Chelsea Warren Type 1 Diabetes Subjective Data

Chelsea Warren Type 1 Diabetes Subjective Data
Chelsea Warren Type 1 Diabetes Subjective Data

Subjective Data Collection: 25 of 25 (100.0%)

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

Found:
 Indicates an item that you found. Chelsea Warren Type 1 Diabetes Subjective Data

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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.

Patient Status

Finding:
Assessed patient status

Finding:
Reports feeling “way better”
(Found)
Pro Tip: Assessing a pediatric patient’s status involves asking about their current comfort, needs, and chief complaint. It’s important to check in with a patient’s status, because it may reveal insight into their current condition.
Example Question:
How do you feel?

Finding:
Reports eagerness to go home
(Found)
Pro Tip: Assessing a pediatric patient’s status involves asking about their current comfort, needs, and chief complaint. It’s important to check in with a patient’s status, because it may reveal insight into their current condition.
Example Question:
How do you feel?

Finding:
Asked about patient’s comfort

Finding:
Reports feeling comfortable
(Found)
Pro Tip: Assessing a pediatric patient’s status involves asking about their current comfort, needs, and chief complaint. It’s important to check in with a patient’s status, because it may reveal insight into their current condition.
Example Question:
Are you having pain right now?

Finding:
Asked about patient’s needs

Finding:
Denies needing anything
(Found)
Pro Tip: Assessing a pediatric patient’s status involves asking about their current comfort, needs, and chief complaint. It’s important to check in with a patient’s status, because it may reveal insight into their current condition.
Example Question:
Do you need anything?

History of Present Illness Patient

Finding:
Asked patient about symptoms of DKA

Finding:
Denies remembering incident very well
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset 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:
Why were you admitted?

Finding:
Reports feeling nauseated at a horseback riding lesson
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset 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:
Why were you admitted?

Finding:
Reports vomiting
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset 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:
Why were you admitted?

Finding:
Asked about patient’s other symptoms prior to DKA

Finding:
Reports frequent urination prior to DKA
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset 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:
Have you been urinating more often than usual?

Finding:
Reports excessive thirst prior to DKA
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset 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:
Have you been feeling more thirsty lately?

Finding:
Reports fatigue prior to DKA
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset 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 you always fatigued?

Finding:
Reports lack of appetite prior to DKA
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset 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 is your appetite?

Finding:
Asked about onset of prior symptoms

Finding:
Reports other symptoms began around 10 days prior
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset 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 you start feeling sick?

Assess Patient Knowledge

Finding:
Assessed patient’s knowledge of type 1 diabetes

Finding:
Reports knowledge of type 1 diabetes
(Found)
Pro Tip: Assessing a pediatric patient’s knowledge of their preexisting conditions helps you determine how to educate both guardian and patient.
Example Question:
What type of diabetes do you have?

Assess Patient Diet

Finding:
Asked about diet at mother’s house

Finding:
Reports mother is a “health nut”
(Found)
Pro Tip: Assessing a pediatric patient’s diet solicits information relevant to their current diagnosis that informs you of potential aggravating and relieving factors of their chief complaint. Details of their current diet will help you to educate the patient on a diet that will help in the treatment and management of their condition.
Example Question:
What is your diet like?

Finding:
Reports typical breakfast at mother’s home is yogurt and fruit
(Found)
Pro Tip: Assessing a pediatric patient’s diet solicits information relevant to their current diagnosis that informs you of potential aggravating and relieving factors of their chief complaint. Details of their current diet will help you to educate the patient on a diet that will help in the treatment and management of their condition.
Example Question:
What’s your usual breakfast?

Finding:
Reports typical lunch is a salad with chicken
(Found)
Pro Tip: Assessing a pediatric patient’s diet solicits information relevant to their current diagnosis that informs you of potential aggravating and relieving factors of their chief complaint. Details of their current diet will help you to educate the patient on a diet that will help in the treatment and management of their condition.
Example Question:
What do you usually eat for lunch?

Finding:
Reports typical dinner is grilled meat and vegetables
(Found)
Pro Tip: Assessing a pediatric patient’s diet solicits information relevant to their current diagnosis that informs you of potential aggravating and relieving factors of their chief complaint. Details of their current diet will help you to educate the patient on a diet that will help in the treatment and management of their condition.
Example Question:
What’s a typical dinner?

