Cardiovascular Results | Turned In
Advanced Health Assessment - December 2018, 2019JAN NUR-516-NG005
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Overview
Transcript
Transcript
Started: Jan 28, 2019 | Patient Exam Time: 191 min
Subjective Data Collection
All Lines (168) Interview Questions (79) Statements (9) Exam Actions (80)
Objective Data Collection
Greet
Education & Empathy Hello Ms Jones. My name is Anthony. I am a nurse. I'm here to examine you today.
01/28/19 11:24 PM EST
Documentation
Hey.
Lifespan
Review Questions
Question
What is the reason for your visit today?
01/28/19 11:24 PM EST
Self-Reflection
I've been noticing my heart seems to be beating too fast every once in a while lately, and
it started to worry me. My mom said I should make an appointment. You don't want to
ignore heart stuff, I guess.
Im sorry to hear about that. Im glad you came to the clinic. I will do my best to see what is
Empathize
going on
01/29/19 2:28 PM EST
Thanks for saying that.
Question
Have you ever had any heart problems before?
01/29/19 2:29 PM EST
Not that I know of.
Question
have you ever had any palpitations in the past?
01/29/19 2:29 PM EST
Yeah, I think that's what is happening with my heart.
Palpitations can be very uncomfortable. I would like to ask you more questions related to
Empathize
that. Maybe we will be able to see what is causing it.
01/29/19 2:31 PM EST
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, Cardiovascular | Completed | Shadow Health 2/4/19, 10)20 AM
I appreciate you saying that.
When did the palpitations started? Question
01/29/19 2:32 PM EST
I think the first time was about a month ago.
can you remember what you were doing when it first happened Question
01/29/19 2:33 PM EST
I usually notice them on my way to class in the mornings. My schoolwork has really been picking up and I've
been drinking energy drinks to help keep me focused during the day, so maybe the caffeine or whatever else is
in those things has something to do with it.
how many episodes of palpitations have you had so far? Question
01/29/19 2:34 PM EST
I guess three or four times. It's been about once a week for the past month.
HOw long do the palpitations last? Question
01/29/19 2:34 PM EST
Not very long, maybe five to ten minutes max.
could you describe the character of these palpitations? Question
01/29/19 2:35 PM EST
It's like...a tight, throbbing feeling behind my eyes.
how does you heart feel during the palpitations? Question
01/29/19 2:35 PM EST
Well, my heart doesn't hurt, but it feels like thumping. Just a fast, thumping heartbeat, I guess.
does the palpitations make you anxious? Question
01/29/19 2:36 PM EST
I just get overwhelmed when work and school stuff both get really busy at the same time. I can handle them
individually but it's stressful when I can't get any relief.
do you feel anxious when you get the palpitations Question
01/29/19 2:37 PM EST
Yeah. The longer it goes on, the more I get worried that it's something serious, and I think that's what makes
me anxious.
Question
01/29/19 2:40 PM EST
what time of day are the palpitations more severe (No matching questions found.)
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