*NURSING > QUESTIONS & ANSWERS > Chamberlain College of Nursing - Shadow Health ADVANCED P NR509SUBJECTIVE OVERVIEW_Musculoskeletal]- (All)

Chamberlain College of Nursing - Shadow Health ADVANCED P NR509SUBJECTIVE OVERVIEW_Musculoskeletal]-Week 3_NR509 Musculoskeletal Results | Advanced Health Assessment -NUR 607: Student Performance Index 48.08 out of 49

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Musculoskeletal Results | Turned In Advanced Health Assessment - February '18 , NUR 607 Return to Assignment Your Results Reopen Reopen Lab Pass Lab Pass This score measures your performance on th... e Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 86.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent. Patient: Tina Jones Digital Clinical Experience Score 100% Beginning Developing Proficient Subjective Data Collection 17 out of 17 Objective Data Collection 27.08 out of 28 Education and Empathy 4 out of 4 Interaction with patient 90 minutes Post-exam activities 31 minutes Time 121 minutes total spent in assignment Student Performance Index 48.08 out of 49 Proficiency Level: Proficient Students rated as “proficient” demonstrate an entrylevel expertise in advanced practice competencies and clinical reasoning skills. In comparable programs, the top 25% of students perform at the level of a proficient practitioner. Indicates an item that you found. Indicates an item that is available to be found. Subjective Data Collection: 17 of 17 (100.0%) Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Lifespan Review Questions Self-Reflection Experience Overview Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example CourseHero.comCategory 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 low back pain Describes injury as a "tweak" to her back History of Present Illness Asked about onset of pain Reports original injury occurred 3 days ago Onset was sudden Reports injury happened when lifting a heavy box Asked about location of pain Reports pain located in low back and buttocks Reports pain does not radiate or migrate Denies neck pain Denies pain between the shoulder blades Reports pain is the same on both sides of her back Asked about frequency and duration of pain Reports pain has lasted three days Reports pain is constant Asked about severity of pain Describes current pain as "pretty bad" Rates pain of original injury as 6 or 7/10 Reports current pain rating of 5/10 Asked about character of pain Reports pain at the onset as sharp Describes pain as aching Denies burning pain Reports back is sore to the touch Reports pain accompanied by stiffness Asked about aggravating factors Reports feeling least comfortable when sitting as bending or walking Asked about relieving factors Reports slight pain relief with rest Reports feeling most comfortable when lying flat on back Denies use of heating pad or ice Asked about impact of pain on activities of daily living Confirms pain is interfering with activities of daily living Reports slight sleep disturbance due to the pain Reports no exercise since accident Reports no missed work due to pain Reports no missed school due to pain, but discomfort sitting in class Reports receiving help with daily tasks from mother and sister Medical History Confirmed use of medications Confirms medications Reports increased ibuprofen use for pain Followed up on ibuprofen use Has taken ibuprofen for the past 3 days Last dose of ibuprofen was about 5 hours ago Reports taking two Ibuprofens at a time Takes ibuprofen every 5-6 hours as per instructions Unsure of dose, describes it as "not extra strength" Ibuprofen provides relief for several hours Confirmed allergies Confirms allergies (no new allergies reported) Asked about possible contributing factors in health history Reports no history of previous back pain or injury Denies history of severe trauma such as car accident or occupational injury Denies past surgery Denies increase in alcohol use since injury Denies history of fractures This study resource was shared via CourseHero.comReview of Systems Asked about general symptoms Denies fever Denies chills Denies night sweats Denies nausea or vomiting Reports low energy level Asked review of systems for musculoskeletal Denies muscle weakness Denies joint pain Denies joint swelling or redness Denies joint stiffness Asked review of systems for neurological Denies headache related to injury Denies tingling or numbness in any body part Denies changes to bowel or bladder function Denies dizziness, light-headedness, and disequilibrium Family History Asked about relevant family history Denies family history of general musculoskeletal problems Denies family history of osteoporosis Denies family history of any form of arthritis Denies family history of bone cancer or disease Denies family history of degenerative muscle disease Comments If your instructor provides individual feedback on this assignment, it will appear here. ® 2018 This study resource was shared via CourseHero.com Powered by TCPDF (www.tcpdf.org) This study resource was shared via CourseHero.com [Show More]

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