Question

The patient, Danielle Young Bear, came to the clinic today with complaints of a persistent cough and fatigue that have lasted for 2 weeks. It started as a common cold, but she was concerned that it was something more serious since the cough and fatigue have not resolved yet. The signs and symptoms are consistent with the aftermath of a common cold, so this is not a big concern. However, she is taking several different prescription drugs and is also self-medicating with OTC medication and using herbal therapies; I’m concerned about potential drug interactions.

Ms. Young Bear is a 32-year-old Native American female. She is not one of our regular patients, but her usual provider is on vacation so she was referred to our clinic. She has a history of low back pain acquired at her job as a construction worker, and she is also being medicated for depression.

Ms. Young Bear is alert and oriented. The lung sounds are clear bilaterally and there is a bit of redness in the throat. I also checked her back and there are no signs of serious injury.

I have another patient waiting, so I would like you to take vital signs and do a focused pain assessment and assess neurological status. Please also make sure to go through all of her medications, including prescription medications, OTC medications, and herbal therapies, and perform medication reconciliation. Please notify me with your findings when you are done.

. What questions will you ask the patient to assess her neurological status?

Is there anything you want to ask the patient about her cough? Explain.

Answer 1

The questions for aseessing the neurological status ,

when assessing back pain ask the patient reagarding,

• Do you have problems in walking,climbing stairs,walking down hill? What kind of problems?
• Do you have any numbness, tingling, or pain on your back or extrimities?
• Does changing position relieve your pain?
• What makes your symptoms worse?
• Have you noticed weakness in your arms or legs?
• Do you experince muscle twitching?
• Does the pain come or go or consistent?
• Can you rate the pain out of 10 ?

for assessing the stage of depression,

• During past month have you been bothered by feeling down,depreesed,or hopeless?
• nowadays have you been bothered by little interest or plkeasure in doing things?
• Do you have trouble in falling or staying asleep?
• Feeling tired or having little energy?
• Poor apetite or overeating?
• Do you have trouble in concentrating on things such as reading the news paper or watching telivision?

questions related to cough?

• Is there any agravating or relieving factors ?
• Is it is dry or productive cough? If mucus is present , what is the colour of it?
• Do you smoke?
• Do you have difficulty in swalloig when drinking or eating?
• Any voice change ,do you ever noticed?
• Did you ever exposed to any pollutants?
• Any history of travel?
• Any history og allergy towards dust,pollen,animals, or any food?
• What kind of treatment do you mostly prefered?