Assignment 3.3 EENT Documentation Patient Encounter.docx -...

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Running head: PATIENT ENCOUNTER 1 Elizabeth Obeng Assignment 3.3: EENT Documentation 05/19/2020 Professor Julie Price
PATIENT ENCOUNTER 2 What 3 additional History of Patient Illness questions would you ask the patient and why? 1. I would follow up with the pain assessment once the patient reported a headache. I would gather more data concerning the evaluation of the pain, for example, ask the patient to quantity or rate the severity of the pain from 0 being no pain and 10 being the worst pain. Ask her to describe the pain, what makes to worse or better. When was her last dose of Tylenol for the headache, how much Tylenol did she take, and if it does help relieve the pain? These pieces of information would help to evaluate and manage the patient’s pain effectively. 2. When patient-reported intermittent cough mostly at night, I would have further assessed the patient by asking for the type of cough which could be dry or productive. If

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