Focused Exam_ Chest Pain _ Completed _ Shadow Health

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Focused Exam: Chest Pain Results | Turned In Primary Concepts of Adult Nursing - Fall '18, NUR 4110 - Ft. Myers Return to Assignment Your Results LLaabb PPaassss Started: Oct 31, 2018 | Patient Ex ... am Time: 113 min Transcript Question 10/31/18 7:17 PM EDT Question 10/31/18 7:17 PM EDT Question 10/31/18 7:18 PM EDT Overview Transcript Subjective Data Collection Objective Data Collection Documentation SBAR IInntteerrvviieeww QQuueessttiioonnss ((111100)) SSttaatteemmeennttss ((1111)) EExxaamm AAccttiioonnss ((112288)) Hello! Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. What is the situation? Your patient is Brian Foster, a 58-year-old Caucasian man. He has been hospitalized in Shadow General Hospital for 3 days after a TURP, or Transurethral resection of the prostate. Today, he started having chest pain. Your role in this simulation is that of a healthcare provider who will conduct a focused history and physical examination of Mr. Foster in order to assess his condition and transfer his care. While Mr. Foster's condition is critical, he will survive this exam. What are my objectives in this assessment? AAllll LLiinneess ((224499)) Question 10/31/18 7:19 PM EDT Question 10/31/18 7:21 PM EDT Question 10/31/18 7:22 PM EDT In your interview with Brian, you will ask about the history of his presenting illness and the functioning of relevant systems in order to obtain subjective data related to his chest pain. If you discover any disease states, ask about symptoms and the patient's experiences of them. Your questioning should cover a broad array of the symptoms' characteristics. You will also inquire into the health history of Mr. Foster's family so you can determine his genetic disposition to any diseases. In addition to collecting subjective data, you will perform a physical exam on Mr. Foster to gather objective data about his health and physiology. While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. You may complete the exam activities in any order and move between them as needed. What else will this exam involve? You will complete nursing tasks to protect the patients safety, privacy, and health. You can document your findings, including vital signs, in the Electronic Health Record. This record provides necessary information for healthcare professionals who will continue patient care. You may record Mr. Foster's vitals as you see fit, as they will fluctuate throughout the exam. If you believe Mr. Foster to be in danger, you may press the button reading Notify the Preceptor. Do not end the exam until you have collected all relevant subjective and objective data. After the exam, you will transfer care of the patient to me, Preceptor Diana, communicating key information about the Situation, Background, Assessment, and Recommendation, or SBAR. Activities other than Subjective and Objective Data Collection, such as Documentation and Education and Empathy, provide valuable practice for their real-world counterparts. However, they are not automatically graded by the simulation. How will I be evaluated? In this assignment, you will be evaluated on your Subjective and Objective Data Collection. The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. The evaluation of your physical exam is based on how successfully you report on your physical findings by selecting among clinical terms in the Electronic Health Record. This assignment takes on average between 45 and 60 minutes. You can pause and resume the assignment at any time; your work is always saved automatically. How does this assignment prepare me for the real world? Question 10/31/18 7:24 PM EDT Greet 10/31/18 7:26 PM EDT Question 10/31/18 7:26 PM EDT Exam Action 10/31/18 7:27 PM EDT Exam Action 10/31/18 7:30 PM EDT Exam Action 10/31/18 7:30 PM EDT Exam Action 10/31/18 7:30 PM EDT Exam Action 10/31/18 7:30 PM EDT Exam Action 10/31/18 7:31 PM EDT In this assessment, you will become familiarized with the structure and content of a chest pain focused exam so that with real-life patients, you can: º ask effective and comprehensive questions º use therapeutic language º evaluate the patient's risk of disease, infection, injury, and complications º obtain and assess objective data. º and transfer patient care using SBAR. In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What are 3-5 common causes of chest pain? coronary artery dise [Show More]

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