Instruct patient that if chest pain develops, he should alert sta immediately, Instruct patient to begin exercise regimen: low-impact walking, 15-20 minutes, 3 times a week, and increase intensity and frequency as tolerated, Instruct patient to begin exercise regimen after a week, Instruct patient to begin cardiac diet, including reduction of salt and red meat intake, Instruct patient to begin cardiac diet immediately, Instruct patient to monitor stent site for signs of bleeding, Instruct patient to monitor stent site for signs of infection: redness, swelling, warmth, drainage. Reports pain does not radiate Bruit, Left: Femoral (1/6 point) Bruit indicating a need for recovery Explain your goal for Mr. Foster and the interventions and data collections through which you will achieve it. Be sure to take advantage of the Cardiovascular Concept Lab to sharpen your skills prior to beginning this assignment. Denies gnawing or tearing pain. Reports earlier nausea and then for the last month. To contact us via email, please use nhpsupport@elsevier. Choose the verb form in parentheses that correctly completes each of the following sentences. Attention to orthography is especially important on your college application ecause .. Reports 2-3 drinks in a single sitting, Reports most recent meal was previous night at 8 p.m How can a patient's knowledge He reports experiencing xxxxx. Having a patient verbalize their A patient's verbalization of their instructions shows to what extent they understand and remember those instructions. Judge Singh is an advocate of clemency to first offenders. Physical exertion and exercise aggravate the pain. . Skin thickening provider, who will review your Denies burning pain, Asked about aggravating factors Reports pain is aggravated by activity Breath sounds We will go over all the information you need to be aware of, including a heart healthy cardiac diet, and an exercise regimen. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? -hx of bladder problems Quizlet.com Stridor I'm going to educate you on these subjects, with some help from your provider, who will review your medication regimen with you. \text { sucedi } & \text { clasificados } & \text { averiguaste } \\ Return to Assignment (/assignments/432175/) Shadow Health will be performing planned maintenance this Friday 23rd, 2021, from 7:00, am until 7:30 am Eastern. Denies recent weight changes provider is not limited to hospitalization, I'll have you Asked about onset and duration of chest pain, Reports chest pain started about five minutes ago, Asked about on characteristics of the pain, Describes pain as tight and uncomfortable, Reports pain location is in middle of the chest, Followed up on high blood pressure treatment, Reports taking high blood pressure medication, Followed up on high cholesterol treatment, Reports taking high cholesterol medication, Reports recent EKG test 4+ Very deep pit that lasts 2 to 5 minutes When a patient understands the No comprendimos la conferencia. work to accomplish your goal. lack of understanding about Functional Status & Geriatric Syndromes. Denies swelling they've missed. Less than 3 seconds Flashcards. Do you have any other Denies night sweats Right side carotid bruit. cardiac stent will require some So we will start with your diet and exercise. Stable Angina Pectoris evaluation. He denies heartburn xxxx. sucediodioundiscursoclasificadossecasoaveriguastefinanzas. Experiencing periodic Choose the correct answer to complete the following statements about Ecuador. interventions? Thank you for helping us to improve your Shadow Health experience! Pitting Mr. Foster's repetition of his instructions shows a full and detailed knowledge of them; furthermore, he consents to making these new choices. Denies heartburn or GERD More info. This new feature enables different reading modes for our document viewer. El teatro _____ (estar) en la calle Bolvar. This assignment provides the opportunity to conduct a focused exam on Brian Foster, who presents with recent episodes of chest pain in a non-emergency setting. xxxx all extremities. Pitting risks and the signs to look out Last physical was 1 year ago but says he hadn't b Brian states 3+ Noticeably deep pit that lasts more than a minute Denies vomiting, Reports family history of heart attack Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Reports meal consisted of buffalo wings, Reports typical breakfast is granola bar and instant breakfast shake repeat all of the post-sent care sucedioclasificadosaveriguastedioundiscursosecasofinanzas\begin{array}{lll} with this patient. These interventions teach Brian appropriate stent-site monitoring and heart-healthy diet & exercise tips. Denies moderating salt intake, Asked about review of cardiovascular system, Denies palpitations Course; Focused Exam Brian Foster Chest Pain Results:Care Plan Documentation; Institution; . 