Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection

• Finding:Asked patient if they are in an appropriate environment for a visit

• 
  

  Finding:

  Confirms they are at a space where the visit can be conducted

  (Found)

  Pro Tip: Telehealth visits conducted through video and audio tools require specific considerations to maintain standards of practice. Asking a patient about their ability to conduct the visit in a private space, addressing the confidentiality of the visit, and asking about any audio or visual accessibility issues are important steps for conducting a telehealth visit and maintaining standards of care Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection.

  Example Question:

  Are you in a place where you can conduct a telehealth visit?

Finding:

Asked if they can hear provider

• 
  

  Finding:

  Confirms they are able to hear provider

  (Found)

  Pro Tip: Telehealth visits conducted through video and audio tools require specific considerations to maintain standards of practice. Asking a patient about their ability to conduct the visit in a private space, addressing the confidentiality of the visit, and asking about any audio or visual accessibility issues are important steps for conducting a telehealth visit and maintaining standards of care.

  Example Question:

  Can you hear me OK?

• 
  

  Finding:

  Inform the patient this is a confidential protected visit

• 
  

  Finding:

  Acknowledges that they are aware that this is a confidential protected visit

  (Found)

  Pro Tip: Telehealth visits conducted through video and audio tools require specific considerations to maintain standards of practice. Asking a patient about their ability to conduct the visit in a private space, addressing the confidentiality of the visit, and asking about any audio or visual accessibility issues are important steps for conducting a telehealth visit and maintaining standards of care.

  Example Question:

  Have you been informed that this is a confidential protected visit?

• 
  

  Finding:

  Asked how patient is doing

• 
  

  Finding:

  Reports doing well

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  How are you doing?

• 
  

  Finding:

  Asked about taking vital signs

• 
  

  Finding:

  Reports taking vitals daily

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection.

  Example Question:

  Have you been taking your vital signs daily?
• 
  

  Finding:

  Reports taking vitals at the same time each day

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Have you been taking your vital signs at the same time each day?
• 
  

  Finding:

  Reports no problems with equipment

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Have you had any issues with your equipment?

• 
  

  Finding:

  Asked about respiratory symptoms

• 
  

  Finding:

  Denies cough

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Do you have a cough?
• 
  

  Finding:

  Denies wheezing

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Do you have any respiratory symptoms?
• 
  

  Finding:

  Denies shortness of breath or trouble breathing

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Do you have shortness of breath?
• 
  

  Finding:

  Denies any trouble breathing with activity

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Do you have trouble breathing with activity?

• 
  

  Finding:

  Asked about cardiovascular symptoms

• 
  

  Finding:

  Denies chest pain

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Do you have any chest pain?
• 
  

  Finding:

  Denies palpitations

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Do you have any palpitations?
• 
  

  Finding:

  Reports swelling

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Do you have any swelling?

• 
  

  Finding:

  Asked about location of swelling

• 
  

  Finding:

  Reports swelling in feet and ankles

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Where is your swelling located?

• 
  

  Finding:

  Asked about onset of swelling

• 
  

  Finding:

  Reports noticing swelling within the last 24 hours

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  When did the swelling start?

• 
  

  Finding:

  Asked about character of swelling

• 
  

  Finding:

  Reports feet and ankles are puffy

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Can you describe the swelling?
• 
  

  Finding:

  Reports socks left indentation on ankle

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Can you describe the swelling?

• 
  

  Finding:

  Asked about integumentary symptoms

• 
  

  Finding:

  Denies itchy, dry skin

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Do you have any integumentary symptoms?

• 
  

  Finding:

  Asked about taking daily weight logs

• 
  

  Finding:

  Reports taking daily weight logs

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Have you been taking daily weight logs?
• 
  

  Finding:

  Reports weighing self at the same time everyday

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Have you been weighing yourself at the same time everyday?
• 
  

  Finding:

  Reports wearing same type of clothing to weigh self everyday

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Are you wearing the same clothes to weigh yourself everyday?

• 
  

  Finding:

  Asked about changes to weight

• 
  

  Finding:

  Reports weight gain

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Have there been any recent changes to your weight?

  Finding:

  Reports gaining 4-5 lbs

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Have there been any recent changes to your weight?

• 
  

  Finding:

  Asked about timing of weight gain

• 
  

  Finding:

  Reports noticing weight gain within the past 24 hrs Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  When did you notice the weight gain?

• 
  

  Finding:

  Asked about pain status

• 
  

  Finding:

  Denies pain

  (Available)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Do you have any pain?

• 
  

  Finding:

  Asked about typical diet

• 
  

  Finding:

  Reports limiting sodium intake

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  Do you limit your sodium intake?
• 
  

  Finding:

  Reports typical breakfast as oatmeal with fruit

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  What do you typically eat for breakfast?
• 
  

  Finding:

  Reports typical lunch as salads, homemade soups, pasta with grilled chicken and vegetables Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  What do you typically eat for lunch?
• 
  

  Finding:

  Reports typical dinner as grilled chicken or fish with roasted vegetables, brown rice

  (Found)

  Pro Tip: For heart failure patients, it is essential to monitor any daily changes in a patient’s chronic condition to prevent the exacerbation of heart failure and promote the patient’s overall health. By asking a wide range of questions, you can determine if the patient is experiencing worsening heart failure, which may be indicated by chest pain, shortness of breath, cough, edema, as well as changes in weight or vitals. Additionally, scope of practice is important to keep in mind in order to determine if the patient’s worsening condition warrants a referral to their cardiologist or immediate hospitalization.

  Example Question:

  What do you typically eat for dinner?
• 
  

  Finding:

  Reports typical snack as no-salt almond butter with apple, no-salt air popped popcorn Liam Fitzgerald Shadow Health Telehealth Follow Up Sick Visit Subjective Data Collection

• Title: Follow-Up Sick Visit with Liam Fitzgerald: Telehealth Discussion

  Telehealth Protocol:
  – Checked if patient is in an appropriate environment for the visit.
  – Confirmed patient’s ability to hear the provider.
  – Informed patient about the confidential nature of the visit.

  Episodic Heart Failure Questionnaire:
  – Asked about patient’s well-being.
  – Inquired about the patient’s daily vital signs monitoring.
  – Asked if the patient experienced any respiratory symptoms.
  – Asked about any cardiovascular symptoms, like chest pain.
  – Inquired about integumentary symptoms, such as itchy or dry skin.
  – Asked if the patient has been taking daily weight logs.
  – Inquired about changes in weight.
  – Asked about the timing of weight gain.
  – Inquired about any pain the patient might be experiencing.
  – Asked about the patient’s typical diet, focusing on sodium intake.
  – Inquired about the patient’s typical meals throughout the day.

  

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  Note: The questions asked during the follow-up telehealth visit are aimed at monitoring the patient’s heart failure condition and overall health. The patient’s responses are crucial for assessing the progression of heart failure and determining if any further medical intervention is necessary.