Maya Parker Ear Pain Shadow Health Objective Data

Uncategorized

Maya Parker Ear Pain Shadow Health Objective Data

 

Objective Data Collection: 13.5 of 14 (96.0%)

  •  Correct
  •  Partially correct
  •  Incorrect
  •  Missed
 Assess Pain
1 of 1 point
Pain (1/1 point)
  •  0 – “No Hurt”
  •  2 – “Hurts Little Bit”
  •  4 – “Hurts Little More”
  •  6 – “Hurts Even More”
  •  8 – “Hurts Whole Lot”
  •  10 – “Hurts Worse”

ORDER HERE

 Inspect Head
1 of 1 point
Appearance (1/1 point)
  •  Symmetric
  •  Asymmetric
  • Maya Parker Ear Pain Shadow Health Objective Data
 Inspect Face
1 of 1 point
Appearance (1/1 point)
  •  Symmetric
  •  Asymmetric
 Inspect Neck
1 of 1 point
Appearance (1/1 point)
  •  No visible abnormal findings
  •  Swelling
  •  Visible pulsation
  •  Visible mass
 Examine Mouth
0.75 of 1 point
Oral Mucosa Appearance (1/4 point)
  •  Moist
  •  Dry
Oral Mucosa Color (1/4 point)
  •  Pink
  •  Erythema
Posterior Oropharynx (1/4 point)
  •  Erythemic
  •  Cobblestone appearance
  •  Exudate
  •  Pink
Tonsils (No point)
  •  0: Tonsils fit within tonsillar fossa
  •  1+: Tonsils <25% of space between pillars
  •  2+: Tonsils <50% of space between pillars
  •  3+: Tonsils <75% of space between pillars
  •  4+ Tonsils >75% of space between pillars
 Auscultate Abdomen
1 of 1 point
Bowel Sounds (1/1 point)
  •  Absent
  •  Hypoactive
  •  Normoactive
  •  Hyperactive
 Auscultate Heart
1 of 1 point
Heart Sounds (1/4 point)
  •  S1 and S2 audible
  •  S1, S2 and S3 audible
  •  S1, S2, and S4 audible
  •  S1, S2, S3, and S4 audible
Extra Heart Sounds (1/4 point)
  •  No extra heart sounds
  •  Gallups
  •  Murmur
  •  Friction rubs
Rate (1/4 point)
  •  Regular rate
  •  Irregular rate
Rhythm (1/4 point)
  •  Regular Rhythm
  •  Irregular Rhythm
 Auscultate Lungs
1 of 1 point
Appearance (1/4 point)
  •  Accessory muscle use
  •  No distress
Symmetry (1/4 point)
  •  Symmetrical chest rise and fall
  •  Asymmetrical chest rise and fall
Breath Sounds (1/4 point)
  •  Clear in all areas
  •  Diminished in some areas
  •  Absent in some areas
Adventitious Sounds (1/4 point)
  •  No adventitious sounds
  •  Wheezing
  •  Crackles
  •  Stridor
  •  Rhonchi
 Hearing Test
1 of 1 point
Hearing (1/2 point)
  •  Responds to questions
  •  Requests excessive repetition
  •  Erratic voice volume
Whisper Test (1/2 point)
  •  Repeats words correctly >50% of the time
  •  Unable to repeat whispered sounds
  • Maya Parker Ear Pain Shadow Health Objective Data
 Inspect Auricles
1 of 1 point
Left Auricle (1/2 point)
  •  No visible abnormalities
  •  Bruising
  •  Deformity
  •  Erythema
Right Auricle (1/2 point)
  •  No visible abnormalities
  •  Bruising
  •  Deformity
  •  Erythema
 Palpate Auricles
1 of 1 point
Right Ear Palpation (1/2 point)
  •  Non-tender
  •  Tender
Maya Parker Ear Pain Shadow Health Objective Data Left Ear Palpation (1/2 point)
  •  Non-tender
  •  Tender
 Inspect Nose
1 of 1 point
Color (1/4 point)
  •  Bluish
  •  Red
  •  Pink
Discharge (1/4 point)
  •  Bloody discharge
  •  Clear discharge
  •  No discharge
  •  Purulent discharge
Turbinate Patency (1/4 point)
  •  Decreased patency
  •  Not patent
  •  Patent
Observations (1/4 point)
  •  No Additional visible abnormal findings
  •  Foreign body present
  •  Lesion
  •  Polyp
  •  Septum deviated
  •  Septum perforated
 Inspect Inner Ears
0.5 of 1 point
Left: Auditory Canal Color (1/10 point)
  •  Erythema
  •  No visible abnormal findings
  •  Pallor

ORDER HERE FOR HELP

Left: Tympanic Membrane Color (1/10 point)
  •  Not visible because of cerumen
  •  Opaque
  •  Pearly gray
  •  Red
  •  Yellow
Left: Tympanic Membrane Appearance (1/10 point)
  •  No visible abnormal findings
  •  Bulging
  •  Fluid observed
  •  Perforation
  •  Retraction
  •  Visible scars
  • Maya Parker Ear Pain Shadow Health Objective Data
  • Maya Parker Ear Pain Shadow Health Objective Data
Left: Cone Of Light (1/10 point)
  •  7:00
  •  Cone of light distorted
Left: Discharge (1/10 point)
  •  Bloody discharge
  •  Clear discharge
  •  No discharge
  •  Purulent discharge
  •  Cerumen
Right: Auditory Canal Color (No point)
  •  Erythema
  •  No visible abnormal findings
  •  Pallor
Right: Tympanic Membrane Color (No point)
  •  Not visible because of cerumen
  •  Opaque
  •  Pearly gray
  •  Red
  •  Yellow
Right: Tympanic Membrane Appearance (No point)
  •  No visible abnormal findings
  •  Bulging
  •  Fluid observed
  •  Perforation
  •  Retraction
  •  Visible scars
Right: Cone Of Light (No point)
  •  5:00
  •  Cone of light distorted
Right: Discharge (No point)
  •  Bloody discharge
  •  Clear discharge
  •  No discharge
  •  Purulent discharge
  •  Cerumen
 Inspect Mobility of Tympanic Membranes
1 of 1 point
Left (1/2 point)
  •  Immobile
  •  Mobile
Right (1/2 point)
  •  Immobile
  •  Mobile
  • Maya Parker Ear Pain Shadow Health Objective Data