NEURO SUBJECTIVE TINA JONES .pdf - Neurological Assignment...

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9/17/2019Neurological Assignment | Completed | Shadow Health1/4Neurological Assignment Results | CompletedAdvanced Health Assessment - Chamberlain - August 2019, NR509-August-2019Return to AssignmentYour ResultsTurn InTurn InLab PassLab PassIndicates an item that you found.Indicates an item that is available to befound.CategoryScored ItemsExperts selected these topics as essentialcomponents of a strong, thorough interviewwith this patient.Patient DataNot ScoredA combination of open and closed questionswill yield better patient data. The followingdetails are facts of the patient's case.Chief ComplaintEstablished chief complaintReports recent "fender bender"Reports headachesReports neck symptomsHistory of Present IllnessAsked about onset of symptomsReports accident occurred 1 week agoReports symptoms began 2 days afteraccidentFollowed up on details of car accidentDenies loss of consciousnessReports low vehicle speedReports wearing seatbeltReports sitting in front passenger seatSubjective Data Collection: 20 of 20 (100.0%)OverviewTranscriptSubjective Data CollectionObjective Data CollectionEducation & EmpathyDocumentationLifespanReview QuestionsSelf-ReflectionStudent SurveyHover To Reveal...Hover over the Patient Dataitemsbelow to reveal important information,including Pro Tipsand ExampleQuestions.
9/17/2019Neurological Assignment | Completed | Shadow Health2/4Reports no alcohol or drug use duringaccidentAsked about frequency and duration ofsymptomsReports headaches are daily since theybeganReports headaches last 1-2 hoursReports last headache was yesterdayafternoonAsked location of painReports headache pain in crown andback of headReports pain does not radiate intoshoulders, back, or armsReports slight pain in back of neckmusclesDenies scalp tenderness or injuryDenies jaw symptomsDenies facial painAsked about severity of painRates current head and neck pain severityat 3 out of 10Rates pain severity at its worst is 4 out of10Followed up on headachecharacteristicsReports headache pain as a dull acheDenies sharp painReports headaches not cyclicReports headaches do not occur inclustersReports headaches not rapid increscendoAsked about aggravating factorsReports that car accident seems to beprimary causeReports pain upon head or neckmovementReports headaches don't have adiscernible triggerAsked about relieving factors for neckpain and headachesDenies home remedies such as heat orcoldSymptoms improve with restMedical HistoryConfirmed use of medicationsConfirms medications (no newmedications reported)Reports increased Tylenol use

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