Social History Patient

Finding:
Asked about social activities

Finding:
Reports riding horses 2-3 times a week after school
(Found)
Pro Tip: A pediatric patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet and exercise. Even though you are working with pediatric patients, it is important to ask about sexual activity and substance use. These factors can influence their current health and wellness. Asking about a pediatric patient’s social history can also unveil the influence of their present illnesses in their social lives.
Example Question:
How often do you ride horses?

Finding:
Asked about substance use

Finding:
Denies tobacco use
(Found)
Pro Tip: A pediatric patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet and exercise. Even though you are working with pediatric patients, it is important to ask about sexual activity and substance use. These factors can influence their current health and wellness. Asking about a pediatric patient’s social history can also unveil the influence of their present illnesses in their social lives.
Example Question:
Have you ever experimented with smoking?

Finding:
Denies vaping
(Found)
Pro Tip: A pediatric patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet and exercise. Even though you are working with pediatric patients, it is important to ask about sexual activity and substance use. These factors can influence their current health and wellness. Asking about a pediatric patient’s social history can also unveil the influence of their present illnesses in their social lives.
Example Question:
Have you ever vaped or used an ecigarette?

Finding:
Denies alcohol use
(Found)
Pro Tip: A pediatric patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet and exercise. Even though you are working with pediatric patients, it is important to ask about sexual activity and substance use. These factors can influence their current health and wellness. Asking about a pediatric patient’s social history can also unveil the influence of their present illnesses in their social lives.
Example Question:
Do you drink alcohol?

Review of Relevant Systems Patient

Finding:
Asked about general symptoms

Finding:
Denies current excessive thirst
(Found)
Pro Tip: Understanding a pediatric patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
Have you been feeling more thirsty lately?

Finding:
Asked about gastrointestinal symptoms

Finding:
Denies current nausea
(Found)
Pro Tip: Understanding a pediatric patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.
Example Question:
Did your nausea improve?

Finding:
Denies current vomiting
(Found)
Pro Tip: Understanding a pediatric patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
Are you going to be sick?

Finding:
Reports normal bowel movements
(Found)
Pro Tip: Understanding a pediatric patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.
Example Question:
Are you feeling constipated?

Finding:
Asked about urinary symptoms

Finding:
Denies current frequent urination
(Found)
Pro Tip: Understanding a pediatric patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
How long have you been urinating more frequently?

Finding:
Denies high volume of urine
(Available)
Pro Tip: Understanding a pediatric patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
Do you urinate a lot?

Finding:
Asked about neurological system

Finding:
Denies neurological symptoms
(Found)
Pro Tip: Understanding a pediatric patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
Do you feel tingling anywhere?

Confirmed Guardian’s Relationship

Finding:
Confirmed guardian’s relationship to patient

Finding:
Reports he is patient’s father
(Found)
Pro Tip: Determining the guardian’s relationship to a pediatric patient confirms the appropriate family members are present. Knowing who is with the pediatric patient will help you to develop the best approach to gathering information on the patient’s condition. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
what is your relationship to the patient

History of Present Illness Guardian

Finding:
Asked about patient’s diagnosis

Finding:
Reports patient is diagnosed with type 1 diabetes
(Found)
Pro Tip: Asking a pediatric patient’s guardian about the duration and onset of the patient’s 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. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
What is your daughter’s diagnosis

Finding:
Followed up on history of present illness leading to diagnosis

Finding:
Reports patient was admitted to hospital two days prior
(Found)
Pro Tip: Asking a pediatric patient’s guardian about the duration and onset of the patient’s 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 was your daughter hospitalized

Finding:
Reports patient had diabetic ketoacidosis when admitted
(Found)
Pro Tip: Asking a pediatric patient’s guardian about the duration and onset of the patient’s 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. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
Did your daughter have complications with her diabetes?

Finding:
Asked guardian about symptoms of DKA

Finding:
Reports thinking she had a “stomach bug” at first
(Found)
Pro Tip: Asking a pediatric patient’s guardian about the duration and onset of the patient’s 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 was your daughter feeling?

