Focused Exam_ Brian Foster Subjective _ Completed _ Shadow Health. Subjective Data Collection: Score 23 of 23 (100.0%). Fundamentals of Nursing Practice.

Document Content and Description Below

Focused Exam_ Brian Foster Subjective _ Completed _ Shadow Health. Subjective Data Collection: 23 of 23 (100.0%). Fundamentals of Nursing Practice. Focused Exam: Chest Pain Results | Turned In Funda... mentals of Nursing Practice - June 2020, N3604 Return to Assignment (/assignments/338315/) Subjective Data Collection: 23 of 23 (100.0%) Chief Complaint History of Presenting Illness Your Results Reopen (/assignment_attempts/7354576/reopen) Lab Pass (/assignment_attempts/7354576/lab_pass.pd Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Care Plan Student Survey 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 t patient's case. Established chief complaint Reports chest pain Asked about onset and duration of chest pain Reports chest pain started about five minutes ago Reports chest pain has been constant since it began Reports sitting in bed when pain began Asked to rate chest pain on a scale Reports current pain is 6/10 Asked about on characteristics of the pain Describes pain as tight and uncomfortable Denies crushing pain Denies gnawing or tearing pain Denies burning pain Asked about location of the pain Reports pain location is in middle of the chest Reports slight pain in left shoulder Denies arm pain Denies back pain Denies jaw pain Denies neck pain Asked about pain triggers Reports pain is aggravated by movement Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Past Medical History Asked about stress and anxiety Reports generally low stress lifestyle Denies history of anxiety Denies history of panic attacks Asked relevant health history Reports high blood pressure Reports high cholesterol Denies history of pulmonary embolism Denies history of angina Denies history of rheumatic fever Denies history of heart murmur Followed up on high blood pressure treatment Reports taking high blood pressure medication Reports high blood pressure medication is Lisinopril High blood pressure medication dose is 20mg High blood pressure medication is taken once daily Followed up on high cholesterol treatment Reports taking high cholesterol medication Reports high cholesterol medication is Atorvastatin (Lipitor) Reports high cholesterol medication dose is 20mg Reports high cholesterol medication is taken once daily Asked history of cardiac tests Reports recent EKG test Reports annual stress test Asked about results of cardiac tests Reports belief that EKG was normal Reports belief that stress test was normal Asked about substance use Denies illicit drug use Denies tobacco use Reports moderate alcohol consumption Followed up on alcohol consumption Reports drinking only on weekends Reports drinking 2-4 alcoholic drinks per week Reports 2-3 drinks in a single sitting Asked about exercise Denies having a regular exercise routine Asked about most recent meal Reports most recent meal was previous night at 8 p.m. Reports meal consisted of buffalo wings 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 moderating salt intake ********************************** CONTINUED IN THE ATTACHMENT *********************************** [Show More]

Last updated: 1 year ago

Preview 1 out of 3 pages