NR 509 / NR509 - Gastrointestinal | Completed | Shadow Health

5/29/2018 Gastrointestinal | Completed | Shadow Health


Gastrointestinal Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-April-2018
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Your Results Lab Pass




Overview
Transcri
pt
Transcript Started: May 29, 2018 | Patient Exam Time: 198 min

Subjective Data Collection
All Lines Interview Questions Statements Exam Actions
Objective Data Collection (227) (152) (17) (58)

Education & Empathy Greet
Hello my name is Sara an FNP student and will be interviewing
05/29/18 10:20 AM
Documentation you today
CDT

Lifespan

Hey.
Review Questions

Self-Reflection
Question
will you state your name (Clarified to what is your name.) 05/29/18 10:20 AM
CDT



Tina Jones.


Question
what is your date of birth 05/29/18 10:24 AM
CDT



February 17th.


Question
how old are you ? 05/29/18 10:26 AM
CDT



I'm 28.


Question
what brought you in to the clinic 05/29/18 10:35 AM
today? CDT


I've been having this stomach pain for awhile. It keeps coming back,
and it really is starting to bother me.




https://chamberlain.shadowhealth.com/assignment_attempts/ 1/2

,5/29/2018 Gastrointestinal | Completed | Shadow Health
Sorry you are feeling so bad
Empathize
05/29/18 10:38 AM
CDT


Thanks for understanding.



Question
when do you notice the pain? (Clarified to when does the pain start.)
05/29/18 10:41 AM
CDT

It starts pretty quickly after I finish eating. Like within ten or fifteen minutes.




Question
when did the pain start?
05/29/18 10:42 AM
CDT

Probably at least a month ago. Maybe longer. It started out really minor so it took me awhile to rea




Question
Where is the pain located?
05/29/18 10:43 AM
CDT

It's like... my upper stomach. Like right below my breastbone, in the middle.




Question
describe how the pain feels?
05/29/18 10:44 AM
CDT

Um, it feels like heartburn. But sometimes, if it's bad, it's sharper than that.




Question
Does the pain increase?
05/29/18 11:00 AM
CDT

Yeah, it's getting worse over time. I get these stomach pains every day.




Question
Is there an increase in pain? (Clarified to Did the pain change?.)
05/29/18 11:00 AM
CDT

Yeah, it's getting worse over time. I get these stomach pains every day.




How many times a week are you getting this PAIN




https://chamberlain.shadowhealth.com/assignment_attempts/ 2/2

, 5/29/2018 Gastrointestinal | Completed | Shadow Health

Question
05/29/18 11:01 AM
CDT

Every time I eat it hurts a little, but 3 or 4 times a week, it'll be a lot worse.




do you have this pain every day? (Clarified to Do you have abdominal pain every day.)
Question
05/29/18 11:03 AM
CDT

Yeah, it's getting worse over time. I get these stomach pains every day.




when does your abdominal pain begin (Clarified to When did the abdominal discomfort begin?.)
Question
05/29/18 11:04 AM
CDT

Probably at least a month ago. Maybe longer. It started out really minor so it took me awhile to rea




Question
When does the pain begin?
05/29/18 11:07 AM
CDT

It starts pretty quickly after I finish eating. Like within ten or fifteen minutes.




Question
How long does the pain last?
05/29/18 11:07 AM
CDT


For a few hours after I eat.



Question
Will you rate your pain on a Pain Scale 0 out of 10
05/29/18 11:08 AM
CDT


Right now, it's like a 1 or 2. But after I eat, it's like a. . . 5?



Question
Rate your pain when lying down?
05/29/18 11:09 AM
CDT

If I've eaten and try to lie down, that's when it's the worst. Like a 6 or 7.



Is the pain crushing?
Question
05/29/18 11:09 AM
CDT




https://chamberlain.shadowhealth.com/assignment_attempts/ 3/2