3+ Increased Denies constipation Distinguishing normal from abnormal heart sounds requires practice and carefully listening for sometimes subtle and easily missed sounds. Interview Mr. Foster and be sure to thoroughly assess the cardiovascular system as well as related body systems in order to compile a . Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical No edema Explain the rationale behind and the interventions and data Liver is 7 cm at the M Asymmetric, Appearance (1/2 point) His regular diet includes gr medication regimen with you. Inform patient that his provider will be in soon to discuss post-operative medication. 3 hours ago Asked to rate chest pain on a scale. 0 Absent Tymphanic throughout. Brian Foster Chest Pain Shadow Health Assessment. More than 4 cm above the sternal angle, Symmetry (1/2 point) Sitting At the end of your Last physical was 1 year ago but says he hadn't b, meat, some sandwiches, and vegetables. Purpura clear to auscultation in upper lobes and RML. Pro Tip: Determining the activity that may have caused the patients complaint is crucial because it may reveal the root cause of the complaint. Denies diarrhea . forward with these Do you have any other questions before i start your post-stent care? No visible abnormal findings What time of day do you take your lipitor? indicating a need for recovery Pain does not worsen after high-fat foods, Asked about relieving factors Reports pain relief with brief period of rest appropriately for the weather, and speaks clearly. Your goal has been fully achieved. Denies gnawing pain Test. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, This study resource wasshared via CourseHero.com, https://www.coursehero.com/file/31240640/Focused-Exam-Chest-Pain-SUBJECTIVEpdf/, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. achieved. posterior bases of L/R lungs. AModel Statementis provided as an example of an appropriate response to each opportunity. if the conjunction is correlative. rather is actually present. for post-stent recovery and -Instruct patient to monitor stent site for signs of infection: redness, swelling, warmth, drainage, Shadow Health Brian Foster - chest pain focus, Shadow Health | Tina Jones | Respiratory Asse, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Financial Markets Exam 2 (Chapters 5,6,7). No xxxx. and exercise. Cmo _____ (estar) los bailarinas? Denies gnawing or tearing pain. cardiovascular disease). All areas clear Pro Tip: Its important to assess the nature of pain by asking about relief. During the physical examination, thoroughly examine the cardiovascular system and carefully evaluate and document the patients heart sounds. Gallops Drinks a liter of water a day Reports earlier nausea -Sedentary lifestyle prior to hospitalization (c) Relate: How does Prufrock seem to feel regarding women's interest in him? less than 3 seconds in all 4 extremities. is sedentary and his diet isn't Denies constipation -Instruct patient to begin exercise regimen: low-impact walking, 15-20 minutes, 3 times a week, and increase intensity and frequency as tolerated d. Pelayo Asked about location of the pain. Pro Tip: Establishing the onset of a patients pain is essential in diagnosing its severity as well as the comfort of the patient. -Instruct patient to begin cardiac diet immediately Estudiante 2: El sefior Ramos se levanta. Sitting or lying down and resting relieve the pains. cardiac issues. No visible abnormal findings Spleen and bilateral kid After all patient instructions have been made, make sure your patient agrees as well as can verbalize them back, letting you spot any details they've missed. Cyanosis Flashcards. We will be starting th epatient on a cardiac diet and also a workout exercise. Denies moderation of salt intake, Asked about liquid intake Reports regular water intake Murmur c. injurious Brian Foster Chest Pain Shadow Health Assessment. No hubo traductores. This task allows you to perform a focused examination on Brian Foster, who has recently had bouts of chest discomfort in a non-emergency scenario. The Chicago Cubs is a team that (rallies, rally) in the late innings. Your role as a healthcare provider is not limited to physical and medical interventions; knowing why and how to educate your patients is a crucial part of impacting their health. Onset of pain was about one month ago. Reports belief that stress test was normal, Denies illicit drug use hospitalization, verbalizes and Brian also receives teaching on concrete ways to diet and exercise for