Finding:
Reports taking daughter to ED when he realized she was “out of it”
(Found)
Pro Tip: Asking a pediatric patient’s guardian about the duration and onset of the patient’s 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. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
How was your daughter feeling?

Finding:
Asked about patient’s symptoms prior to DKA

Finding:
Reports weight loss
(Found)
Pro Tip: Asking a pediatric patient’s guardian about the duration and onset of the patient’s 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:
Has your daughter’s weight changed lately?

Finding:
Followed up on weight loss

Finding:
Reports patient lost 5 pounds
(Found)
Pro Tip: Asking a pediatric patient’s guardian about the duration and onset of the patient’s 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. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
How much weight has your daughter lost?

Finding:
Reports weight loss happened in the two weeks since he last saw the patient
(Found)
Pro Tip: Asking a pediatric patient’s guardian about the duration and onset of the patient’s 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 much weight has your daughter lost?

Assess Guardian Knowledge

Finding:
Assessed knowledge of type 1 diabetes

Finding:
Reports knowledge of type 1 diabetes
(Found)
Pro Tip: Assessing a pediatric guardian’s knowledge of the patient’s preexisting condition helps you determine how to educate both guardian and patient.
Example Question:
Do you know anything about type 1 diabetes?

Assess Patient Diet Guardian

Finding:
Asked about guardian’s knowledge of patient’s diet

Finding:
Reports patient’s favorite breakfast is pancakes and fruit
(Found)
Pro Tip: Asking a pediatric patient’s guardian about their diet solicits information relevant to their current diagnosis that informs you of potential aggravating and relieving factors of their current chief complaint. Chelsea Warren Type 1 Diabetes Subjective Data Details of their current diet will help you to educated the guardian on a diet that will help in the treatment and management of their condition.
Example Question:
What does your daughter usually eat for breakfast?

Finding:
Reports typical lunch is a sandwich and chips
(Found)
Pro Tip: Asking a pediatric patient’s guardian about their diet solicits information relevant to their current diagnosis that informs you of potential aggravating and relieving factors of their current chief complaint. Details of their current diet will help you to educated the guardian on a diet that will help in the treatment and management of their condition.
Example Question:
What does your daughter usually eat for lunch?

Finding:
Reports going out to dinner often
(Found)
Pro Tip: Asking a pediatric patient’s guardian about their diet solicits information relevant to their current diagnosis that informs you of potential aggravating and relieving factors of their current chief complaint. Details of their current diet will help you to educated the guardian on a diet that will help in the treatment and management of their condition.
Example Question:
What does your daughter usually eat for dinner?

Finding:
Denies knowledge of high carb intake
(Found)
Pro Tip: Asking a pediatric patient’s guardian about their diet solicits information relevant to their current diagnosis that informs you of potential aggravating and relieving factors of their current chief complaint. Chelsea Warren Type 1 Diabetes Subjective Data. Details of their current diet will help you to educated the guardian on a diet that will help in the treatment and management of their condition.
Example Question:
How many carbohydrates does your daughter eat a day

Finding:
Reports belief in a low sugar intake
(Found)
Pro Tip: Asking a pediatric patient’s guardian about their diet solicits information relevant to their current diagnosis that informs you of potential aggravating and relieving factors of their current chief complaint. Details of their current diet will help you to educated the guardian on a diet that will help in the treatment and management of their condition.
Example Question:
How many carbohydrates does your daughter eat a day

Social History Guardian

Finding:
Asked guardian about social history

Finding:
Reports being divorced from patient’s mom
(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:
Are you married?

Finding:
Reports patient splits time evenly between homes
(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. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
Are you married?

Finding:
Reports patient alternates between homes every 2 weeks
(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. Chelsea Warren Type 1 Diabetes Subjective Data
Example Question:
Have you been divorced?

Finding:
Reports a stable home life
(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 is your daughter’s relationship with her mother?

Past Medical History Guardian

Finding:
Asked about past hospitalizations

Finding:
Denies past hospitalizations
(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 daughter been hospitalized before?

