 9: What are you allergic to?
Response: I’m just allergic to peanuts. That’s about it.

Question 10: Do you have any seasonal allergies?
Response: No, I don’t get hay fever, or sneezy around flowers or anything. Lucky for my mom, since she makes me help her in the garden all the time.

Question 11: Are you allergic to any allergens such as latex?
Response: I’m not allergic to latex. Just peanuts. [AUDIO COMING SOON]

Rachel Adler Subjective Data Collection

Question 12: What happens if you eat peanuts?
Response: Well, when I’ve eaten peanuts the inside of my mouth and inside my throat gets pretty itchy. It’s weird. But I don’t think I’ve ever had hives or anything like that. (Clarified to what happens if I eat peanuts.)

Question 13: How do you treat the allergy?
Response: The last time I had a reaction, the doctor told me it was pretty mild and to just take some Benadryl. Other than that, I just avoid them.

Question 14: How do you prevent the allergy?
Response: Well… I ask what’s in things, especially if something’s fried, because it could be fried in peanut oil. And I read ingredients before I buy something if I’m not sure.

Question 15: What happens after you take Benadryl?
Response: [No matching questions found.]

Question 16: Does Benadryl help with your symptoms?
Response: Yeah, it worked. Well, my symptoms went away within a few hours. [AUDIO COMING SOON]

Question 17: Do you drink alcohol?
Response: Nah, I’m not really interested in that.

Question 18: Do you smoke tobacco?
Response: No, I mean, not regularly . . . I guess some.

Question 19: When was your first time trying smoking?
Response: The only times I ever smoked were… I dunno, three weeks ago. Well, the first time was three weeks ago, and the other times were right after that. I haven’t smoked since then. (Clarified to when I first tried smoking.)

Question 20: How do you feel about smoking?
Response: I guess I feel kinda embarrassed that I smoked, because I know all the bad stuff it does. Cancer, emphysema, all of that. It wasn’t even enjoyable, really.

Question 21: Do you think you will be able to stop smoking?
Response: [No matching questions found.]

Question 22: Are you able to stop smoking?
Response: [No matching questions found.]

Question 23: What makes you smoke?
Response: When I smoked, I wasn’t trying to impress anyone. I mean, maybe I did want to fit in, but mostly I was just curious. My friends didn’t, like, make me do it–I definitely don’t want you to think that.

Question 24: Are you going to continue with smoking?
Response: Definitely not. I’ve smoked a few times, yeah. But honestly, thinking about doing it again makes me feel sick.

Question 25: Do you use any illicit drugs?
Response: No. I’ve never done any drugs, ever.

Subjective Data Collection: 17 of 19 (89.5%)
Introduction and Medical History

Finding 1: Established reason for visit
Pro Tip: Asking the patient’s reason for their visit is a practical way to establish a chief complaint.
Example Question: What brings you in today?

Finding 2: Reports needing an annual physical
Pro Tip: A broad question about the patient’s past medical history may prompt a more comprehensive answer.
Example Question: What medical conditions do you have?

Tina Jones Comprehensive Assessment shadow health Transcript

Medications

Finding 3: Reports taking occasional ibuprofen
Pro Tip: Asking a patient what medications they take may prompt a broader response that does not capture a complete picture of their medication use.
Example Question: What medications do you take?

Finding 4: Only OTC medication is ibuprofen (no others reported)
Pro Tip: Asking specifically about a patient’s use of over-the-counter medications may prompt a more definitive response and yield greater insight into their medication use.
Example Question: Do you take any other over-the-counter medications?

Finding 5: Takes ibuprofen to relieve menstrual cramps
Pro Tip: When a patient reports taking any type of medication, it is important to gather information about the reasons it is used.
Example Question: For what reason do you take ibuprofen?

Finding 6: Takes ibuprofen monthly
Pro Tip: When a patient reports taking any type of medication, it is important to gather information about the frequency of its use. A broader question may prompt a broader response from the patient.
Example Question: How often do you take ibuprofen?

