NUR550 FOCUSED NOTE CHEST PAIN BRIAN FOSTER graded A

NUR550 FOCUSED NOTE CHEST
PAIN BRIAN FOSTER graded A


NUR550 FOCUSED NOTE CHEST
PAIN BRIAN FOSTER graded A




NUR550 FOCUSED NOTE CHEST
PAIN BRIAN FOSTER graded A

,NUR550 FOCUSED NOTE CHEST
PAIN BRIAN FOSTER graded A

Anthony Axelrod, RN Nurs 550

Focused Note

Patient Name or initials: Brian Foster

Informant: The informant is the patient who is a reliable historian.

Chief Complaint (CC): Chest pain

History of present illness (HPI): Mr. Foster notes intermittent pain for a month, felt like

heartburn, and lasted only a couple of minutes. He notes when the pain occurs it is mostly

midsternum. The sensation is tightness of the chest. Mr. Foster notes the pain presents

during physical activity. He states, “The first time it happened He notes lying still, or rest

helps to alleviate the pain.

Allergies: Codeine. Codeine causes nausea and vomiting.

Medications: Metoprolol 100mg PO daily which he takes for his high blood pressure.

Atorvastatin 20mg PO daily at bedtime, last dose 10pm at bedtime yesterday, and

Omega-3 fish oil 1200 mg PO BID, last dose 8am, which he is on for his high

cholesterol.

Past History: Mr. Foster denies any surgical history. Past medical history include stage

II high blood pressure diagnosed one year ago, and high cholesterol also diagnosed one

year ago.

Family History: Mr. Foster’s father passed away at the age of 75 from colon cancer. His

PMH included hypertension, hyperlipidemia, colon CA, and obesity. Mr. Foster’s


NUR550 FOCUSED NOTE CHEST
PAIN BRIAN FOSTER graded A

, NUR550 FOCUSED NOTE CHEST
PAIN BRIAN FOSTER graded A

mother is still living. She is 80 years of age, and her PMH include type-2 diabetes, and

hypertension. Mr. Foster’s brother passed away at the age of 24 from a motor vehicle

accident. His sister is still living, and is 52 years of age. Her PMH include type-2




NUR550 FOCUSED NOTE CHEST PAIN BRIAN FOSTER




NUR550 FOCUSED NOTE CHEST
PAIN BRIAN FOSTER graded A