Posted: December 1st, 2022
Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
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Experts selected these topics as essential components of a strong, thorough interview with this patient.
A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.
Assessed patient status
Reports feeling “way better”
Reports eagerness to go home
Asked about patient’s comfort
Reports feeling comfortable
Asked about patient’s needs
Denies needing anything
Asked patient about symptoms of DKA
Denies remembering incident very well
Reports feeling nauseated at a horseback riding lesson
Reports vomiting
Asked about patient’s other symptoms prior to DKA
Reports frequent urination prior to DKA
Reports excessive thirst prior to DKA
Reports fatigue prior to DKA
Reports lack of appetite prior to DKA
Asked about onset of prior symptoms
Reports other symptoms began around 10 days prior
Assessed patient’s knowledge of type 1 diabetes
Reports knowledge of type 1 diabetes
Asked about diet at mother’s house
Reports mother is a “health nut”
Reports typical breakfast at mother’s home is yogurt and fruit
Reports typical lunch is a salad with chicken
Reports typical dinner is grilled meat and vegetables
Asked about social activities
Reports riding horses 2-3 times a week after school
Asked about substance use
Denies tobacco use
Denies vaping
Denies alcohol use
Asked about general symptoms
Denies current excessive thirst
Asked about gastrointestinal symptoms
Denies current nausea
Denies current vomiting
Reports normal bowel movements
Asked about urinary symptoms
Denies current frequent urination
Denies high volume of urine
Asked about neurological system
Denies neurological symptoms
Confirmed guardian’s relationship to patient
Reports he is patient’s father
Asked about patient’s diagnosis
Reports patient is diagnosed with type 1 diabetes
Followed up on history of present illness leading to diagnosis
Reports patient was admitted to hospital two days prior
Reports patient had diabetic ketoacidosis when admitted
Asked guardian about symptoms of DKA
Reports thinking she had a “stomach bug” at first
Reports taking daughter to ED when he realized she was “out of it”
Asked about patient’s symptoms prior to DKA
Reports weight loss
Followed up on weight loss
Reports patient lost 5 pounds
Reports weight loss happened in the two weeks since he last saw the patient
Assessed knowledge of type 1 diabetes
Reports knowledge of type 1 diabetes
Asked about guardian’s knowledge of patient’s diet
Reports patient’s favorite breakfast is pancakes and fruit
Reports typical lunch is a sandwich and chips
Reports going out to dinner often
Denies knowledge of high carb intake
Reports belief in a low sugar intake
Asked guardian about social history
Reports being divorced from patient’s mom
Reports patient splits time evenly between homes
Reports patient alternates between homes every 2 weeks
Reports a stable home life
Asked about past hospitalizations
Denies past hospitalizations
Denies past surgeries
Asked about relevant family medical history
Reports patient’s paternal grandmother has type 2 diabetes
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