Nurs 6512 week 7 shadow health comprehensive health history and physical assessment assignment ~wald
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NURS 6512 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment ~WaldeN University~ Shadow Health (NURS6512)
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7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health
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Comprehensive Health History Assignment Results | Turned In
Advanced Health Assessment - Chamberlain - June 2019, NR509-June-2019
Return to Assignment
Your Results Lab Pass
Overview
Subjective Data Collection: 101 of 104 (97.1%)
Transcript
Subjective Data Collection Hover To Reveal...
Indicates an item that you found.
Hover over the Patient Data items
Objective Data Collection Indicates an item that is available to be
below to reveal important information,
found.
including Pro Tips and Example
Education & Empathy
Questions.
Documentation
Information Processing Category Scored Items Patient Data
Health History Tips and Tricks Not Scored
Experts selected these topics as essential
Self-Reflection A combination of open and closed questions
components of a strong, thorough interview
will yield better patient data. The following
with this patient.
details are facts of the patient's case.
Chief Complaint
Established chief complaint Reports pain
Reports open foot wound
History of Present Illness
Asked for details about the pain Describes the pain as throbbing
Describes the pain as sharp when she
attempts to stand
Initial injury occurred 1 week ago
Pain has increased in the past 2 days
Reports feeling pain radiating into ankle
Pain prevents bearing weight on foot
,7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health
Asked to rate pain on a scale Rates present pain at a 7 out of 10
Clarified location of wound Confirmed that right foot is injured
Confirmed that wound is on the plantar
surface of her foot
Determined details of the injury Scraped foot on a cement step
Reports mild ankle injury
Was not drinking at the time of the injury
Was not wearing shoes at the time of
injury
Asked about the assessment of the Went to the ER after sustaining the injury
injury at the ER
Decided to go because she suspected an
ankle sprain
Received an x-ray
X-ray showed no broken bones
Received a prescription for pain pills
Asked about drainage from the foot Reports that the wound bled a little after
wound sustaining the injury
Reports seeing pus draining from wound
Began noticing pus 2 days ago
Followed up about character of drainage Describes pus as white or yellow in color
from the foot wound
Reports no odor from the wound
Asked about home treatment of foot Describes wound care regimen of
wound cleaning and bandaging
Cleaned wound twice a day
Cleaned wound with hydrogen peroxide
Changed bandage twice a day
Applied neosporin
Asked about other foot wound Reports swelling around foot wound
symptoms
Noticed swelling getting worse in the past
2 days
Reports redness around the wound
Reports that the wound feels warm
Explored impact of patient's foot injury Pain affects ability to walk
on activities of daily living
Pain affects job performance
Pain prevented her from attending class
Asked about recent fever Reports a fever last night
https://chamberlain.shadowhealth.com/assignment_attempts/5079759 2/13
, 7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health
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