Musculoskeletal Results | Turned In
Advanced Health Assessment - Clinical Replacement, NURS 520
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Your Results Lab Pass (/assignment_attempts/6405147/lab_pass.p
Overview
Transcript
Transcript
Started: Mar 29, 2020 | Total Time: 72 min
Subjective Data Collection
All Lines (258) Interview Questions (154) Statements (11) Exam Actions (93)
Objective Data Collection
Education & Empathy Gree
Hi. My name is Amor, an FNP student. I will be interviewing you today
03/29/20 2:51 PM ED
Documentation
Student Survey Hey.
Question
Can you please state your name for me
03/29/20 2:52 PM ED
Tina Jones.
Question
What is your date of birth
03/29/20 2:52 PM ED
February 17th.
Question
What year were you born
03/29/20 2:52 PM ED
I was born in . . . [Ms. Jones reports correct birth year.]
Question
How old are you
03/29/20 2:52 PM ED
I'm 28.
Question
What brings you in today
03/29/20 2:52 PM ED
Well, I have a lot of pain in my lower back. It really hurts, and it doesn't seem to be going away.
It's making it kind of hard to get things done, so I decided to come in and have it looked at.
I am sorry that you are having paid today let us see what we can do to help improve the Empathize
symptoms 03/29/20 2:53 PM ED
I appreciate you saying that.
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,3/29/2020 Musculoskeletal | Completed | Shadow Health
Question
When did the pain start
03/29/20 2:53 PM ED
It started three days ago, right when I first tweaked my back.
Question
Tell me more about the pain
03/29/20 2:53 PM ED
It's like. . . an ache.
Question
How did the paint started (No matching questions found.)
03/29/20 2:54 PM ED
Question
When did the pain started
03/29/20 2:54 PM ED
It started three days ago, right when I first tweaked my back.
Question
Were you doing something (No matching questions found.)
03/29/20 2:54 PM ED
Question
Describe what it feels like (Clarified to Can you describe your pain?.)
03/29/20 2:54 PM ED
It's like. . . an ache. (Clarified to what the pain is like.)
Question
Does the pain come and go
03/29/20 2:55 PM ED
No, it's been pretty much constant.
Question
Have you had this problem before
03/29/20 2:55 PM ED
No, nothing like this has ever happened to me. . . my back is usually totally fine.
How would you rate this pain in a scale of 1 to 10 (Clarified to Can you rate your current pain Question
level on a scale of 0 to 10?.) 03/29/20 2:55 PM ED
Right now, since the Advil's wearing off, it's around a 5 out of 10. (Clarified to how I would rate
my pain on a scale.)
Were you doing something when this happened (Clarified to Did anything happen to cause the Question
pain?.) 03/29/20 2:55 PM ED
Yeah, I think I tweaked it lifting up a box. (Clarified to if anything happened to cause the pain.)
Question
Does the pain limit your movement
03/29/20 2:56 PM ED
It hurts to move, but I can do it.
Question
Are you in pain right now
03/29/20 2:56 PM ED
Yes! My back feels really bad right now.
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Question
Pain radiate anywhere
03/29/20 2:56 PM ED
No, it isn't spreading.
Question
To what degree does the pain affect your normal activities
03/29/20 2:56 PM ED
I can't do anything that involves a lot of sitting, and I can't move a ton.
Question
The pain associated with nausea or vomiting (No matching questions found.)
03/29/20 2:57 PM ED
Question
Is the pain associated with nausea
03/29/20 2:57 PM ED
Not that I've noticed, no.
Question
Where is the location of your pain
03/29/20 2:57 PM ED
It hurts in my lower back and even, like, the top of my butt.
Question
Any related symptoms (Clarified to Do you have other symptoms with the pain?.)
03/29/20 2:57 PM ED
I don't really have any other symptoms. I'm really just worried about my back. (Clarified to if I
have other symptoms with my pain.)
Question
Is it painful when you stand (Clarified to Do you have any pain when you stand?.)
03/29/20 2:58 PM ED
No, it actually feels a little better when I'm standing than when I'm sitting. (Clarified to if it hurts
to stand.)
Question
Is it more painful when you sit
03/29/20 2:58 PM ED
Yeah, it's really uncomfortable to sit up.
Question
Do you feel any stiffness
03/29/20 2:58 PM ED
Yeah, I'm feeling a little stiff.
Question
Does the pain limit your movement
03/29/20 2:58 PM ED
It hurts to move, but I can do it.
Question
What makes the pain worse
03/29/20 2:58 PM ED
It definitely feels worst when I'm sitting up. Moving around can make it hurt more, too.
Question
What makes the pain better
03/29/20 2:58 PM ED
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