Posted: January 9th, 2023
Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
Indicates an item that you found.
Indicates an item that is available to be found.
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.
Asked about patient’s status
Reports breathing is better
Pro Tip: Assessing a pediatric patient’s status involves asking about their current comfort, needs, and chief complaint. It’s important to check in with a patient’s status, because it may reveal insight into their current condition.
Reports chest soreness
Followed up on symptoms
Reports wheezing
Pro Tip: Assessing a pediatric patient’s status involves asking about their current comfort, needs, and chief complaint. It’s important to check in with a patient’s status, because it may reveal insight into their current condition.
Reports coughing is less frequent
Reports chest does not feel as tight
Pro Tip: Assessing a pediatric patient’s status involves asking about their current comfort, needs, and chief complaint. It’s important to check in with a patient’s status, because it may reveal insight into their current condition.
Followed up on onset of symptoms
Reports symptoms started after playing kickball
Reports full-on asthma attack began when he got home
Pro Tip: Asking a pediatric patient about the duration and onset 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.
Followed up on aggravating factors
Reports secondhand smoke exposure
Pro Tip: Asking a pediatric patient about the duration and onset 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.
Denies being around secondhand smoke normally
Pro Tip: Asking a pediatric patient about the duration and onset 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.
Followed up on rescue inhaler adherence
Reports carrying rescue inhaler with him in the past
Reports throwing away the rescue inhaler a few weeks ago
Pro Tip: A pediatric patient’s home medications can provide insight into the patient’s current treatment and its efficacy.
Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Reports disliking rescue inhaler because of side effects
Asked about side effects of rescue inhaler
Reports rescue inhaler made him feel shaky
Reports rescue inhaler made his heart beat fast
Pro Tip:
A pediatric patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Asked about exercise
Reports being mostly sedentary
Asked about living situation
Reports living with mother in an apartment
Pro Tip: A pediatric patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet and exercise. Even though you are working with pediatric patients, it is important to ask about sexual activity and substance use. These factors can influence their current health and wellness.
Asking about a pediatric patient’s social history can also unveil the influence of their present illnesses in their social lives.
Asked about patient’s substance use
Denies alcohol use
Denies using tobacco products
Pro Tip: A pediatric patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet and exercise. Even though you are working with pediatric patients, it is important to ask about sexual activity and substance use. These factors can influence their current health and wellness.
Asking about a pediatric patient’s social history can also unveil the influence of their present illnesses in their social lives.
Asked about education
Reports being in 3rd grade
Asked about cardiovascular system
Reports heart is racing
Pro Tip: Understanding a pediatric patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.
Asked about integumentary system
Denies current skin problems
Reports using prescription cream to treat skin
Asked about mental health
Reports frustration with diagnosis
Followed up on patient’s asthma diagnosis
Reports patient has mild asthma
Reports patient was diagnosed at age 5
Asked guardian to elaborate on severity of symptoms
Reports peak flow meter readings at home were 55%, 59%, and 60%
Asked guardian about pharmacological relieving factors for current exacerbation
Reports giving patient an extra dose of daily maintenance inhaler
Confirms home medications with guardian
Confirms patient is prescribed a rescue inhaler
Confirms patient is prescribed a maintenance inhaler
Followed up on rescue inhaler
Reports rescue inhaler is albuterol
Reports rescue inhaler dose is two puffs as needed
Followed up on maintenance inhaler
Reports maintenance inhaler is fluticasone propionate
Reports patient takes 2 puffs twice a day
Asked about medication adherence
Reports patient takes maintenance inhaler as directed
Reports patient has not needed rescue inhaler in the past year
Asked about over the counter medications
Reports occasional antihistamine use for allergy symptom treatment
Asked about patient’s general allergies
Denies patient has food allergies
Denies patient has a latex allergy
Denies patient has medication allergies
Reports environmental allergies
Followed up on environmental allergies
Reports patient has allergies to tree pollen, pet dander, and dust mites
Followed up on impact of allergies on asthma
Reports allergies have caused previous exacerbations
Reports high pollen count traditionally worsens asthma symptoms
Asked about previous hospitalizations
Reports one previous hospitalization for moderate asthma exacerbation
Reports hospitalization was one year ago
Followed up on factors leading to prior hospitalization
Reports patient had been exposed to smoke the night before hospitalization
Reports rescue inhaler was not effective in managing symptoms
Asked about patient’s activity level
Reports preventing patient from performing aerobic exercise
Asked about patient’s exposure to secondhand smoke
Denies using tobacco products
Asked about childcare
Reports working around 55 hours per week
Reports utilizing after-school programs during the school year
Reports patient’s maternal grandparents care for him once a weekend
Asked about relevant family medical history
Denies family history of respiratory illness
Followed up on patient’s integumentary system
Reports patient is diagnosed with eczema Gabriel Martinez Focused Exam: Asthma Exacerbation shadow health Subjective Data
Place an order in 3 easy steps. Takes less than 5 mins.