NUR 634 Focused Exam: Chest Pain | Completed | Shadow Health

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Focused Exam: Chest Pain | Completed | Shadow Health 3/25/20, 8:31 PM https://app.shadowhealth.com/assignment_attempts/6065961 Page 1 of 5 Focused Exam: Chest Pain Results | Completed Advanced Heal... th Assessment - January 2020, nur634 Return to Assignment (/assignments/299544/) Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time (/site_notice_dismissals?from_flash=true&site_notice_id=412) assignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience! If you are are experiencing audio issues while using Safari, please visit this article (https://support.shadowhealth.com/hc/en-us/articles/360009548313-Audio-issues-in-Safari) on our Help Desk for further information. Subjective Data Collection: 30 of 30 (100.0%) Chief Complaint History of Present Illness Your Results Turn In (/assignment_attempts/6065961/choose) Reopen (/assignment_attempts/6065961/reopen) Lab Pass (/assignment_attempts/6065961/lab_pass.pdf) Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Indicates an item that you found. 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. Established chief complaint Reports chest pain 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 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 05-06-2022 03:04:35 GMT -05:00 https://www.coursehero.com/file/58037670/Focused-Exam-Chest-Pain-Completed-Shadow-Health-2pdf/ Focused Exam: Chest Pain | Completed | Shadow Health 3/25/20, 8:31 PM https://app.shadowhealth.com/assignment_attempts/6065961 Page 2 of 5 Past Medical History Denies shoulder pain Denies back pain Denies neck pain Asked about duration of pain episodes Reports each pain episode lasted "several" minutes Asked about frequency of pain Reports 3 pain episodes in past month Reports that pain 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 Asked about characteristics 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 Reports pain occurred with yard work and taking stairs Reports pain does not worsen with eating Reports pain does not worsen after spicy foods Reports pain does not worsen after high-fat foods Asked about relieving factors Reports pain relief with brief period of rest Denies taking medication to treat chest pain Confirmed allergies Confirms allergies Asked about related medical conditions Denies angina diagnosis Reports high blood pressure Reports high cholesterol Denies 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 Denies knowledge of 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 Reports belief that stress test was normal This study source was downloaded by 100000831988016 from CourseHero.com on 05-06-2022 03:04:35 GMT -05:00 https://www.coursehero.com/file/58037670/Focused-Exam-Chest-Pain-Completed-Shadow-Health-2pdf/ Focused Exam: Chest Pain | Completed | Shadow Health 3/25/20, 8:31 PM https://app.shadowhealth.com/assignment_attempts/6065961 Page 3 of 5 Home Medications Social Determinants of Health Social History Asked about home medications Reports taking high blood pressure medication Reports taking high cholesterol medication Reports occasional ibuprofen use Reports taking fish oil Denies aspirin regimen Followed up on high blood pressure medication Reports taking metoprolol Reports metoprolol dose is 100 mg Reports taking metoprolol once daily Followed up on high cholesterol medication Reports taking atorvastatin Reports atorvastatin dose is 20 mg Reports taking atorvastatin once daily Reports taking atorvastatin at bedtime Reports having taken atorvastatin for one year Asked about access to healthcare Reports a primary care provider Reports last visit 3 months ago Reports usually sees healthcare provider every 6 months Denies transportation is a barrier to healthcare Denies finances are a barrier to healthcare Asked about stress Reports generally low stress lifestyle Asked about exercise Denies regular exercise routine Reports last regular exercising was 2 years ago Asked about typical diet Reports typical breakfast is granola bar and instant breakfast shake Reports typical lunch is turkey sub Reports typical dinner is grilled meat and vegetables Denies moderation of salt intake Asked about fluid intake Reports drinking 4 glasses of water daily Reports drinking 2 cups of coffee daily Denies soda drinking Asked about substance use Denies current illicit drug use Denies tobacco use Reports moderate alcohol consumption This study source was downloaded by 100000831988016 from CourseHero.c [Show More]

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