Exam (elaborations) NUR 532 SHADOW HEALTH Conditions of the Musculoskeletal and Neurovascular Systems

Exam (elaborations) NUR 532 SHADOW HEALTH Conditions of the Musculoskeletal and Neurovascular Systems pt Subjective Data Collection Objective Data Collection Education & Empathy Documentation Differential Selection Test Selection Test Linking Test Review Final Diagnosis Self-Reflection Indicates an item that you found. Indicates an item that is available to be found. Category Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Patient Data Not Scored A combination of open and closed questions will yield better patient data. The following details are facts of t patient's case. Establish Relationship Ned reports he is Chelsea's guardian Chelsea reports Ned is her guardian Established Chief Complaint Patient reports left knee pain after a fall Guardian reports patient has been complaining of knee pain for "a few weeks" Asked about previous injuries Patient denies previous injury Guardian denies previous injury Asked about mechanism of injury Patient denies landing on head Patient denies losing consciousness Patient reports falling two or three feet Patient reports horse was standing still Patient reports blood glucose level was normal after fall Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Support This study source was downloaded by from CourseH on :27:13 GMT -05:00 This study resource was shared via CourseH 10/21/2020 Conditions of the Musculoskeletal and Neurovascular Systems | Completed | Shadow Health Social History Asked about onset Patient reports mild pain on activity started two weeks ago Patient reports severe pain started two days ago after a fall Guardian reports noticing patient's increase in pain after the fall two days ago Asked about location Patient reports pain located at anterior proximal tibia Asked about duration Patient reports mild pain ending shortly after activity stops Patient reports severe pain after fall improved the day after Asked about characteristics Patient reports mild pain on activity is dull Patient reports severe pain after the fall was throbbing Asked about aggravating factors Patient reports walking up steps aggravates pain Patient reports kneeling aggravates pain Patient reports mounting and dismounting a horse aggravates pain Guardian confirms noticing the patient's pain after physical activity Asked about relieving factors Patient reports rest relieves pain Patient denies using ice pack Guardian reports patient refusing to use ice pack Guardian reports acetaminophen was not effective Asked about timing Patient denies the pain being worse or better at certain times of the day Guardian confirms the pain doesn't seem worse or better at certain times of the day Asked about severity Patient reports mild pain on activity is "uncomfortable" Patient reports severe pain after the fall was "really really bad" Asked about activities of daily living Patient reports discomfort putting on pants and boots Guardian reports patient's discomfort while putting on boots Asked about social history Patient reports all her friends are girls Patient reports having a close group of friends Patient reports being afraid of having her horse taken away Guardian reports that patient is well socialized This study source was downloaded by from CourseH on :27:13 GMT -05:00 This study resource was shared via CourseH 10/21/2020 Conditions of the Musculoskeletal and Neurovascular Systems | Completed | Shadow Health Review of Systems Family History Past Medical History Asked about sports safety Denies wearing a helmet because of peer pressure Asked about musculoskeletal Reports pain with ambulation in the day after the fall Denies pain with ambulation prior to the fall Reports full range of motion Reports pain within certain range of movements Reports being able to bear full weight on leg Asked about neurological Patient denies abnormal gait Guardian denies noticing abnormal gait Patient denies numbness and tingling Patient denies weakness Guardian denies noticing weakness Asked about cardiovascular Patient denies swelling in lower extremities Patient denies ecchymosis in lower extremities Patient denies palpitations Asked about hematologic Patient denies recurrent or easy bruising Guardian denies noticing recurrent or easy bruising Asked about integumentary Patient denies itching, rash, or lesions Guardian denies noticing itching, rash, or lesions Asked about family history Guardian denies family history of musculoskeletal disease Guardian denies family history of neurological disease Asked about type 1 diabetes Patient reports full treatment adherence Patient denies diabetes symptoms Guardian confirms patient is adherent Guardian denies noticing diabetes symptoms Comments If your instructor provides individual feedback on this assignment, it will appear here. © Shadow Health (800) 860-3241 | Help Desk ( ( ® This study source was downloaded by from CourseH on :27:13 GMT -05:00 This study resource was shared via Course