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Brian Foster Subjective Data
Advanced Pathophysiology (NURSE 644)
Franklin University
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Focused Exam: Chest Pain Results | Completed
####### Advanced Physical Assessment - Summer 2022, NURS 646 - Q1WW
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Experience Overview
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Patient: Brian Foster
Digital Clinical Experience Score
94%
This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent.
Student Performance Index
64 out of 69
Proficiency Level: Proficient
Students rated as <proficient= demonstrate an entry expertise in advanced practice competencies and c reasoning skills. In comparable programs, the top 2 students perform at the level of a proficient practitioner.
Beginning (app.shadowhealth/assign ment_attempts/12647245#beginning- content)
Developing (app.shadowhealth/assign ment_attempts/12647245#developing- content)
Proficient (app.shadowhealth/assign ment_attempts/12647245#proficient- content)
Subjective Data Collection
30 out of 30
Objective Data Collecti
30 out of 33
Education and Empathy
4 out of 6
Subjective Data Collection: 30 of 30 (100%)
####### Chief Complaint
####### History of Present Illness
Time
65 minutes total spent in assignment
Interaction with patient
65 minutes
Indicates an item that you found. Indicates an item that is available to be found.
Category Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.
Patient Data
Not Scored
A combination of open and closed questions yield better patient data. The following detai facts of the patient's case.
Established chief complaint Reports chest pain
Asked about onset of pain Reports chest pain started appearing in th past month
Asked about location of pain Reports pain is in center of the chest Reports pain does not radiate Denies arm pain Denies shoulder pain Denies back pain Denies neck pain
Asked about duration of pain episodes Reports each pain episode lasted "severa minutes
Asked about frequency of pain Reports 3 pain episodes in past month Reports that pain episodes did not seem related
Asked about severity of pain Reports current pain is 0 out of 10 Reports pain severity at its worst is 5 out 10
Asked about characteristics of pain Describes pain as tight and uncomfortable Denies crushing pain Denies gnawing pain Denies burning pain
Hover To Reveal...
Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
####### Social Determinants of Health
####### Social History
####### Review of Systems
Asked about access to healthcare Reports a primary care provider Reports last visit 3 months ago Reports usually sees healthcare provider every 6 months Denies transportation is a barrier to healthcare Denies finances are a barrier to healthcar
Asked about stress Reports generally low stress lifestyle
Asked about exercise Denies regular exercise routine Reports last regular exercising was 2 yea ago
Asked about typical diet Reports typical breakfast is granola bar an instant breakfast shake Reports typical lunch is turkey sub Reports typical dinner is grilled meat and vegetables Denies moderation of salt intake
Asked about fluid intake Reports drinking 4 glasses of water daily Reports drinking 2 cups of coffee daily Denies soda drinking
Asked about substance use Denies current illicit drug use Denies tobacco use Reports moderate alcohol consumption
Followed up on alcohol consumption Reports drinking 2-3 alcoholic drinks per week Reports 2-3 drinks in one sitting Reports drinking only on weekends
Asked about constitutional health Denies fever Denies chills Denies fatigue Denies night sweats Denies weight loss Denies dizziness or lightheadedness Denies palpitations
Asked review of systems for cardiovascular
Denies history of angina Denies edema Denies circulation problems Denies blood clots Denies history of rheumatic fever Denies history of heart murmur Denies easy bleeding
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####### Family Medical History
Denies easy bruising Denies blue skin
Asked about review of systems for respiratory
Denies cough Denies difficulty breathing Denies shortness of breath at rest
Asked about review of systems for HEENT
Denies change in sense of taste Denies sore throat Denies difficulty swallowing
Asked about review of systems for gastrointestinal
Denies nausea Denies vomiting Denies diarrhea Denies constipation Denies gassiness Denies bloating Denies heartburn or GERD
Asked about relevant family history Reports family history of heart attack Denies family history of stroke Denies family history of pulmonary embolism
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
Brian Foster Subjective Data
Course: Advanced Pathophysiology (NURSE 644)
University: Franklin University
