assignment
Transcript
Student Name:
Instructor Name:
Date:
,5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health
Focused Exam: Abdominal Pain Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-April-2018
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Your Results Lab Pass
Overview
Transcript
Transcript
Started: May 28, 2018 | Patient Exam Time: 153 min
Subjective Data Collection
All Lines (250) Interview Questions (138) Statements (21) Exam Actions (91)
Objective Data Collection
Greet
Education & Empathy Hello my name is Sara an FNP student who will be interviewing you
05/28/18 1:18 PM
today
CDT
Documentation
Self-Reflection
Hello.
Question
Will you please state your name? (Clarified to what is your name and
05/28/18 1:18 PM
birthday.)
CDT
My name is Esther Park, and I was born on January 7th . . . [Ms. Park
reports correct birth year.] [AUDIO COMING SOON]
Question
Please State your age? (No matching questions found.) 05/28/18 1:19 PM
CDT
Question
How old are you? 05/28/18 1:20 PM
CDT
Seventy-eight.
Question
What brought you into the clinic today? 05/28/18 1:21 PM
CDT
I have some pain in my belly. . . and I'm having difficulty going to the
bathroom. My daughter was worried about me.
Exam Action
Measured vitals 05/28/18 1:27 PM
CDT
https://chamberlain.shadowhealth.com/assignment_attempts/3534350 1/29
, 5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health
Question
When did your pain start? 05/28/18 1:29 PM
CDT
The pain started as a general discomfort, about five days ago, when I
started having the. . . difficulties going to the bathroom.
Question
Was your pain sudden? 05/28/18 1:31 PM
CDT
No, it was gradual. I had some pain and discomfort about. . . five
days ago. Then in the past few days it got much worse.
Empathize
I'm sorry to hear you're feeling bad 05/28/18 1:31 PM
CDT
Thank you.
Question
How often are you having the pain? 05/28/18 1:31 PM
CDT
Oh, it's with me all the time. The bloating, too. But certain things do
make it worse.
Question
Where does it actually hurt? (Clarified to Which part of your abdomen
05/28/18 1:32 PM
hurts?.)
CDT
The pain and discomfort is down low in my belly.
Question
Point of location of pain 05/28/18 1:33 PM
CDT
Well my whole belly is uncomfortable to some degree, but it's mostly
in the lower part, that's where the pain is. Down in my lower belly.
Question
What makes your pain worse? 05/28/18 1:33 PM
CDT
Moving around certainly doesn't help. Neither does eating.
How long is your pain last? Question
05/28/18 1:34 PM
CDT
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