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Exam (elaborations)

Physical Examination and Health

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Physical Examination and Health Physical Examination and Health Physical Examination and Health

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1
astrointestinal Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-April-2018

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Transcript
Overview


Transcript


Subjective Data Collection Started: May 29, 2018 | Patient Exam Time: 198 min

Objective Data Collection

Education & Empathy All Lines (227) Interview Questions (152) Statements (17) Exam Actions (58)

Documentation



Lifespan Greet
05/29/18 10:20 AM
Hello my name is Sara an FNP student and will be interviewing youtoday

Review Questions CDT


Self-Reflection



Hey.




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

CDT




Tina Jones.


https://chamberlain.shadowhealth.com/assignment_attempts/3536206 1/28

, 2




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




February 17th.




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




I'm 28.




Question
05/29/18 10:35 AM
what brought you in to the clinic 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/3536206 2/28

,Empathize
3 Sorry you are feeling so bad
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 fifteenminutes.




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

CDT




Probably at least a month ago. Maybe longer. It started out reallyminor so it
took me awhile to realize it was getting bad.



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.




https://chamberlain.shadowhealth.com/assignment_attempts/3536206 3/28

, 4

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/3536206 4/28

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