Gabriel Martinez Asthma Shadow health

Experience Overview

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.

Student Performance Index

44.6

out of

46

Proficiency Level:

Proficient
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

31

out of

31

Objective Data Collection

9.6

out of

11

Education and Empathy

4

out of

4

Time

223 minutes total spent in assignment

Interaction with patient

185 minutes

Post-exam activities

38 minutes

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Why did you throw away the inhaler?

Question
01/23/21 7:32 PM PST

Gabriel Martinez
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.
Your avatar
Sorry about that

Empathize
01/23/21 7:32 PM PST

Gabriel Martinez
Oh wow, thanks.
Your avatar
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

Gabriel Martinez
Yeah, you’re right.
Your avatar
Have you experienced the side effects before?

Question
01/23/21 7:33 PM PST

Gabriel Martinez
The emergency inhaler makes my heart beat fast and makes me all shaky.
Your avatar
Do you exercises?

Question
01/23/21 7:34 PM PST

Gabriel Martinez
My mom says I can’t play sports because of my asthma.
Your avatar
Sorry about that

Empathize
01/23/21 7:34 PM PST

Gabriel Martinez
Ok, thanks.
Your avatar
What happens when you play sport? (No matching questions found.)

Question
01/23/21 7:34 PM PST

Your avatar
What happens when you exercise? (Clarified to What happens when you have an asthma attack?.)

Question
01/23/21 7:35 PM PST

Gabriel Martinez
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.)
Your avatar
Sorry about that

Empathize
01/23/21 7:35 PM PST

Gabriel Martinez
Thanks, that makes me feel better.
Your avatar
Who do you live with?

Question
01/23/21 7:35 PM PST

Gabriel Martinez
Me and my mom live in a apartment.
Your avatar
Where do you live?

Question
01/23/21 7:36 PM PST

Gabriel Martinez
I live in a apartment with my mom in Shadowville.
Your avatar
Do you smoke?

Question
01/23/21 7:36 PM PST

Gabriel Martinez
No way. Those things will kill you..

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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.

    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.

    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

    (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: 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.

    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:

    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. 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. 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


  • 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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