(Answered) NURS-6512N-48 Week 7: Assignment 1 DIGITAL CLINICAL EXPERIENCE: ASSESSING THE HEART, LUNGS, AND PERIPHERAL VASCULAR SYSTEM

COURSE  

NURS-6512N-48 Advanced Health Assessment

In order to adequately assess the chest region of a patient, nurses need to be aware of a patient’s history, potential abnormal findings, and what physical exams and diagnostic tests should be conducted to determine the causes and severity of abnormalities.

In this DCE Assignment, you will conduct a focused exam related to chest pain using the simulation too, Shadow Health. Consider how a patient’s initial symptoms can result in very different diagnoses when further assessment is conducted.

Take a moment to observe your breathing. Notice the sensation of your chest expanding as air flows into your lungs. Feel your chest contract as you exhale. How might this experience be different for someone with chronic lung disease or someone experiencing an asthma attack?

TO PREPARE

  • Review this week’s Learning Resources and the Advanced Health Assessment and Diagnostic Reasoning media program and consider the insights they provide related to heart, lungs, and peripheral vascular system.
  • Review the Shadow Health Resources provided in this week’s Learning Resources specifically the tutorial to guide you through the documentation and interpretation with the Shadow Health platform. Review the examples also provided.
  • Review the DCE (Shadow Health) Documentation Template for Focused Exam: Chest Pain found in this week’s Learning Resources and use this template to complete your Documentation Notes for this DCE Assignment.
  • Access and login to Shadow Health using the link in the left-hand navigation of the Blackboard classroom.
  • Review the Week 7 DCE Focused Exam: Chest Pain Rubric provided in the Assignment submission area for details on completing the Assignment in Shadow Health.
  • Consider what history would be necessary to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

DCE FOCUSED EXAM: CHEST PAIN ASSIGNMENT:

Complete the following in Shadow Health:

  • Cardiovascular Concept Lab (Required)
  • Respiratory(Recommended but not required)
  • Cardiovascular (Recommended but not required)
  • Episodic/Focused Note for Focused Exam (Required): Chest Pain

 

ANSWER 

Shadow Health Digital Clinical Experience Focused Exam: Chest Pain Documentation

SUBJECTIVE DATA:

Chief Complaint (CC): “I have been having health challenges in the past three months and of recent the condition has exacerbated. I often develop chest pain especially when exhausted and this has persisted for a couple of days for the last one month.”

History of Present Illness (HPI):

The client in the case study is a white male aged 58 years. After his health worsened, he presented himself to the clinic for routine clinical checkups. As per the report provided by the client, he has been having trouble over the past month due to the experiences of chest pain, which come time and again………please click the icon below to access entire answer at $15