NUR 6104: Florence Blackman (66 y/o female) – Chest Pain. Case Study. Complete Solution.

Florence Blackman (66 y/o female) – Chest Pain  CC: Intermittent squeezing chest pain  MSAP: Exertional “squeezing” mid-chest pain radiating to left arm, relieved by rest, worse with cold  Associated dyspnea on exertion  History: HLD, HTN, previous smoker, family hx of heart disease  Stressful work History Questions: - How can I help you today? - Any other symptoms we should discuss? - Do you have any allergies? - Are you taking any OTC or herbal medications? - Any new or recent changes in medications? - What does the pain / discomfort in your chest feel like? (squeezing, pressure, crushing, burning, stabbing, aching, tingling, suffocating) - How severe (scale 1-10) is the pain in your chest? - Does anything make the pain in your chest better or worse? - What are the events surrounding the start of your chest pain? - Is there a pattern to your chest pain? - Have you had any trauma to your chest? - Does the pain in your chest radiate someplace else? Where? - Do you have unusual heartbeats (palpitations)? - Does the pain get worse with breathing? - Does your pain awaken you from your sleep? - Is your pain affected by what, when, or how much you eat? - Do you presently have heartburn, a food or acid taste in your mouth? - Do you drink alcohol? If so, what do you drink and how many drinks per day? - Do you have any of the following problems: fatigue, difficulty sleeping, unintentional weight loss or gain, fevers, night sweats?