Case
Focused Exam: Chest Pain Results | Turned In -Transcript (Latest Update). GRADED
- Course
- NURSING 4510
- Institution
- Cuyahoga Community College
Focused Exam: Chest Pain Results | Turned In -Transcript (Latest Update). GRADED
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4/22/2021 Focused Exam: Chest Pain | Completed | Shadow HealthShadow Health will be performing planned maintenance this Monday 26th, 2021, from 7:00, am until 7:30 am Eastern. (/site_notice_dismissals?from_flash=true&site_notic
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Focused Exam: Chest Pain Results | Turned In
Health Assessment - NRSE 4520 - March 2021, NRSE_4520_LEC_SPRG_2020-21
Return to Assignment (/assignments/472235/)
Your Results Lab Pass (/assignment_attempts/9713103/lab_pass.
Overview
Transcript
Transcript
Started: Apr 21, 2021 | Total Time: 128 min
Subjective Data Collection
All Lines (214) Interview Questions (104) Statements (5) Exam Actions (105)
Objective Data Collection
Education & Empathy Questio
Hello!
04/21/21 1:49 PM E
Documentation
SBAR Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just
as a preceptor would in real life. Pay close attention to this information as it will help guide
Student Survey your exam. At the end of this prebrief, you will answer a short question about the
upcoming assignment. During the simulation, you may return to these instructions at any
time by scrolling to the top of your transcript.
Questio
What is the situation?
04/21/21 1:50 PM E
Your patient is Brian Foster, a 58-year-old Caucasian man. He has been hospitalized in
Shadow General Hospital for 3 days after a TURP, or Transurethral resection of the prostate.
Today, he started having chest pain. Your role in this simulation is that of a healthcare provider
who will conduct a focused history and physical examination of Mr. Foster in order to
assess his condition and transfer his care. While Mr. Foster's condition is critical, he will
survive this exam.
Questio
What are my objectives in this assessment?
04/21/21 1:51 PM E
In your interview with Brian, you will ask about the history of his presenting illness and the
functioning of relevant systems in order to obtain subjective data related to his chest pain. If
you discover any disease states, ask about symptoms and the patient's experiences of
them. Your questioning should cover a broad array of the symptoms' characteristics. You will
also inquire into the health history of Mr. Foster's family so you can determine his genetic
disposition to any diseases. In addition to collecting subjective data, you will perform a
physical exam on Mr. Foster to gather objective data about his health and physiology.
Throughout the conversation, you should educate and empathize with Mr. Foster when
appropriate to increase his health literacy and sense of well-being. While you should
communicate with patients using accessible, everyday language, it is standard practice to
use professional medical terminology everywhere else, such as in documenting physical
findings and nursing notes. You may complete the exam activities in any order and move
between them as needed.
Questio
What else will this exam involve?
04/21/21 1:52 PM E
Support
https://ohio.shadowhealth.com/assignment_attempts/9713103 1/17
,4/22/2021 Focused Exam: Chest Pain | Completed | Shadow Health
You will complete nursing tasks to protect the patients safety, privacy, and health. You
can document your findings, including vital signs, in the Electronic Health Record. This
record provides necessary information for your colleagues who will attend to the patient. You
may record Mr. Foster's vitals as you see fit, as they will fluctuate throughout the exam. If
you believe Mr. Foster to be in danger, you may press the button reading Notify the
Preceptor. Do not end the exam until you have collected all relevant subjective and objective
data. After the exam, you will transfer care of the patient to me, Preceptor Diana,
communicating key information about the Situation, Background, Assessment, and
Recommendation, or SBAR. Activities other than Subjective and Objective Data Collection,
and Education and Empathy, provide valuable practice for their real-world counterparts.
However, they are not automatically graded by the simulation.
Questio
How will I be evaluated?
04/21/21 1:54 PM E
In this assignment, you will be evaluated on your Subjective and Objective Data
Collection, as well as Education and Empathy. The evaluation of your interview is
dependent on how you word your questions therapeutically and precisely and explore all
relevant topics with comprehensive breadth and depth. The evaluation of your physical
exam is based on how successfully you report on your physical findings by selecting
among clinical terms in the Electronic Health Record. Your success in Education and
Empathy is based on whether you promptly respond after identifying a moment worthy of
therapeutic communication. This assignment takes on average between 45 and 60
minutes. You can pause and resume the assignment at any time; your work is always
saved automatically.
Questio
How does this assignment prepare me for the real world?
04/21/21 1:55 PM E
In this assessment, you will become familiarized with the structure and content of a chest pain
focused exam so that with real-life patients, you can: º ask effective and comprehensive
questions º educate and empathize with the patient º evaluate the patient's risk of
disease, infection, injury, and complications º obtain and assess objective data. º and
transfer patient care using SBAR.
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What are
3-5 common causes of chest pain?
Common causes of chest pain can be related to a myocardial infarction (MI), angina, Stateme
pericarditis, or gastroesophageal reflux disease (GERD). 04/21/21 1:59 PM E
Time to begin.
Gre
Hello I am Kriss, I am going to be your nurse today.
04/21/21 2:00 PM E
Hi.
Questio
Can you tell me your full name?
04/21/21 2:01 PM E
Brian Robert Foster. [AUDIO COMING SOON]
Questio
What is your date of birth?
04/21/21 2:01 PM E
August 17 . . . [Mr. Foster reports the correct year.]
Questio
Thank you
04/21/21 2:01 PM E
https://ohio.shadowhealth.com/assignment_attempts/9713103 2/17
, 4/22/2021 Focused Exam: Chest Pain | Completed | Shadow Health
Oh, yeah, it's fine.
Questio
What brings you into the hospital?
04/21/21 2:01 PM E
I was here for a TURP, but now my chest is hurting . . .
I am sorry to hear you are in pain. While you are here, we will find out why you are Empathiz
experiencing so much pain and implement things to help you feel better. 04/21/21 2:03 PM E
Yes, thank you.
I am going to begin by performing a physical assessment of you. (Clarified to May I start your Questio
physical exam now?.) 04/21/21 2:04 PM E
Sure, do what you gotta do. (Clarified to if nurse can start my physical exam.)
Exam Actio
Measured vitals
04/21/21 2:04 PM E
Exam Actio
Tested blood pressure in right arm with cuff
04/21/21 2:05 PM E
Exam Actio
Measured vitals
04/21/21 2:05 PM E
Questio
Do you feel short of breath?
04/21/21 2:05 PM E
No, I can breathe just fine.
Questio
Can you rate your chest pain on a scale of 1-10?
04/21/21 2:06 PM E
I'd say maybe a...a 6? It's just really uncomfortable...and there's nothing I can do about it, and
it feels like it is getting worse.
Questio
When did the chest pain begin?
04/21/21 2:08 PM E
Only about five minutes ago.
Questio
Is your pain consistent? (Clarified to Is the chest pain constant?.)
04/21/21 2:08 PM E
Yes, I guess it is. It hasn't let up. (Clarified to if the chest pain is constant.)
Questio
What were you doing when the chest pain began?
04/21/21 2:08 PM E
I was just sitting here.
Questio
can you describe the chest pain?
04/21/21 2:09 PM E
Well, it mostly feels like pressure. Like a heavy, squeezing pressure right in the middle of my
chest.
https://ohio.shadowhealth.com/assignment_attempts/9713103 3/17
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