Schizophrenia Eric Ford Shadow health Subjective Data Collection

Schizophrenia Eric Ford Shadow health Subjective Data Collection

Subjective Data Collection: 37 of 37 (100.0%)

Category
Scored Items

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Experts chose these topics as crucial parts of a thorough interview with this patient.
Patient Data
Not Scored

Combining open and closed questions will provide better patient data. The following details are facts about the patient’s case.
Chief Complaint

Established Chief Complaint

Reports hallucinations (Found)
Pro Tip: The chief complaint reveals the patient’s presenting issues. Asking about it lets the patient express concerns or symptoms.
Example Question:
Do you hear things that others don’t?

Has paranoid thoughts (Found)
Pro Tip: The chief complaint reveals the patient’s presenting issues. Asking about it lets the patient express concerns or symptoms.
Example Question:
Do you think people want to harm you?

History of Present Illness

Asked about onset and duration of symptoms

Reports hearing voices for the past 7 days (Found)
Pro Tip: Inquiring about symptom onset and duration helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
When did your symptoms begin?

Reports increased voices over the last week (Found)
Pro Tip: Inquiring about symptom onset and duration helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
Did the hallucinations start gradually?

Reports constant voices currently (Available)
Pro Tip: Inquiring about symptom onset and duration helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
Do your hallucinations persist?

Asked about characteristics of symptoms

Describes voices as male or female (Found)
Pro Tip: Inquiring about symptom characteristics helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
Can you describe your hallucinations?

Denies visual hallucinations (Available)
Pro Tip: Inquiring about symptom characteristics helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
Do you see things that aren’t there?

Denies gustatory hallucinations (Available)
Pro Tip: Inquiring about symptom characteristics helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
Do you taste things that aren’t there?

Denies olfactory hallucinations (Available)
Pro Tip: Inquiring about symptom characteristics helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
Do you smell things that aren’t there?

Denies tactile hallucinations (Available)
Pro Tip: Inquiring about symptom characteristics helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
Do you feel things that aren’t there?

Followed up on content of hallucinations

Reports command hallucinations (Found)
Pro Tip: Inquiring about symptom characteristics helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
Do the voices command you to do things?

Reports resisting following voices’ commands (Available)
Pro Tip: Inquiring about symptom characteristics helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
Do you do what the voices tell you?

Asked about factors worsening symptoms

Reports distress in quiet environments (Found)
Pro Tip: Inquiring about symptom aggravating factors helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
What makes your symptoms worse?

Asked about coping strategies

Reports using music to cope (Found)
Pro Tip: Inquiring about coping strategies helps understand the history. It allows you to follow-up on symptoms, like pain location or intensity.
Example Question:
How do you manage your hallucinations?

Past Medical History

Asked about existing health conditions

Denies general health conditions (Found)
Pro Tip: Asking about existing health conditions reveals past diagnoses or concerns. It helps with follow-up care and treatment.
Example Question:
Do you have any health issues?

Asked about mental health history

Reports schizophrenia diagnosis (Found)
Pro Tip: Asking about mental health history reveals past diagnoses or concerns. It helps with follow-up care and treatment.
Example Question:
Have you been diagnosed with schizophrenia?

Reports occasional insomnia (Found)
Pro Tip: Asking about mental health history reveals past diagnoses or concerns. It helps with follow-up care and treatment.
Example Question:
Do you experience insomnia?

Denies past depression history (Available)
Pro Tip: Asking about mental health history reveals past diagnoses or concerns. It helps with follow-up care and treatment.
Example Question:
Have you had depression before?

Denies past anxiety history (Available)
Pro Tip: Asking about mental health history reveals past diagnoses or concerns. It helps with follow-up care and treatment.
Example Question:
Do you have generalized anxiety disorder?

Denies past bipolar disorder history (Available)
Pro Tip: Asking about mental health history reveals past diagnoses or concerns. It helps with follow-up care and treatment.
Example Question:
Have you been diagnosed with bipolar disorder?

Followed up on schizophrenia diagnosis

Diagnosed at age 23 (Found)
Pro Tip: Asking about mental health history reveals past diagnoses or concerns. It helps with follow-up care and treatment.
Example Question:
When were you diagnosed with schizophrenia?

Followed up on insomnia

Reports frequent insomnia (Available)
Pro Tip: Asking about mental health history reveals past diagnoses or concerns. It helps with follow-up care and treatment.
Example Question:
How often do you struggle to fall asleep?

Reports difficulty falling asleep (Found)
Pro Tip: Asking about mental health history reveals past diagnoses or concerns. It helps with follow-up care and treatment.
Example Question:
Have you experienced difficulty falling asleep before?

Reports increased recent insomnia (Found)
Pro Tip: Asking about mental health history reveals past diagnoses or concerns. It helps with follow-up care and treatment.
Example Question:
Could you elaborate on your sleep patterns?

Reports sleeping 2 – 3 hours per night (Available)
Pro Tip: Asking about mental health history reveals past diagnoses or concerns. It helps with follow-up care and treatment.
Example Question:
How many hours do you sleep each night?

Schizophrenia Eric Ford Shadow health Subjective Data Collection

Subjective Data Collection: 37 of 37 (100.0%)

Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

  • Found:

     Indicates an item that you found.

  • Available:

     Indicates an item that is available to be found.

