Posted: January 3rd, 2023

Gabriel Martinez Asthma Shadow health

Patient: Gabriel Martinez

Focused Exam: Asthma Exacerbation, Assignment Icon

Digital Clinical Experience Score

100%

This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent Gabriel Martinez Asthma Shadow health.

Student Performance Index

44.6

out of

Proficiency Level:

Proficient

Gabriel Martinez Asthma Shadow health. Students rated as “proficient” demonstrate entry-level expertise in nursing competencies and clinical reasoning skills. In comparable nursing programs, the top 25% of students perform at the level of a proficient nurse.

Subjective Data Collection

out of

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Objective Data Collection

9.6

out of

Education and Empathy

out of

Time

223 minutes total spent in assignment

Interaction with patient

185 minutes

Post-exam activities

38 minutes

Why did you throw away the inhaler?	Question 01/23/21 7:32 PM PST
	I hate the way that inhaler makes me all . . . shaky. It makes my heart beat too fast. That’s why, when my mom told me to clean out my backpack, I threw it in the trash. Gabriel Martinez Asthma Shadow health
	Sorry about that	Empathize 01/23/21 7:32 PM PST
	Oh wow, thanks.
	Those are side effects of the medication but they soon fade away. You should not throw away the medication	Educate 01/23/21 7:33 PM PST
	Yeah, you’re right.
	Have you experienced the side effects before?	Question 01/23/21 7:33 PM PST
	The emergency inhaler makes my heart beat fast and makes me all shaky.
	Do you exercises?	Question 01/23/21 7:34 PM PST
	My mom says I can’t play sports because of my asthma.
	Sorry about that	Empathize 01/23/21 7:34 PM PST
	Ok, thanks.
	What happens when you play sport? (No matching questions found.) Gabriel Martinez Asthma Shadow health	Question 01/23/21 7:34 PM PST
	What happens when you exercise? (Clarified to What happens when you have an asthma attack?.)	Question 01/23/21 7:35 PM PST
	When my asthma attacks it’s kind of scary. It gets hard to breathe because I’m coughing and wheezing . . . I feel a lot better now though. My chest isn’t as tight as it was. (Clarified to to tell you about my asthma attacks.)
	Sorry about that	Empathize 01/23/21 7:35 PM PST
	Thanks, that makes me feel better.
	Who do you live with?	Question 01/23/21 7:35 PM PST
	Me and my mom live in a apartment.
	Where do you live?	Question 01/23/21 7:36 PM PST
	I live in a apartment with my mom in Shadowville.
	Do you smoke?	Question 01/23/21 7:36 PM PST
	No way. Those things will kill you..

Past Medical History Guardian

Finding:

Asked about patient’s general allergies

Finding:

Denies patient has food allergies

(Found)

Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What allergies does your son have?
Finding:

Denies patient has a latex allergy

(Found)

Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What allergies does your son have?
Finding:

Denies patient has medication allergies

(Found)

Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What allergies does your son have?
Finding:

Reports environmental allergies

(Found)

Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What allergies does your son have?

Finding:

Followed up on environmental allergies

Finding:

Reports patient has allergies to tree pollen, pet dander, and dust mites

(Found)

Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Gabriel Martinez Asthma Shadow health.

Example Question:

What environmental allergies does your son have?

Finding:

Followed up on impact of allergies on asthma

Finding:

Reports allergies have caused previous exacerbations

(Found)

Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Gabriel Martinez Asthma Shadow health

Example Question:

How do your son’s environmental allergies impact his asthma?
Finding:

Reports high pollen count traditionally worsens asthma symptoms

(Found)

Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

How do your son’s environmental allergies impact his asthma?

Finding:

Asked about previous hospitalizations

Finding:

Reports one previous hospitalization for moderate asthma exacerbation Gabriel Martinez Asthma Shadow health

(Found)

Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Has your son been hospitalized before?
Finding:

Reports hospitalization was one year ago

(Found)

Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Has your son been hospitalized before?

Finding:

Followed up on factors leading to prior hospitalization

Finding:

Reports patient had been exposed to smoke the night before hospitalization

(Found)

Pro Tip: Gabriel Martinez Asthma Shadow health Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Why was your son last hospitalized?
Finding:

Reports rescue inhaler was not effective in managing symptoms

(Found)

Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Gabriel Martinez Asthma Shadow health

Example Question:

Why was your son last hospitalized?

Social History Guardian

Finding:

Asked about patient’s activity level

Finding:

Reports preventing patient from performing aerobic exercise

(Found)

Pro Tip: A patient’s and their guardian’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, and substance use. These factors can influence their current health and wellness. Asking a guardian about a pediatric patient’s social history can also unveil the influence of their present illnesses on their social lives.

Example Question:

Gabriel Martinez Asthma Shadow health How does exercise impact your son’s asthma?

Finding:

Asked about patient’s exposure to secondhand smoke

Finding:

Denies using tobacco products

(Found)

Pro Tip: A patient’s and their guardian’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, and substance use. These factors can influence their current health and wellness. Asking a guardian about a pediatric patient’s social history can also unveil the influence of their present illnesses on their social lives.

Example Question:

Does anyone in your family use tobacco?

Finding:

Asked about childcare

Finding:

Reports working around 55 hours per week

(Found)

Pro Tip: A patient’s and their guardian’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, and substance use. Gabriel Martinez Asthma Shadow health These factors can influence their current health and wellness. Asking a guardian about a pediatric patient’s social history can also unveil the influence of their present illnesses on their social lives.

Example Question:

What is your childcare situation?
Finding:

Reports utilizing after-school programs during the school year

(Found)

Pro Tip: A patient’s and their guardian’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, and substance use. These factors can influence their current health and wellness. Asking a guardian about a pediatric patient’s social history can also unveil the influence of their present illnesses on their social lives.

Example Question:

What is your childcare situation?
Finding:

Reports patient’s maternal grandparents care for him once a weekend

(Found)

Pro Tip: A patient’s and their guardian’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, and substance use. These factors can influence their current health and wellness. Gabriel Martinez Asthma Shadow health Asking a guardian about a pediatric patient’s social history can also unveil the influence of their present illnesses on their social lives.

Example Question:

What is your childcare situation?

Family Medical History Guardian

Finding:

Asked about relevant family medical history

health problems run in your family?”” data-html=”true” data-title=”Denies family history of respiratory illness (Found)” data-original-title=””>

Finding:

Denies family history of respiratory illness

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information from a guardian can contextualize a pediatric patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

What health problems run in your family?

Review of Relevant Systems Guardian

Finding:

Followed up on patient’s integumentary system

Finding:

Reports patient is diagnosed with eczema
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Gabriel Martinez Asthma Shadow health