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Exam (elaborations)

Shadow Health Tina Jones Health History - Health Assessment Laboratory - Fall 2019

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Chief Complaint Established chief complaint Reports pain Reports foot wound History of Presenting Illness Asked to rate current pain level on a scale Reports current pain is 7/10 Asked for details about the pain Reports pain is throbbing Reports pain is sharp when she attempts to stand Reports pain has increased in the past 2 days Reports feeling pain radiating into ankle Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Information Processing Health History Tips and Tricks Self-Reflection Reports pain prevents bearing weight on foot Asked location of wound Reports right foot is injured Reports wound is on the plantar surface of her foot

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