ASSIGNMENT HELP | Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.

A 58-year old male presents with a complaint of severe chest pain over the past hour. He did not call 911 “because I don’t have the money for an ambulance.”
For the case you have chosen, post in the discussion:
Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
In SOAP format, list:
Pertinent positive and negative information
Differential and working diagnosis
Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

MODEL ANSWER

Health & Physical Assessment

To make accurate chest pain assessments, healthcare workers need to have the required skills to assess the patient’s situation by performing accurate pain | PLACE YOUR ORDER NOW AT writtask.com | the patient is experiencing severe chest pain, performing an accurate assessment will help in determining whether the pain is | PLACE YOUR ORDER NOW AT writtask.com | depends on the health worker’s ability to conduct this assessment calmly and controlled.  

Based on this case study, when presented | PLACE YOUR ORDER NOW AT writtask.com | old patient who complain of severe chest pain over the past one hour, I will ask the following questions.

1. Can you point to the pain? Where is it?
2. Does the source of pain change with the repositioning?
3. Did the pain occur during exertion or rest?
4. What were you doing when the pain started?
5. What worsens the pain?
6. What makes the pain better?
7. What provoked the pain?
8. Where is the pain? Can you point to it?

This patient’s physical exam element will include pulse oximetry, the chest X-ray, and | PLACE YOUR ORDER NOW AT writtask.com | for the patient with hemodynamic instability to conduct bedside | PLACE YOUR ORDER NOW AT writtask.com | to help evaluate the potential life-threatening causes (Wertli et al., 2019).

Pertinent positive and negative

Pertinent positive

The pertinent positive findings will include:  the history of | PLACE YOUR ORDER NOW AT writtask.com | on early coronary artery diseases, high blood pressure, the patient has a history of exertional chest pain and the presence of s4 in the examination (Wertli et al., 2019).

Pertinent negative

The pertinent negative for the patient will include; normal lung upon | PLACE YOUR ORDER NOW AT writtask.com | n of costochondral or rib pain upon examination. In this case, the patient does not have a history of similar symptoms, the exertional chest | PLACE YOUR ORDER NOW AT writtask.com | history of productive cough and fever, and the patient has no history of trauma in the chest.

Differential and working diagnosis There are many causes for chest pain that can make it challenging for the nurse to determine the | PLACE YOUR ORDER NOW AT writtask.com | should bear in mind that the patient’s complaint is determined by the cultural factors that influence the individual interpretation associated with the | PLACE YOUR ORDER NOW AT writtask.com | ys an essential role in the differential diagnosis. The differential and working…