Exam (elaborations)
Focused Exam | Shadow Health Eric Ford- Schizophrenia | complete.Western Governors University
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Focused Exam | Shadow Health Eric Ford- Schizophrenia | complete.Western Governors University
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“ Eric Ford- SchizophreniaChief Complaint
Finding:
Established chief complaint
Finding:
Reports hallucinations
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms
the patient may have.
Example Question:
Do you ever hear things that others do not hear?
Finding:
Has paranoid thoughts
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms
the patient may have.
Example Question:
Do you ever think people are trying to harm you?
History of Present Illness
Finding:
Asked about onset and duration of symptoms
Finding:
Reports hearing voices for the past 7 days
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
When did your symptoms start?
Finding:
Reports voices have increased over the last week
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
,follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Did the hallucinations start gradually?
Finding:
Reports that voices are currently constant
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Are your hallucinations constant?
Finding:
Asked about characteristics of symptoms
Finding:
Describes voices as sometimes male, sometimes female
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Can you describe your hallucinations?
Finding:
Denies visual hallucinations
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Do you ever see things that are not there?
Finding:
Denies gustatory hallucinations
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Do you taste things that are not there?
Finding:
Denies olfactory hallucinations
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
, Example Question:
Do you smell things that are not there?
Finding:
Denies tactile hallucinations
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Do you feel things that are not there?
Finding:
Followed up on content of hallucinations
Finding:
Reports command hallucinations
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Do the voices tell you to do anything?
Finding:
Reports resisting doing what the voice say
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Do you do what the voices say?
Finding:
Asked about aggravating factors of symptoms
Finding:
Reports that voices are more disturbing in quiet environments (when unable to be
distracted)
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
What makes your symptoms worse?
Finding:
Asked about coping strategies
Finding:
Reports music as a coping strategy
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