Finding 7: Unsure of the dosage, but reports they are “regular strength”
Pro Tip: When a patient reports taking any type of medication, it is important to gather information about the quantity of its use.
Example Question: What dosage of ibuprofen do you take?

Finding 8: Last dose was 2 weeks ago
Pro Tip: When a patient reports taking any type of medication, it is important to gather information about the frequency of its use. Asking specifically about the last time the patient took the medication may prompt a response that speaks to the medication’s day-to-day use.
Example Question: When did you last take Advil?

Finding 9: Denies taking prescription medication
Pro Tip: Asking the patient what medications are prescribed to him or her may prompt the patient to report medications taken daily or on an as-needed basis.
Example Question: Do you take any prescription medications?

Finding 10: Followed up about reason for ibuprofen use
Pro Tip: When a patient reports taking any type of medication, it is important to gather information about the reasons it is used.
Example Question: For what reason do you take ibuprofen?

Finding 11: Takes 2 at a time
Pro Tip: When a patient reports taking any type of medication, it is important to gather information about the quantity of its use.
Example Question: How many ibuprofen do you take at a time?

Finding 12: Typically takes 2 doses on first day of period
Pro Tip: When a patient reports taking any type of medication, it is important to gather information about the frequency of its use.
Example Question: How many days do you take ibuprofen?

Finding 13: Found: Asked about supplements
Pro Tip: Asking a patient a specific question about their use of vitamins will prompt a definitive answer and provide insight into their supplement use.
Example Question: Do you take any vitamins?

Finding 14: Found: Denies vitamins
Pro Tip: Asking a patient a specific question about their use of herbal supplements will prompt a definitive answer and provide insight into their supplement use.
Example Question: Do you take any herbal supplements?

Allergies

Finding 15: Reports allergy to peanuts
Pro Tip: Beginning an interview with a broad question is a good entry into the topic.
Example Question: What allergies do you have?

Finding 16: Symptoms are itchy mouth and throat
Pro Tip: When a patient reports an allergy, it’s necessary to determine the type and extent of his or her allergic reaction. For example, if a patient reports a bee-sting allergy, the provider must determine whether the patient has experienced localized allergic reactions or anaphylaxis.
Example Question: What are the symptoms of your peanut allergy?

Finding 17: Describes allergy as not severe
Pro Tip: When a patient reports an allergy, it is important to ascertain the severity of their reaction to the allergen. A broad question about this topic, while a good starting point, may prompt a broad response that lacks the specifics of the reaction type.
Example Question: How severe do you think your peanut allergy is?

Finding 18: Followed up on peanut allergy treatment
Pro Tip: When a patient reports an allergy, it is important to ask about the patient’s ability and willingness to treat allergic reactions. The patient’s response may provide insight into their health literacy and impact the allergy has had on their daily life.
Example Question: How do you treat your peanut allergy?

Finding 19: Reports avoiding peanuts and peanut oil
Pro Tip: When a patient reports an allergy, it is important to ask about the patient’s ability and willingness to avoid the allergen. The patient’s response may provide insight into their health literacy and impact the allergy has had on their daily life.
Example Question: How do you avoid eating peanuts?

Finding 20: Denies use of epi-pen
Pro Tip: When a patient reports an allergy, it is important to ask about access to specific resources that may treat an allergic reaction in the event of an emergency.
Example Question: Do you have an epi pen?

Finding 21: Asked about medication allergies
Pro Tip: While general questions about allergies may elicit important information, the patient may not spontaneously report all allergies. For example, medication allergies may be overlooked by the patient because he or she considers adverse reactions to medications separate from more common allergies, such as hay fever or allergic reactions to animal dander. In addition, if the patient experienced an allergic reaction to medication long ago, he or she may not immediately recall it. Therefore, it is important to ask specifically about medication allergies.