*NURSING > SHADOW HEALTH > NSG 824 Focused Exam- Chest Pain- Subjective Already Passed (All)
Focused Exam: Chest Pain Results | Turned In Advanced Health Assessment - August '18, NSG 824 Return to Assignment Your Results Lab Pass Indicates an item that you found. Indicates an item that i... s 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 Established chief complaint Reports sporadic chest pain History of Present Illness Asked about onset of pain Reports chest pain started appearing in the past month Asked about location of pain Reports pain is in center of the chest Reports pain does not radiate Denies arm pain Denies shoulder pain Denies back pain Denies neck pain Asked about duration of pain episodes Reports each episode lasted "several" minutes Asked about frequency of pain Reports 3 episodes in past month Reports that episodes did not seem related Asked about severity of pain Reports current pain is 0 out of 10 Reports pain severity at its worst is 5 out of 10 Subjective Data Collection: 30 of 30 (100.0%) Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. This study source was downloaded by 100000831988016 from CourseHero.com on 05-05-2022 16:45:26 GMT -05:00 https://www.coursehero.com/file/33963686/Focused-Exam-Chest-Pain-Subjectivepdf/ Asked about character of pain Describes pain as tight and uncomfortable Denies crushing pain Denies gnawing pain Denies burning pain Asked about aggravating factors Reports pain is aggravated by activity Pain occurred with yard work and taking stairs Pain does not worsen with eating Pain does not worsen after spicy foods Pain does not worsen after high-fat foods Asked about relieving factors Reports pain relief with brief period of rest Reports no medication to treat chest pain Medical History Confirmed use of medications Confirms medications Reports taking hypertension medication Reports taking hyperlipidemia medication Reports occasional ibuprofen use Reports taking fish oil Denies aspirin regimen Followed up on hypertension treatment Medication is Lopressor Lopressor dose is 100mg Takes Lopressor once daily Followed up on hyperlipidemia treatment Medication is Lipitor Lipitor dose is 20mg Takes Lipitor once daily Takes Lipitor at bedtime Has taken Lipitor for 1 year Confirmed allergies Confirms allergies (no new allergies reported) Asked about possible contributing factors in health history Reports no known diagnosis of angina Reports hypertension Reports high cholesterol Reports no known coronary artery disease Denies diabetes Denies previous treatment for chest pain Asked about blood pressure monitoring Does not frequently monitor BP at home Reports infrequent BP checks at the doctor or drugstore Reports not remembering typical BP reading Asked about past cardiac tests Reports recent EKG test Reports annual stress test Followed up on results of cardiac tests Reports belief that EKG was normal This study source was downloaded by 100000831988016 from CourseHero.com on 05-05-2022 16:45:26 GMT -05:00 https://www.coursehero.com/file/33963686/Focused-Exam-Chest-Pain-Subjectivepdf/ Reports belief that stress test was normal Asked about visits to healthcare providers Has a primary care provider Reports last v [Show More]
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