5/22/2018 Focused Exam: Chest Pain | Completed | Shadow Health
Focused Exam: Chest Pain Results | Turned In
ii ii ii ii ii ii ii
Advanced ii Health ii Assessment ii- ii Chamberlain, ii NR509-April-2018
Return ii to ii Assignment
Your Results
ii Lab iiPass
Overview
Documentation / Electronic Health ii ii ii
iiTranscrip Record ii
t
Document: iiVitals Document: i i Provider i i Notes
Subjective iiData
iiCollection iiObjective
iiData iiCollection Document: Provider Notes
ii ii
Education ii & ii Empathy Student iiDocumentation Model iiDocumentation
Documentation
iito iialleviate iithe iipain
Subjective
iiwith iia iibrief iirest.
Self-Reflection
iiNot iitaking iiany
Patient iiinformation iiBrian iiFoster iidate iiof iibirth
iimedications iifor
iiAugusti17th, iia ii58 iiyear iiold iiCaucasian iimale
ii chest ii pain. ii Episodes
CC: ii mr. ii Foster ii States" ii I ii have ii been ii having
ii of ii chest ii pain
ii some iitroubling iichest iipain iiin iimy iichest iinow
iistarted iiwith iiphysical
iiand iithen iiforithe iipast iimonth."
iiactivity iiwhile iidoing
HPI:
iiyard iiwork
VS:
b/p ii (L) iiARM ii 146/88 ii mmhg
(R) iiarm ii146/90
iimmhgiMAP
ii109mmhg
HR ii109 iiBPM
RR- ii19
O2 iiSat ii98% iiRA
iiTemp: ii36.7 iiC ii(98
iiF)
Onset iiof iichest iipain iione iimonth iiago, iilasting ii"
iifew iimin" iipt iistates, ii"thought iiit iimay iibe iiheart
iiburn" iireports iiTight iiand iiuncomfortable iiright iiin
iithe iimiddleiof iithe iichest. iiDenies iiany iipain
iiradiating iidenies iiany iiarm iipain iishoulder ii pain
iiback iipain ii or iineck iipain. ii Painionly iilast iia iifew
iiminutes. iiAn iiuncomfortable iifeeling iithat iilasts iia
iifew iiminutes iireporting ii3 iiepisodes iiin iithe iipast
iimonth iiand iiall iifeels iithe iisame. iiPain iicurrently iia
iizero iiwhen iihaving iichest iipain iiis ii5 iiout iiof ii10 iion
iipain iiscale. iiPatient iidescribes iipain iias iitight iiand
iiuncomfortable. iiPatient iidenies iicrushing iior
iiburning iipain iito iithe iichest. iiLaying iidown iiseems
This study source was downloaded by 100000835554553 from CourseHero.com on 01-13-2022 10:05:57 GMT -06:00
https://chamberlain.shadowhealth.com/assignment_attempts/3519143 1/4
https://www.coursehero.com/file/31240636/Focused-Exam-Chest-Pain-DOCUMENTATIONpdf/
, 5/22/2018 Focused Exam: Chest Pain | Completed | Shadow Health
Pt. iireports ii"I iihave iibeen iihaving iisome iitroubling iichest iipain iiin iimy iichest
iinow iiand iithen iifor iithe iipastimonth." iiExperiencing iiperiodic iichest iipain iiwith
iiexertion iisuch iias iiyard iiwork iias iiwell iias iiwith iiovereating. iiPoints iito
iimidsternum iias iilocation.
Describes i i pain ii as i i “tight ii and ii uncomfortable.” iiDenies iiradiation. iiPain iilasts
iifor ii“a iifew” iiminutes iiandigoes ii away i i when i i he i i rests. i i Most i i recent i i episode
i i wasithree iidays iiago iiafter iieating iia iilarge iirestaurant iidinner.iStates ii“It iihas iinever
iigotten ii‘really iibad’” iiso iididn’t iithink iiit iiwas iian iiemergency, iibut iiis iiconcerned
iiafter iithree iiepisodes iiin iione iimonth iiand iiwants iihis iiheart iichecked iiout.
iiReports iimild iicramping iiin iilegs iiwith iiactivity. iiDenies iishortness iiof iibreath,
iiindigestion, iiheartburn. iiDenies iichest iipain iiat iithis iitime.
