Health History Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-April-2018
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Your Results L La ab b P Pa as ss s
Started: May 05, 2018 | Patient Exam Time: 181 min
Transcript
E
...
Health History Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-April-2018
Return to Assignment
Your Results L La ab b P Pa as ss s
Started: May 05, 2018 | Patient Exam Time: 181 min
Transcript
Exam Action
05/05/18 11:43
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Exam Action
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Exam Action
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Exam Action
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Exam Action
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Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Information Processing
Health History Tips and Tricks
Self-Reflection
I In nt te er rv viie ew w Q Qu ue es st tiio on ns s ( (2 20 04 4) ) S St ta at te em me en nt ts s ( (1 14 4) ) E Ex xa am m A Ac ct tiio on ns s ( (1 15 5) )
Height: 170 cm
Weight: 90 kg
BMI: 31
Random blood glucose: 238
Temperature: 101.1 F
Blood pressure: 142/82
Respiratory rate: 19
O2 sat: 99%
A Allll L Liin ne es s ( (2 23 33 3) )5/5/2018 Health History | Completed | Shadow Health
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Exam Action
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Greet
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Question
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Heart rate: 86
Hello, Tina Jones my name is Sara an FNP student here to
interview you today.
Hey.
What brings you here today?
I got this scrape on my foot a while ago, and I thought it would
heal up on its own, but now it's looking pretty nasty. And the pain
is killing me!
Where is the pain on your foot?
It feels like the pain is just centered around the scrape, like around
the ball of my foot. That's where it hurts the most, but my whole
foot feels some pain.
Can you tell me what foot this is please
It's . . . [Ms. Jones reports the correct year.] [AUDIO COMING
SOON]
Which foot is the pain located?
My right foot.
How severe is the pain in your right foot?
It's really bad.5/5/2018 Health History | Completed | Shadow Health
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Can you rate the pain on a scale of 0 to 10. 10 being the worst
pain you have ever had in your life
... I'd say a 7. It hurts a lot, and the pain pills haven't kicked in yet.
what are you taking for pain?
It's called tramadol.
Where did you get this medication?
The ER doctor prescribed them for me when I was in there a week
ago.
So the pain started a week ago? (Clarified to did your wound have
pus in it all week.)
No, I started seeing it two days ago.
What caused you to have this pain?
Being around cats is the worst, but dust and running up stairs can
make my breathing bad, too.
Why are you having right foot pain? (No matching questions
found.)
how did your injury happen?
I was going down the back steps, and I tripped. . . I caught the
railing, but I guess I kind of turned my ankle a little bit. And I
scraped up my foot on the edge of the step.
can you please describe the pain?
It's throbbing and like, sharp if I try to put weight on it.5/5/2018 Health History | Completed | Shadow Health
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Empathize
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what is the pain like when you stand on your foot?
Yes! I mean, I literally can't put weight on my foot, the pain is so
sharp.
when did the pain start?
Well, I got the scrape a week ago, but the scrape and the pain got
a lot worse in the last few days.
Has the pain changed over time?
At first, it seemed like it was healing up fine and it didn't give me a
lot of pain. But the last two days, the pain got way worse.
Does your pain radiate?
The pain's worse in my foot, but I feel it moving up into my ankle,
too.
Can you bear weight on your foot?
No, I can't. I can't put any weight on it without like, shooting pain.
I am sorry I understand how you feel.
I appreciate you telling me that.
Did you injure anything else beside your foot?
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