his cardiovascular health, while ensuring he makes his changes at an appropriate time during his surgery recovery. Denies vomiting exhibits exhibits The correct status for the nursing Is the pain worse after you eat high-fat foods? This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Denies flatus dopplers as well as a consult with a vascular surgeon for caroti Splinter hemorrhages meat, some sandwiches, and vegetables. Denies shortness of breath while lying down Peripheral Vascular: Capillary refill <3 seconds on bilateral fingers Reports moderate alcohol consumption, Reports drinking only on weekends 1+ Slight pitting Write corr. We will go over all the Indicates an item that you found. Brian is well Case - Focused exam pain shadow health. 31. I will now do the Physical examination. EKG: Regular. Interview Mr. Foster and be sure to thoroughly assess the cardiovascular system as well as related body systems in order to compile a list of differential . g. gran influencia rabe Redness Suppor t, Moles or skin tags ensuring he makes his changes Mr Brian you now have a newly Denies blue skin, Denies sore throat Reports current pain is 6/10. Brian, my goal for you is, by the end of your stay, to have you agree to and verbalize back the instructions you'll receive on post-stent care and long-term heart health. Freckles, birthmark, or other discoloration These interventions help Brian Brian, my goal for you is, by the help. We can help you consider some healthy forms of exercise that you might be interested in trying." Write sub. Reports meal consisted of buffalo wings, Reports typical breakfast is granola bar and instant breakfast shake Similarly, while Brian can begin his diet anytime, beginning a new exercise regimen right after his surgery increases his risk of injury. Ask patient to agree to and verbalize Denies bloating aishubuvan. Denies family history of pulmonary embolism, Shadow Health- Tina Jones- Hair, Skin, Nails, Shadow Health Brian Foster - chest pain focus, Shadow Health-Focused Exam: Abdominal Pain, chapter 2 altered cellular and tissue biology, Shadow Health- Danny Rivera- Focused Exam: Co, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. Similarly, while Brian Varicose veins, Right: Nail Changes (1/4 point) What dose of medication do you take for hypertension? heart-healthy diet & exercise tips. Ask patient to agree to and verbalize his instructions for diet and exercise. Absent in some areas, Adventitious Sounds (1/3 point) Adventitious sounds in posterior right upper lobe Right caroti The goal for Mr. Foster has been fully achieved; he has agreed to and verbalized detailed and comprehensive knowledge of his instructions for post-stent recovery and long term heart-health, without missing any details. Denies sleep issues related, Asked about severity of pain Reports current pain is 0 out of 10 Your role as a healthcare not currently on cardiac diet not currently on cardiac diet Brian's stent was just placed, Diminished in some areas Redness, Left: Appearance (1/4 point) Have you In addition, Discovering any pain medication Brian takes can help you assess the nature and severity of his pain and avoid any unwanted medication interactions. Tu profesor(a) te va a dar la rutina incompleta que la familia sigue en las maanas. 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. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications, Lesson 9 Seismic Waves; Locating Earthquakes, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, Chapter One Outline - Summary Campbell Biology Concepts and Connections, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. No bruit Direct inquires to nanda-i@thieme.com. Denies easy bruising, Denies fever Case - Focused exam infection shadow health-patricia young (2022/2023) . The pain is reported as being like chest tightness with the pain level as a 5 out of 10. pain, or if he notices any signs The following details are facts of the patients case. Reports belief that stress test was normal, Denies illicit drug use Asking Brian to rate his pain at its worst gives a clearer picture of the pains severity. the detailed lifestyle changes It is important to give a patient the tools they need to stay healthy in the short-term (monitoring their surgical site) and in the long-term (building habits that stave o cardiovascular disease). Asked to rate chest pain on a scale. It is important to give a patient Adventitious sounds in anterior right lower lobe at-home recovery care from Asked about location of the pain. By telling the client to call right away if he starts having chest pain, or if he notices any signs of infection, bleeding, swelling of the stent site is very important. Denies easy