This study source was downloaded by 100000835554553 from CourseHero.com on 01-13-2022 10:05:57 GMT -06:00
https://chamberlain.shadowhealth.com/assignment_attempts/3519143 2/4
https://www.coursehero.com/file/31240636/Focused-Exam-Chest-Pain-DOCUMENTATIONpdf/
Focused Exam: Chest Pain Results | Turned In
ii ii ii ii ii ii ii
Advanced ii Health ii Assessment ii- ii Chamberlain, ii NR509-April-2018
Return ii to ii Assignment
Your Results
ii Lab iiPass
Overview
Documentation / Electronic Health ii ii ii
iiTranscrip Record ii
t
Document: iiVitals Document: i i Provider i i Notes
Subjective iiData
iiCollection iiObjective
iiData iiCollection Document: Provider Notes
ii ii
Education ii & ii Empathy Student iiDocumentation Model iiDocumentation
Documentation
iito iialleviate iithe iipain
Subjective
iiwith iia iibrief iirest.
Self-Reflection
iiNot iitaking iiany
Patient iiinformation iiBrian iiFoster iidate iiof iibirth
iimedications iifor
iiAugusti17th, iia ii58 iiyear iiold iiCaucasian iimale
ii chest ii pain. ii Episodes
CC: ii mr. ii Foster ii States" ii I ii have ii been ii having
ii of ii chest ii pain
ii some iitroubling iichest iipain iiin iimy iichest iinow
iistarted iiwith iiphysical
iiand iithen iiforithe iipast iimonth."
iiactivity iiwhile iidoing
HPI:
iiyard iiwork
VS:
b/p ii (L) iiARM ii 146/88 ii mmhg
(R) iiarm ii146/90
iimmhgiMAP
ii109mmhg
HR ii109 iiBPM
RR- ii19
O2 iiSat ii98% iiRA
iiTemp: ii36.7 iiC ii(98
iiF)
Onset iiof iichest iipain iione iimonth iiago, iilasting ii"
iifew iimin" iipt iistates, ii"thought iiit iimay iibe iiheart
iiburn" iireports iiTight iiand iiuncomfortable iiright iiin
iithe iimiddleiof iithe iichest. iiDenies iiany iipain
iiradiating iidenies iiany iiarm iipain iishoulder ii pain
iiback iipain ii or iineck iipain. ii Painionly iilast iia iifew
iiminutes. iiAn iiuncomfortable iifeeling iithat iilasts iia
iifew iiminutes iireporting ii3 iiepisodes iiin iithe iipast
iimonth iiand iiall iifeels iithe iisame. iiPain iicurrently iia
iizero iiwhen iihaving iichest iipain iiis ii5 iiout iiof ii10 iion
iipain iiscale. iiPatient iidescribes iipain iias iitight iiand
iiuncomfortable. iiPatient iidenies iicrushing iior
iiburning iipain iito iithe iichest. iiLaying iidown iiseems
This study source was downloaded by 100000835554553 from CourseHero.com on 01-13-2022 10:05:57 GMT -06:00
https://chamberlain.shadowhealth.com/assignment_attempts/3519143 1/4
https://www.coursehero.com/file/31240636/Focused-Exam-Chest-Pain-DOCUMENTATIONpdf/
, 5/22/2018 Focused Exam: Chest Pain | Completed | Shadow Health
Pt. iireports ii"I iihave iibeen iihaving iisome iitroubling iichest iipain iiin iimy iichest
iinow iiand iithen iifor iithe iipastimonth." iiExperiencing iiperiodic iichest iipain iiwith
iiexertion iisuch iias iiyard iiwork iias iiwell iias iiwith iiovereating. iiPoints iito
iimidsternum iias iilocation.
Describes i i pain ii as i i “tight ii and ii uncomfortable.” iiDenies iiradiation. iiPain iilasts
iifor ii“a iifew” iiminutes iiandigoes ii away i i when i i he i i rests. i i Most i i recent i i episode
i i wasithree iidays iiago iiafter iieating iia iilarge iirestaurant iidinner.iStates ii“It iihas iinever
iigotten ii‘really iibad’” iiso iididn’t iithink iiit iiwas iian iiemergency, iibut iiis iiconcerned
iiafter iithree iiepisodes iiin iione iimonth iiand iiwants iihis iiheart iichecked iiout.
iiReports iimild iicramping iiin iilegs iiwith iiactivity. iiDenies iishortness iiof iibreath,
iiindigestion, iiheartburn. iiDenies iichest iipain iiat iithis iitime.
This study source was downloaded by 100000835554553 from CourseHero.com on 01-13-2022 10:05:57 GMT -06:00
https://chamberlain.shadowhealth.com/assignment_attempts/3519143 2/4
https://www.coursehero.com/file/31240636/Focused-Exam-Chest-Pain-DOCUMENTATIONpdf/
