NUR 462Focused Exam_ Chest Pain _ Completed _ Shadow Health(Transcript)

Focused Exam: Chest Pain Results | Turned In Health Assessment - Spring 2021, NUR 462 Return to Assignment (/assignments/432957/) Notice: The detailed results of your assignment attempt are now available because the ...

Focused Exam: Chest Pain Results | Turned In Health Assessment - Spring 2021, NUR 462 Return to Assignment (/assignments/432957/) Notice: The detailed results of your assignment attempt are now available because the Due Date has passed. Your assignment score(s) has not changed. If you are using Safari and have issues with audio in your assignment, please click here for assistance. Click here for more (/site_notice_dismissals?from_flash=true&site_notic information (https://support.shadowhealth.com/hc/en-us/articles/360009548313) Transcript Started: Feb 27, 2021 | Total Time: 117 min Questio 02/27/21 9:29 PM E Questio 02/27/21 9:29 PM E Questio 02/27/21 9:29 PM E Your Results Lab Pass (/assignment_attempts/9240905/lab_pass. Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Care Plan Interview Questions (90) Statements (8) Exam Actions (97) 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? All Lines (195) Support 3/13/2021 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/9240905 2/16 Questio 02/27/21 9:30 PM E Questio 02/27/21 9:30 PM E Questio 02/27/21 9:30 PM E Stateme 02/27/21 9:32 PM E Gre 02/27/21 9:32 PM E 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. Throughout the conversation, you should educate and empathize with Mr. Foster when appropriate to increase his health literacy and sense of well-being. 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 patient's 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 will then move onto the Care Plan activity, in which you will synthesize your subjective and objective data to complete the nursing process. You will develop a nursing diagnosis for Mr. Foster's condition, identify a treatment goal, plan your interventions and evaluations, and finally assess if your goal was achieved. The Care Plan is just as important as your assessment, and the patient's well-being will be greatly affected by your diagnosis and interventions. How will I be evaluated? The activities evaluated by the simulation are Subjective and Objective Data Collection, Education and Empathy, and the Care Plan activity. Nursing tasks and Documentation, while they provide valuable practice for their real-world counterparts, are not automatically evaluated by the simulation. 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. Your success in Education and Empathy is based on whether you promptly respond after identifying a moment worthy of therapeutic communication. Your success in the Care Plan activity is based on whether you accurately identify Mr. Foster's nursing diagnosis, select a goal most immediately beneficial to him, select and prioritize the most effective treatments, and accurately evaluate your results. The Care Plan will make up a signficant part of your grade, so be sure to carefully choose your answers based on evidence. This assignment takes on average between 80 and 100 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? In this assessment, you will familiarize yourself 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 obtain and assess objective data º educate and empathize with the patient º develop a nursing diagnosis º create an effective and expedient care plan º and evaluate your results to determine your goal's achievement. In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What are 3-5 common causes of chest pain? Heart attack Time to begin. Hello. Brian My name is Pramila Bhandari . I am your nurse for the day. 3/13/2021 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/9240905 3/16 Exam Actio 02/27/21 9:33 PM E Exam Actio 02/27/21 9:33 PM E Exam Actio 02/27/21 9:34 PM E Exam Actio 02/27/21 9:34 PM E Questio 02/27/21 9:35 PM E Questio 02/27/21 9:35 PM E Questio 02/27/21 9:39 PM E Empathiz 02/27/21 9:40 PM E Exam Actio 02/27/21 9:40 PM E Questio 02/27/21 9:41 PM E Questio 02/27/21 9:42 PM E Questio 02/27/21 9:42 PM E Questio 02/27/21 9:43 PM E Questio 02/27/21 9:43 PM E Hi. Measured vitals Tested blood pressure in left arm with cuff Tested blood pressure in right arm with cuff Measured vitals Can you tell me your full name? Brian Robert Foster. [AUDIO COMING SOON] Can you tell me your date of birth? August 17 . . . [Mr. Foster reports the correct year.] What brings you here today? I'm having a really uncomfortable pressure in my chest right now. I am so sorry to hear about that Yes, thank you. Measured vitals When did the chest pain started? Only about five minutes ago. Is it intermittent ? (No matching questions found.) Is your chest pain constant? Yes, I guess it is. It hasn't let up. When did the chest pain started? Only about five minutes ago. What were you doing when you had chest pain? (Clarified to What did you do when you had chest pain?.) 3/13/2021 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/9240905 4/16 Questio 02/27/21 9:43 PM E Questio 02/27/21 9:44 PM E Empathiz 02/27/21 9:44 PM E Questio 02/27/21 9:45 PM E Questio 02/27/21 9:45 PM E Questio 02/27/21 9:45 PM E Questio 02/27/21 9:46 PM E Questio 02/27/21 9:46 PM E Questio 02/27/21 9:46 PM E Questio 02/27/21 9:46 PM E Questio 02/27/21 9:47 PM E Pressed the call button. (Clarified to what I did when I had the chest pain.) What were you doing when chest pain began? I was just sitting here. Can you rate your pain on scale 0 to 10? I'd say maybe a...a 6? It's just really uncomfortable...and there's nothing I can do about it, and it feels like it is getting worse. I am so sorry Yes, thank you. Can you describe characteristic of pain? Well, it mostly feels like pressure. Like a heavy, squeezing pressure right in the middle of my chest. Do you have burning pain? Well, it mostly feels like pressure. Like a heavy, squeezing pressure right in the middle of my chest. Do you have gnawing or tearing pain? (No matching questions found.) Do you have crushing pain? (Clarified to Is the pain crushing?.) No, I wouldn't describe it that way. (Clarified to if the pain is crushing.) Is the pain tearing? Hm, no. I don't think so. Is the pain burning? Well, it mostly feels like pressure. Like a heavy, squeezing pressure right in the middle of my chest. Where is your pain? I feel it mostly in the middle of my chest, over my heart. There's a little bit of ache in my left shoulder, but it's the chest pain that's really worrying me. Do you have arm pain? 3/13/2021 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/9240905 5/16 Questio 02/27/21 9:47 PM E Questio 02/27/21 9:47 PM E Questio 02/27/21 9:47 PM E Questio 02/27/21 9:48 PM E Questio 02/27/21 9:48 PM E Exam Actio 02/27/21 9:48 PM E Questio 02/27/21 9:49 PM E Questio 02/27/21 9:49 PM E Questio 02/27/21 9:49 PM E Questio 02/27/21 9:50 PM E Questio 02/27/21 9:50 PM E My left shoulder is hurting a tiny bit. do you have neck pain? No. Do you have jaw pain? Nope. Do you have back pain? No, I wouldn't say so. What triggers your pain? I don't really know yet. It just started. Does your pain increase by movement? I don't know...I think it might be getting worse. Measured vitals Do you have stress? Honestly, my life is pretty low stress. My job rarely stresses me out, my home life is great, and my kids generally behave. My only stress right now is this chest pain. Do you have history of anxiety?