12/10/2018 Gastrointestinal Physical Assessment Assignment | Completed | Shadow Health
Gastrointestinal Physical Assessment Assignment Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-October-2018
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Your Results Lab Pass
Overview
Subjective Data Collection: 30 of 30 (100.0%)
Transcript
Subjective Data Collection Hover To Reveal... Indicates an item that you found.
Hover over the Patient Data items Indicates an item that is available to be
Objective Data Collection
below to reveal important information, found.
including Pro Tips and Example
Education & Empathy
Questions.
Documentation
Lifespan Category Scored Items Patient Data
Not Scored
Review Questions
Experts selected these topics as essential A combination of open and closed questions
Self-Reflection
components of a strong, thorough interview will yield better patient data. The following
with this patient. details are facts of the patient's case.
Chief Complaint
Established chief complaint Reports frequently occurring stomach pain
History of Present Illness
Asked about onset of pain Reports noticing pain for "at least a
month"
Reports that pain increased gradually
Asked about frequency of pain Reports pain occurs every day
Reports 3 to 4 episodes a week that are
more severe
Asked about duration of pain Pain begins right after finishing a meal
This study source was downloaded by 100000770861734 from CourseHero.com on 02-18-2022 03:38:16 GMT -06:00 Each episode lasts "a few hours"
Asked about severity of pain on a scale Rates present pain as 1 or 2 out of 10
Rates worst pain after eating as 5 out of
10
Rates pain when supine as a 6 or 7 out of
10
Asked about character of the pain Describes the pain as similar to heartburn
Denies crushing pain
Denies gnawing pain
Denies cramping pain
Denies that abdomen is tender to the
touch
Asked location of the pain Pain is in center of upper stomach, below
breastbone
Pain does not radiate
Denies shoulder pain
Denies back pain
Denies arm pain
Denies flank pain
Denies pain on right side of abdomen
Asked about aggravating factors Pain occurs after eating
Pain worsens with larger meals
Reports that spicy foods increase the pain
Denies high-fat foods as an aggravating
factor
Pain worsens when supine
Pain worsens when bending over
Asked about relieving factors Pain improves between meals
Pain improves when upright
Asked about effects of pain on diet and Reports decreased appetite
appetite Describes not wanting to eat out of
anticipation of pain
Reports eating smaller meals
Reports avoiding spicy foods
Asked about increased burping Reports burping
Burping occurs after eating
Asked about changes in weight Denies recent weight loss
Medical History
This study source was downloaded by 100000770861734 from CourseHero.com on 02-18-2022 03:38:16 GMT -06:00
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