Shadow Health - Health History Exam
Why is it important to obtain a patient's complete health history? - ANSWER
Introduction to Tina - ANSWERMy name is Kayla and I am a nursing student at Wichita St. I will be
completing your comprehensive health assessment today.
CC - ANSWERDo you know what brings you to the hospital today?
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T - ANSWERMs. Jones is a pleasant 28-year-old African American woman who presented to the
emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. She is a
good historian. She hurt the ball of her right foot by scraping it on the edge of a metal step while
changing a light bulb. The injury occurred about one week ago. Her pain has worsened, and the swelling
has persisted. She tried ibuprofen, but it didn't work well. The foot feels better when she rests, and it
hurts more when she walks on it. Her pain is a 9 when she tries to ambulate. She took her temperature
at home and reports it was 102. She has not been eating much and has been staying in bed the last few
days, per patient report. The scrape is red and swollen with exudate and has no odor; she reports the
swelling and exudate started two days ago. She reports diarrhea overnight. Pain improved with
oxycodone. Stomach upset.
Onset - When did your foot first start to hurt? - ANSWERReceived scrape a week ago and the pain got a
lot worse in last few days.
Why is it important to obtain a patient's complete health history? - ANSWER
Introduction to Tina - ANSWERMy name is Kayla and I am a nursing student at Wichita St. I will be
completing your comprehensive health assessment today.
CC - ANSWERDo you know what brings you to the hospital today?
O
L
D
C
A
R
T - ANSWERMs. Jones is a pleasant 28-year-old African American woman who presented to the
emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. She is a
good historian. She hurt the ball of her right foot by scraping it on the edge of a metal step while
changing a light bulb. The injury occurred about one week ago. Her pain has worsened, and the swelling
has persisted. She tried ibuprofen, but it didn't work well. The foot feels better when she rests, and it
hurts more when she walks on it. Her pain is a 9 when she tries to ambulate. She took her temperature
at home and reports it was 102. She has not been eating much and has been staying in bed the last few
days, per patient report. The scrape is red and swollen with exudate and has no odor; she reports the
swelling and exudate started two days ago. She reports diarrhea overnight. Pain improved with
oxycodone. Stomach upset.
Onset - When did your foot first start to hurt? - ANSWERReceived scrape a week ago and the pain got a
lot worse in last few days.
