NR509_HEENT-Cough - Chamberlain College of Nursing NR509 Advanced Physical Assessment Student Name EPISODIC ASSESSMENT SINUS CONGESTION AND

NR509_HEENT-Cough - Chamberlain College of Nursing NR509...

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Chamberlain College of NursingNR509 Advanced Physical AssessmentStudent Name: ________________________________________EPISODIC ASSESSMENT / SINUS CONGESTION AND COUGH (HEENT/PULMONARY)INTRODUCTION_____1. Introduces self as NP student (1)_____2. Acknowledges purpose of exam (complete H&P or episodic visit) (1)_____3. Asks open-ended questions then narrows down to closed ended questions (1)_____4. Asks questions in an appropriate, professional, manner (1)CC / HPI _____1. Includes the following: Onset (2)Location (2)Duration/Timing (2)Characteristics/Quality/Severity (2)Aggravating factors/Associated Symptoms (2)Relieving factors (2)Treatment/Medications/Remedies (2)_____2. Summarizes HPI at end of information gathering (1)PMH_____1. Major childhood illnesses (1) _____5. Immunizations (1)_____2. Major adult illnesses (1) _____6. Allergies to medications, foods and environment (2)_____3. Surgeries (1) _____7. Medications (including RX, OTC, herbal) (2)_____4. Hospitalizations (1) FAMILY HISTORY_____1. Asks about both parents (1)_____2. Siblings (1)SOCIAL HISTORY_____1. Living situation (1)_____2. Children (1)_____3. Employment (1)HABITS_____1.
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