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COMPREHENSIVE ASSESSMENT SHADOW HEALTH 2026 REVISION WORKBOOK DOCUMENTATION AND ASSESSMENT SKILLS A+

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COMPREHENSIVE ASSESSMENT SHADOW HEALTH 2026 REVISION WORKBOOK DOCUMENTATION AND ASSESSMENT SKILLS A+

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COMPREHENSIVE ASSESSMENT SHADOW
HEALTH 2026 REVISION WORKBOOK
DOCUMENTATION AND ASSESSMENT SKILLS
A+

◉ Asked about onset and duration of chest pain. Answer: Reports
chest pain started about five minutes ago
Reports chest pain has been constant since it began
Reports sitting in bed when pain began


◉ Asked to rate chest pain on a scale. Answer: Reports current pain
is 6/10


◉ Asked about on characteristics of the pain. Answer: Describes
pain as tight and uncomfortable
Denies crushing pain
Denies gnawing or tearing pain
Denies burning pain


◉ Asked about location of the pain. Answer: Reports pain location is
in middle of the chest
Reports slight pain in left shoulder

, Denies arm pain
Denies back pain
Denies jaw pain
Denies neck pain


◉ Asked about pain triggers. Answer: Reports pain is aggravated by
movement


◉ Asked about stress and anxiety. Answer: Reports generally low
stress lifestyle
Denies history of anxiety
Denies history of panic attacks


◉ Asked relevant health history. Answer: Reports high blood
pressure
Reports high cholesterol
Denies history of pulmonary embolism
Denies history of angina
Denies history of rheumatic fever
Denies history of heart murmur


◉ Followed up on high blood pressure treatment. Answer: Reports
taking high blood pressure medication

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