In the scenario presented to us in the Bate’s video, we saw Devin, a 14-year-old male patient with a chief complaint of cough, trouble breathing, and a recent cold. He reports that he cannot catch his breath and that his chest felt as if it was closing in on him. Devin’s mother gives a brief history of his current symptoms reporting a subjective fever and coughing episodes that occur two times were week on average. She also explains that he has been suffering from dry skin with rashes and patches to his body.
As a nurse practitioner it is essential we conduct an in-depth and comprehensive assessment to determine the cause of Devin’s symptoms. Differential diagnoses and ruling out other causes can help steer us towards an accurate diagnosis of childhood asthma and identify proper interventions when treating this condition. A step-by-step approach is necessary to prevent us from missing any crucial information, both subjective and objective, during the interview and assessment processes.
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