nr 509lchest pain assignment completed shadow health
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CHAMBERLAIN COLLEGE OF NURSING
NR 509 Advanced Physical Assessment (NR509ADVANCEDPHYSICALASSESSMENT)
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9/25/2019 Chest Pain Assignment | Completed | Shadow Health
Chest Pain Assignment Results | Completed
Advanced Health Assessment - Chamberlain - August 2019, NR509-August-2019
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Your Results Turn In Lab Pass
Overview
Transcript
Transcript
Started: Sep 25, 2019 | Patient Exam Time: 104 min
Subjective Data Collection
All Lines (228) Interview Questions (104) Statements (5) Exam Actions (119)
Objective Data Collection
Greet
Education & Empathy
Hi Brian nice to meet you my name is Jessica I'll be your nurse today 09/25/19 6:10 PM
CDT
Documentation
Self-Reflection
Good morning.
Exam Action
Measured vitals 09/25/19 6:10 PM
CDT
Exam Action
Tested blood pressure in left arm with cuff 09/25/19 6:11 PM
CDT
Question
I'm going to start by taking your vital signs 09/25/19 6:11 PM
CDT
Sure.
Exam Action
Tested blood pressure in right arm with cuff 09/25/19 6:12 PM
CDT
Exam Action
Measured vitals 09/25/19 6:12 PM
CDT
Question
Brings you in today 09/25/19 6:12 PM
CDT
I have been having some troubling chest pain in my chest now and
then for the past month.
, 9/25/2019 Chest Pain Assignment | Completed | Shadow Health
I first noticed it earlier this month. I thought it might just be heartburn
and it passed after a couple of minutes.
Question
How many times have you felt the pain in the past month 09/25/19 6:15 PM
CDT
Well, it has happened three times the past month. It usually goes
away after about a couple of minutes.
Question
Where is the chest pain located exactly 09/25/19 6:16 PM
CDT
When the pain happens, I feel it mostly in the middle of my chest,
over my heart.
Question
Does the pain radiate anywhere 09/25/19 6:16 PM
CDT
The pain doesn't radiate anywhere. It's mostly just right in the middle
of my chest.
Question
Can you describe the characteristics of the chest pain 09/25/19 6:16 PM
CDT
Well, it mostly feels tight and uncomfortable right in the middle of my
chest.
Question
Does anything make the chest pain worse 09/25/19 6:17 PM
CDT
Well, the pain seems to start when I'm doing something physical . . .
the first time it happened while I was doing yard work, and the
second time . . . I had to take the stairs at work because the elevator
broke. Both times it got better if I took a break or sat down to rest.
Question
When is the last time you felt the pain (Clarified to When was the last
09/25/19 6:17 PM
chest pain episode?.)
CDT
That was . . . last weekend. Last Friday evening, I guess. (Clarified to
when the last chest pain episode was.)
Question
What were you doing last Friday evening when you had the chest
09/25/19 6:18 PM
pain (Clarified to What were you doing last Friday evening?.)
CDT
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