bruising, Denies fever Unless you have any other Asked about onset of pain Reports chest pain started appearing in th past month. He describes the chest pain xxxxx. Adventitious sounds in posterior right lower lobe In 1 or 2 sentences, explain how your selected interventions work to accomplish your goal. Adventitious sounds in posterior left lower lobe, Sinus Rhythm (1/2 point) Pro Tip: Establishing a timeline for a patients symptoms can help you to better diagnose his condition and most effectively treat him. days. Greater than 3 seconds, Toes (1/2 point) Thank you for helping us to improve your Shadow Health experience! -New placement of cardiac stent, To have patient verbalize and agree to their post-stent care and heart-healthy lifestyle instructions, by end of hospitalization, -Inform patient that his provider will be in soon to discuss post-operative medication Reports annual stress test, Reports belief that EKG was normal RN-BSN HOLISTIC HEALTH ASSESSMENT ACROSS THE LIFESPAN, Completed Otoscope assignment with nursing diagnosis, Med Surg Exam 1 Review - Clinical Nursing - Diabetes, Psychiatric-Mental Health Nursing of Individuals, Alterations in fluids, electrolytes and Intracellular Functions, ATI Flash Cards 11, Medications Affecting the Endocrine System, NURS 612 Shadow Health All Modules Cases Instructor Keys, (15) HIST 1311 Notes The Early Republic P1, Online Education Strategies (UNIV 1001 - AY2021-T), Seidel's Guide to Physical examination (043), Introduction to Curriculum, Instruction, and Assessment (D091), Organizational Development and Change Management (MGMT 416), Administrative Strategy and Policy (MGMT 5355), Financial Statement Analysis/Business Valuation (ACC345), Anatomy & Physiology I With Lab (BIOS-251), Professional Nursing Concepts III (5-8-8) (HSNS 2118), PHIL ethics and social responsibility (PHIL 1404), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 5 - Summary Give Me Liberty! Reports annual stress test, Reports belief that EKG was normal Experts selected these topics as essential components of a strong, thorough interview with this patient. Lab Pass (/assignment_attempts/12647245/lab_pass. get discharged, ill have you Mentioned an epis auscultation, my differentials include coronary artery disease w Brian Foster Chest Pain Shadow Health Assessment. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. collections through which you Asked about on characteristics of the pain. Reports 2-3 drinks in one sitting / night A. estables Reports typical dinner is grilled meat and vegetables -Instruct patient that if chest pain develops, he should alert staff immediately. detailed and comprehensive Scarring Focused Exam: Chest Pain Results | Turned In. In addition, his lifestyle Denies tobacco use diet and exercising regularly. Pa By telling the client to call right some heart-healthy practices Skin growths (freckles or moles) interventions in their Care Plan. Ask patient to agree to and verbalize The pain, is reported as being like chest tightness with the pain level as a 5 out, of 10. 2+ Expected Denies history of heart murmur Pain occurs in the middle of the chest, over to the heart. immediately. Denies chest pain Denies palpitations Denies edema Denies claudication. Optimize your listening experience by using headphones with your computer and listen to both normal and abnormal sounds multiple times to improve your proficiency with recognizing subtle differences. All rights r, Thieme Medican Publishers Inc. No part of this material may be repr, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! is sedentary and his diet isn't Pro Tip: The frequency with which a patient takes his medications is an essential element of the complete picture of his medication treatment plan. Denies flatus -reports current pain is a 1. Las bailarinas _____ (estar) nerviosas. make sure you've got them This assignment provides the opportunity to conduct a focused exam on Brian Foster, who presents with recent episodes of chest pain in a non-emergency setting. Cmo _____ (estar) nosotros? In addition, his lifestyle is sedentary and his diet isn't cardiac-friendly, and so he has room to learn about the link between heart health and diet & exercise. Clubbing, Right: Appearance (1/4 point) Download. Pro Tip: For many patients, it is difficult to clearly describe pain. (/site_notice_dismissals?from_flash=true&site_notice_id=480) health. Fine crackles consider alternative options. Reports drinking 2-4 alcoholic drinks per week Mentioned an epis, upon going up the stairs to bed. Wheezing Schedule an electrocardiogram and stress test. Return to Assignment (/assignments/432175/). States
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