NURSING HEALTH ASSFocused Exam_ Chest Pain _Transcript

Focused Exam: Chest Pain Results | Turned In Advanced Health Assessment - Fall 2019, NGR 5035 Return to Assignment Your Results Lab Pass Started: Nov 18, 2019 | Patient Exam Time: 245 min Transcript Greet 11/18/19 ...

Focused Exam: Chest Pain Results | Turned In Advanced Health Assessment - Fall 2019, NGR 5035 Return to Assignment Your Results Lab Pass Started: Nov 18, 2019 | Patient Exam Time: 245 min Transcript Greet 11/18/19 1:13 PM EST Question 11/18/19 1:14 PM EST Empathize 11/18/19 1:14 PM EST Question 11/18/19 1:16 PM EST Empathize 11/18/19 1:18 PM EST Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Interview Questions (104) Statements (28) Exam Actions (104) Hello my name is Jay I'm nurse practitioner student I will do interview and assessment on you today. Is that ok? Good morning. Can you tell me your name and date of birth please? My name is Brian Robert Foster and I was born August 17. Thank you Thanks. I appreciate that. What girls do in to the clinic today? I have been having some troubling chest pain in my chest now and then for the past month. I'm sorry you are having this symptoms chest pain can be uncomfortable and stressful. It's good that you came in today so we can see what is causing your discomfort. All Lines (236) 11/18/2019 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/5771497 2/26 Question 11/18/19 1:19 PM EST Question 11/18/19 1:19 PM EST Question 11/18/19 1:20 PM EST Empathize 11/18/19 1:20 PM EST Question 11/18/19 1:20 PM EST Question 11/18/19 1:21 PM EST Question 11/18/19 1:21 PM EST Question 11/18/19 1:22 PM EST Question 11/18/19 1:22 PM EST Thanks. I appreciate that. Your chest pain started about months ago? I first noticed it earlier this month. I thought it might just be heartburn and it passed after a couple of minutes. Describe my place your chest pain? Well, it mostly feels tight and uncomfortable right in the middle of my chest. How long does your pain last? When I feel it, it seems to get better over the course of a couple of minutes or so. Sorry to hear that you have having pain. Thanks. I appreciate that. How often are you having pain? Well, it has happened three times the past month. It usually goes away after about a couple minutes. Is it going to be in the same every time? (No matching questions found.) He's a pain similar of the time? (No matching questions found.) Is a pain similar of the time? (No matching questions found.) Is your pain the same every time? 11/18/2019 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/5771497 3/26 Question 11/18/19 1:23 PM EST Question 11/18/19 1:23 PM EST Question 11/18/19 1:26 PM EST Educate 11/18/19 1:27 PM EST Question 11/18/19 1:27 PM EST Question 11/18/19 1:32 PM EST Question 11/18/19 1:32 PM EST Question 11/18/19 1:33 PM EST It's hard to say. Each time it's happened, the pain has been similar. It's not even pain so much as an uncomfortable feeling in the middle of my chest that lasts a few minutes. How would you rate your pain on a scale of 0 to 10? I'd say maybe a . . . 5? It's just really uncomfortable . . . like there's nothing I can do about it. Right now it's like a zero though. Does a pain burn? Not really. Tell me about characteristic of the pain? Well, it mostly feels tight and uncomfortable right in the middle of my chest. This is like sharp or crashing Good to know. Thank you. Is it pain like crashing? (Clarified to Do you have pain when you breathe?.) My breathing's fine. (Clarified to if it hurts to breathe.) Do you have any tearing pain? (No matching questions found.) Do you have any gnawing pain? No, it's not like that. [AUDIO COMING SOON] Could you show me where is pain located. (Clarified to Where is the pain?.) 11/18/2019 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/5771497 4/26 Educate 11/18/19 1:35 PM EST Question 11/18/19 1:36 PM EST Question 11/18/19 1:36 PM EST Question 11/18/19 1:37 PM EST Question 11/18/19 1:37 PM EST Educate 11/18/19 1:39 PM EST Question 11/18/19 1:39 PM EST When the pain happens, I feel it mostly in the middle of my chest, over my heart. (Clarified to where it hurts.) It is essential to determining where is the pain located and how best to treated Good to know. Thank you. Is your pain radiate in your shoulder? (Clarified to Is your pain radiating?.) The pain doesn't radiate anywhere. It's mostly just right in the middle of my chest. (Clarified to if the pain is radiating.) Do you have slight pain in your left shoulder? (Clarified to Do you have pain in your left arm?.) No, when I am having the chest pain, it's mostly just in middle of my chest. (Clarified to if I have pain in my left arm.) Any back pain? I haven't had back pain, no. Any jaw pain? I haven't had any jaw pain. Jaw pain can be related with cardiac in nature. Good to know. Thank you. Any neck pain? My neck's been fine. What aggravate your pain? 11/18/2019 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/5771497 5/26 Question 11/18/19 1:39 PM EST Question 11/18/19 1:40 PM EST Question 11/18/19 1:41 PM EST Question 11/18/19 1:42 PM EST Empathize 11/18/19 1:43 PM EST Question 11/18/19 1:44 PM EST Question 11/18/19 1:45 PM EST Well, I think it's when I'm doing something physical most of the time. The first time it happened, my chest started hurting after I was doing some yard work. The second time happened when the elevator broke at work so I had to take the stairs. My office is on the 5th floor. Do you have any stress factors at this moment? (Clarified to Are you stressed out?.) Not usually, but I'm feeling pretty anxious not knowing what's going on with my chest. (Clarified to if I am stressed out.) Any anxiousness? Not usually, but I'm feeling pretty anxious not knowing what's going on with my chest. Do you have stressful lifestyle? Not usually, but I'm feeling pretty anxious not knowing what's going on