Students rated as “proficient” demonstrate an entry-level expertis
of a proficient practitioner.
Digital Clinical Experience Score
100%
Subjective Data Collection Objective Data Collection
21 out of 21 37 out of 37
This score measures your performance on the Student Performance Index in relation to and
Education otherEmpathy
students in comparable academic programs. Yo
4 out of 4
Time
85 minutes total spent in assignment
Interaction with patient
85 minutes
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
Neurological Results | Turned In
Nursing 562/562L Advanced Health Assessment - Spring 2021, N562
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Overview
Subjective Data Collection: 21 of 21 (100.0%)
Transcript
Subjective Data
Hover To Reveal... Indicates an item that
Collection Objective Data you found.
Hover over the Patient Data Indicates an item that
Collection Education & items below to reveal important is available to be found.
information, including Pro Tips
Empathy Documentation and Example Questions.
Category Scored Items Patient Data
Not Scored
Experts selected these topics as essential components
A combination of open and closed questions will
of a strong, thorough interview with this patient.
yiel better patient data. The following details are
facts of patient's case.
Asked about onset of symptoms Reports accident occurred 1 week ago
Reports symptoms began 2 days after accident
Followed up on details of car accident Denies loss of consciousness
Reports low vehicle speed
Reports wearing seatbelt
Reports sitting in front passenger seat
Reports no alcohol or drug use during accident
Asked about frequency and duration Reports headaches are daily since they began
of symptoms Reports headaches last 1-2 hours
Reports last headache was yesterday afternoon
, 3/16/20 Neurological | Completed | Shadow
Asked location of pain Reports headache pain in crown and back of
head
Reports pain does not radiate into
shoulders, back, or arms
Reports slight pain in back of neck muscles
Denies scalp tenderness or injury
Denies jaw symptoms
Denies facial pain
Asked about severity of pain Rates current head and neck pain severity at 3
out of 10
Rates pain severity at its worst is 4 out of 10
Followed up on headache characteristics Reports headache pain as a dull ache
Denies sharp pain
Reports headaches not cyclic
Reports headaches do not occur in clusters
Reports headaches not rapid in crescendo
Asked about aggravating factors Reports that car accident seems to be
primary cause
Reports pain upon head or neck movement
Reports headaches don't have a discernible
trigger
Asked about relieving factors for neck pain
Denies home remedies such as heat or cold
and headaches Symptoms improve with rest
Medical History
Confirmed use of medications Confirms medications (no new medications
reported)
Reports increased Tylenol use
Followed up on Tylenol use Unsure of dosage
Takes 2 Tylenol at a time
Takes Tylenol once a
day
Reports minor relief from Tylenol
Confirmed allergies Confirms allergies (no new allergies reported)
Asked about relevant neurological history Reports past frequent headaches
Denies history of
migraine Denies head
trauma Denies history of
seizures
Social History
Asked about sleep Denies changes in sleep
Denies increased sleepiness or yawning
Social Determinants of Health
https://app.shadowhealth.com/assignment_attempts/ 2
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