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Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection Subjective Data Collection: 71 of 75 (94.7%) Hover To Reveal… Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Found: Indicates an item that you found. Available: Indicates an item that is available to be found. Category 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. Telehealth Protocol Finding: Asked patient if they are in an appropriate environment for a visit Finding: Confirms they are at a space where the visit can be conducted
NUR 6111 Shadow Health Telehealth Follow Up Sick Visit: Liam Fitzgerald
(Found)Pro Tip: Telehealth visits conducted through video and audio tools require specific considerations to maintain standards of practice. Asking a patient about their ability to conduct the visit in a private space, addressing the confidentiality of the visit, and asking about any audio or visual accessibility issues are important steps for conducting a telehealth visit and maintaining standards of care Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection.Example Question:Are you in a place where you can conduct a telehealth visit? ORDER SHADOWHEALTH OR ESSAY WRITING HELP HERE Finding: Asked if they can hear provider Finding: Confirms they are able to hear provider (Found)Pro Tip: Telehealth visits conducted through video and audio tools require specific considerations to maintain standards of practice. Asking a patient about their ability to conduct the visit in a private space, addressing the confidentiality of the visit, and asking about any audio or visual accessibility issues are important steps for conducting a telehealth visit and maintaining standards of care.Example Question:Can you hear me OK? Finding: Inform the patient this is a confidential protected visit Finding: Acknowledges that they are aware that this is a confidential protected visit (Found)Pro Tip: Telehealth visits conducted through video and audio tools require specific considerations to maintain standards of practice. Asking a patient about their ability to conduct the visit in a private space, addressing the confidentiality of the visit, and asking about any audio or visual accessibility issues
Finding: Reports taking vitals at the same time each day (Available)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Have you been taking your vital signs at the same time each day? Finding: Reports no problems with equipment (Available)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Have you had any issues with your equipment? Finding: Asked about respiratory symptoms Finding: Denies cough (Available)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in
weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Do you have a cough? Finding: Denies wheezing (Available)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Do you have any respiratory symptoms? Finding: Denies shortness of breath or trouble breathing (Found)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Do you have shortness of breath? Finding: Denies any trouble breathing with activity (Available)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Do you have trouble breathing with activity?
weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Do you have any swelling? Finding: Asked about location of swelling Finding: Reports swelling in feet and ankles (Found)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Where is your swelling located? Finding: Asked about onset of swelling Finding: Reports noticing swelling within the last 24 hours (Available)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:When did the swelling start?
Finding: Asked about character of swelling Finding: Reports feet and ankles are puffy (Available)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Can you describe the swelling? Finding: Reports socks left indentation on ankle (Available)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Can you describe the swelling? Finding: Asked about integumentary symptoms Finding: Denies itchy, dry skin
Reports wearing same type of clothing to weigh self everyday (Available)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Are you wearing the same clothes to weigh yourself everyday? Finding: Asked about changes to weight Finding: Reports weight gain (Found)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Have there been any recent changes to your weight? ORDER SHADOWHEALTH OR ESSAY WRITING HELP HERE Finding: Reports gaining 4-5 lbs (Found)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the
patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Have there been any recent changes to your weight? Finding: Asked about timing of weight gain Finding: Reports noticing weight gain within the past 24 hrs Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection (Available)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:When did you notice the weight gain? Finding: Asked about pain status Finding: Denies pain (Available)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:Do you have any pain?
patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:What do you typically eat for lunch? Finding: Reports typical dinner as grilled chicken or fish with roasted vegetables, brown rice (Found)Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.Example Question:What do you typically eat for dinner? Finding: Reports typical snack as no-salt almond butter with apple, no-salt air popped popcorn Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection
