NR509 Shadow Health Chest Pain Assignment _Transcript (Latest): Advanced Health Assessment : Chamberlain College of Nursing (Download to score A)

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Advanced Health Assessment - Chamberlain - October 2019, NR509-October-2019
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Overview
Transcript
Transcript
Started: Nov 23, 2019 | Total Time: 45 min
Subjective Data Collection
All Lines (192) Interview Questions (77) Statements (7) Exam Actions (108)
Objective Data Collection

Education & Empathy Greet
Hi. My name is brandi and i will be assessing you today
11/23/19 8:50 PM CST
Documentation

Self-Reflection Good morning.


Exam Action
Measured vitals
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Exam Action
Tested blood pressure in left arm with cuff
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Exam Action
Measured vitals
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Question
what brings you in today
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I have been having some troubling chest pain in my chest now and then for the past month.


Empathize
im sorry to hear this
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Thanks. I appreciate that.


Question
when did it begin
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I first noticed it earlier this month. I thought it might just be heartburn and it passed after a
couple of minutes.


Question
what were you doing when it started
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I think I was doing yard work. . . pulling weeds, that sort of thing. . . when it first happened. . .
I've never had that happen before.

, Question
did it suddenly start or was gradual (No matching questions found.)
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Question
did it suddenly start (No matching questions found.)
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Question
did the pain suddenly start
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I'd say it starts fairly suddenly. One minute I'm feeling fine and the next my chest feels really
uncomfortable.


Question
where is the chest pain
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When the pain happens, I feel it mostly in the middle of my chest, over my heart.


Question
does the pain radiate
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The pain doesn't radiate anywhere. It's mostly just right in the middle of my chest.


Question
how long does an episode last
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Well, it has happened three times the past month. It usually goes away after about a couple of
minutes.


Question
what does the pain feel like
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Well, it mostly feels tight and uncomfortable right in the middle of my chest.


Question
do you become sweaty
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No, no unusual sweating that I have noticed.


Question
any shortness of breath
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My breathing's fine.


Question
nausea or vomiting
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No, I haven't.


Question
headache
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I get headaches once in a blue moon, but it's never anything that has concerned me.


Question
abdominal pain (Clarified to Do you currently have abdominal pain?.)
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