NURS 516 Focused Assessment chest pain Spring 2020 – Chamberlain College of Nursing | NURS516 Focused Assessment chest pain Spring 2020

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NURS 516 Focused Assessment chest pain Spring 2020 – Chamberlain College of Nursing 
 Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a prec... eptor 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 are my objectives in this assessment? 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. 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. 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, htn Time to begin. Hi there my name is I will be conducting a chest assessment on you Greet
 Hi. What is your name Brian Robert Foster. What is your date of birth August 17 . . . [Mr. Foster reports the correct year.] Do you have any allergies No, well...I've had a bad reaction to codeine before, but that is all I know of. What kind of reaction do you get when you take codeine It makes me nauseous and I vomit. What brings you in today I'm having a really uncomfortable pressure in my chest right now. I'm very sorry to hear that let's look and see if we can find the cause of it Empathize
 Thanks. I appreciate that. What gender would you like to be associated with Last time I checked, I was still a man. What is your occupation I'm an engineer. What is your religion I guess you could say I'm loosely Lutheran. Do you have any allergies to food No, not that I know of. Do you have any allergy to latex Nope. Are you married You bet. Happily married to my hot wife for, let's see, 27 years now. Do you know where you are I'm in the hospital. Do you know what hospital your at I was here for a TURP, but now my chest is hurting . . . Do you know the date today [Brian says the correct date.] [AUDIO COMING SOON] - - - - - - - - - - - - - - - - - - - - - - -- Well, that remains to be seen as I recover from this surgery, but the doctors told me I should be back to normal very soon. to Is urinating painful? Yes, but now that my prostate is out, they tell me that will be much better. What does your pee look like Light yellow? Yellowish clear? The normal color, I guess. When was your last bowel movement This morning. Any changes to your bowel routine Uhm . . . no. No problems with that. Any blood in your bowel movement Nope. Are your stools usually formed? Yes You have diarrhea Nope. Do you drink coffee Maybe 2 cups on weekdays. Sometimes a whole pot on Sunday mornings, but I've cut back a lot in the past few years. How many meals do you eat a day Three meals a day. Maybe a little snacking. Are you experiencing any nausea I felt a little nauseous when I first noticed the chest pain, but I didn't throw up or anything. Just a little queasy. Thank you so much for your time Oh, yeah, it's fine. Any other questions for me Nope, just take care of me! [Show More]

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