Schizophrenia Eric Ford Shadow health Subjective Data Collection

• 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?

• 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?

• 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

  (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

Schizophrenia – Eric Ford – Shadow Health Subjective Data Collection

Subjective Data Collection: 37 of 37 (100.0%)

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.

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)

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?

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.

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.

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

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

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