Finding:
Denies past surgeries
(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 Chelsea Warren Type 1 Diabetes Subjective Data.
Example Question:
Has your daughter been hospitalized before?

Family Medical History Guardian

Finding:
Asked about relevant family medical history

Finding:
Reports patient’s paternal grandmother has type 2 diabetes
Chelsea Warren Type 1 Diabetes Subjective Data


Difference between a point mutation and a frameshift mutation

Difference between a point mutation and a frameshift mutation
Difference between a point mutation and a frameshift mutation

Explain the difference between a point mutation and a frameshift mutation.

Point mutations are gene mutations involving the substitution, addition, or deletion of a single nucleotide base and usually take place during DNA replication. Point mutations can have a range of effects, depending on the particular codon change. Point mutations are also referred as a base-pair substitution. Point mutations can be categorized into three types: silent mutation, missense mutation and nonsense mutation. Silent mutations create changes in the DNA sequence, this type of mutation does not change the protein that is to be produced. This is because multiple genetic codons can encode for the same amino acid. Missense mutations alter the nucleotide sequence so that a different amino acid is produced. difference between a point mutation and a frameshift mutation. This change alters the protein and may not have much effect, may be helpful or may be hazardous. Nonsense mutations alter the nucleotide sequence so that a stop codon is coded for in place of an amino acid. A stop codon signals the end of the translation process and stops protein production. If this process is ended too soon, the amino acid sequence is cut short and the resulting protein is most always nonfunctional.
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A frameshift mutation, also called a framing error or a reading frame shift, is a genetic mutation caused by insertions or deletions of a number of nucleotides in a DNA sequence that is not divisible by three. Due to the triplet nature of gene expression by codons, the insertion or deletion can change the reading frame the grouping of the codons, resulting in a completely different translation from the original.
 
Module 10 Homework difference between a point mutation and a frameshift mutation Assignment
 

Use the information presented in the module folder along with your readings from the textbook to answer the following questions.

 
 

Compare the difference between a point mutation and a frameshift mutation:

The difference between a point mutations and frameshift is that a point mutation is a single base changes, that do not affect the reading frame, the mutation only makes a single change in a single codon, and everything else is undisturbed while a frameshift mutation involves more nucleotide altering the open reading frame of a a particular gene difference between a point mutation and a frameshift mutation.
 
 

Describe the different between vertical gene transfer and horizontal gene transfer:

 
A horizontal gene transfer is a transfer of genetic material between unrelated individuals
Genetic engineering through the use of plasmids and viral vectors while vertical gene transfer of genetic material from parental organism to progeny progeny produced from genetically modified organisms
 

What is conjugation?  How can it contribute to antibiotic resistance in microorganisms?

 
Conjugation is where DNA moves from one cell to another allowing the DNA to change and provide variations and diversity of the generations of bacterial to follow. It is the transfer of genetic material between bacterial cells by direct cell to cell contact or by bridge like connection between two cells. difference between a point mutation and a frameshift mutation.
This contributes to antibiotic resistance by increasing the chances of bacteria surviving in an environment and making the DNA pass from one cell to another
 

What is a Healthcare-associated infection (HAI) or nosocomial infection?  How is this different from an iatrogenic disease?  How are these diseases contracted? Give examples of each type:

Healthcare-associated infection is one that is contacted in a certain location like a hospital while Iatrogenic disease develops as a result of medical errors, such as mistakes made in surgery, or the prescription or dispensing of the wrong therapy, such as a drug. intrinsic and sometimes adverse effects of a medical complication after surgery or treatment. difference between a point mutation and a frameshift mutation.
 
These diseases can be contacted by just being a residence in a long time care facility or hospitalized in agent care facility outpatient treatment in a hospital, the most common pathogens that cause nosocomial infections are Staphylococcus aureus, Pseudomonas aeruginosa, and E. coli. And the common nosocomial infections are urinary tract infections, respiratory pneumonia; surgical site wound infections, bacteremia, gastrointestinal and skin infections.
 
References:
 
Parker, N., Schneegurt, M., Tu, A. T., Forster, B. M., & Lister, P. (2016).Microbiology. Houston, TX: OpenStax, Rice University. difference between a point mutation and a frameshift mutation


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