Category

Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data

Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Chief Complaint


  • Finding:

    Established chief complaint


  • Finding:

    Reports hallucinations

    (Found)

    Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.

    Example Question:

    Do you ever hear things that others do not hear?

  • Finding:

    Has paranoid thoughts

    (Found)

    Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.

    Example Question:

    Do you ever think people are trying to harm you?

History of Present Illness


  • Finding:

    Asked about onset and duration of symptoms


  • Finding:

    Reports hearing voices for the past 7 days

    (Found)

    Pro Tip: Asking a patient about the length 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.

    Example Question:

    When did your symptoms start?

  • Finding:

    Reports voices have increased over the last week

    (Found)

    Pro Tip: Asking a patient about the length 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.

    Example Question:

    Did the hallucinations start gradually?

  • Finding:

    Reports that voices are currently constant

    (Available)

    Pro Tip: Asking a patient about the length 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.

    Example Question:

    Are your hallucinations constant?

  • Finding:

    Asked about characteristics of symptoms


  • Finding:

    Describes voices as sometimes male, sometimes female

    (Found)

    Pro Tip: Asking a patient about the length 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.

    Example Question:

    Can you describe your hallucinations?

  • Finding:

    Denies visual hallucinations

    (Available)

    Pro Tip: Asking a patient about the length 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.

    Example Question:

    Do you ever see things that are not there?

  • Finding:

    Denies gustatory hallucinations

    (Available)

    Pro Tip: Asking a patient about the length 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.

    Example Question:

    Do you taste things that are not there?

  • Finding:

    Denies olfactory hallucinations

    (Available)

    Pro Tip: Asking a patient about the length 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.

    Example Question:

    Do you smell things that are not there?

  • Finding:

    Denies tactile hallucinations

    (Available)

    Pro Tip: Asking a patient about the length 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.

    Example Question:

    Do you feel things that are not there?

  • Finding:

    Followed up on content of hallucinations


  • Finding:

    Reports command hallucinations

    (Found)

    Pro Tip: Asking a patient about the length 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.

    Example Question:

    Do the voices tell you to do anything?

  • Finding:

    Reports resisting doing what the voices say

    (Available)

    Pro Tip: Asking a patient about the length 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. Schizophrenia Eric Ford Shadow health Subjective Data Collection

    Example Question:

    Do you do what the voices say?

  • Finding:

    Asked about aggravating factors of symptoms


  • Finding:

    Reports that voices are more disturbing in quiet environments (when unable to be distracted)

    (Found)

    Pro Tip: Asking a patient about the length 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.

    Example Question:

    What makes your symptoms worse?

  • Finding:

    Asked about coping strategies


  • Finding:

    Reports music as a coping strategy

    (Found) Schizophrenia Eric Ford Shadow health Subjective Data Collection

    Pro Tip: Asking a patient about the length 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.

    Example Question:

    How do you cope with your hallucinations?

Schizophrenia Eric Ford Shadow health Subjective Data Collection Past Medical History


  • Finding:

    Asked about existing health conditions


  • Finding:

    Denies general health conditions

    (Found)

    Pro Tip: Inquiring into the patient’s relevant 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 health issues do you have?

  • Finding:

    Asked about history of mental health


  • Finding:

    Reports diagnosis of schizophrenia

    (Found)

    Pro Tip: Inquiring into the patient’s relevant 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:

    Have you been diagnosed with schizophrenia?

  • Finding:

    Reports occasional insomnia

    (Found)

    Pro Tip: Inquiring into the patient’s relevant 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. Schizophrenia Eric Ford Shadow health Subjective Data Collection

    Example Question:

    Do you have insomnia?

  • Finding:

    Denies past history of depression

    (Available)

    Pro Tip: Inquiring into the patient’s relevant 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:

    Do you have a history of depression?

  • Finding:

    Denies past history of anxiety

    (Available)

    Pro Tip: Inquiring into the patient’s relevant 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:

    Do you have generalized anxiety disorder?

  • Finding:

    Denies past history of bipolar disorder

    (Available)

    Pro Tip: Inquiring into the patient’s relevant 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. Schizophrenia Eric Ford Shadow health Subjective Data Collection

    Example Question:

    Have you been diagnosed with bipolar disorder?

  • Finding:

    Followed up on schizophrenia diagnosis


  • Finding:

    Diagnosed age 23

    (Found)

    Pro Tip: Inquiring into the patient’s relevant 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:

    At what age did you get schizophrenia?
  • Finding:

    Followed up on insomnia

  • Finding:

    Reports frequent insomnia

    (Available)

    Pro Tip: Inquiring into the patient’s relevant 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 often have you had trouble falling asleep?
  • Finding:

    Reports difficulty falling asleep

    (Found)

    Pro Tip: Inquiring into the patient’s relevant 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:

    Have you had trouble falling asleep before?
  • Finding:

    Reports recent insomnia has increased

    (Found)

    Pro Tip: Inquiring into the patient’s relevant 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:

    Can you tell me more about your sleep?
  • Finding:

    Reports sleeping 2 – 3 hours per night

    (Available)

    Pro Tip: Inquiring into the patient’s relevant 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 many hours a night do you sleep?
  • Finding:

    Reports frequent awakening

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    (Found)

    Pro Tip: Inquiring into the patient’s relevant 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 often do you wake up during the night?
  • Finding:

    Reports occasional nightmares Schizophrenia Eric Ford Shadow health Subjective Data Collection

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