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thorax and lung assessment
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physical assessment
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Thorax and lung assessment SUBJECTIVE DATA
- Health history
o Do you have a cough?
When did it started?
Is it gradual or sudden?
How long have had it?
How often do you cough?
Does the cough wakes you up at night?
Do you cough up any phlegm or sputum? How much? What colour is it?
Do you cough up any blood (hemoptysis)?
Can you describe your cough: hacking, dry, hoarse, congested, bubbling?
What treatment have you tried (prescription or over the counter)?
Does the cough bring on anything: chest pain, ear pain?
Is it tiring?
Are you concern about it?
o Any shortness of breath?
What brings it on?
Is it affected by a certain position, like lying down?
Does it accurate any specific time of day or night?
What do you do when you have SOB?
Do you take a certain position?
Do you use pursed-lip breathing?
Do you use an inhaler, oxygen mask or medications?
Is your SOB getting worse, better or is it staying about the same?
o Any chest pain when breathing?
Can you please point to the exact location?
When did it start? Is it constant or does it come and go?
Can you describe the pain? Is it burning, stabbing?
What have you done to treat it?
o Any history of respiratory infections or lung disease?
Have you had unusually frequent or unusually severe colds?
Do you have any family history of allergies, tuberculosis, or asthma?
o Do you smoke cigarettes, weed or do you vape?
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