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Chest Pain Clinical Examination
Pages 6 (1506 words)
Case Study CHEST PAIN CASE STUDY of CHEST PAIN The high incidence of chest pain makes it a common symptom seen in the Emergency Department in acute and primary care centres. This complaint has been found to be the presenting symptom for about 5 million people in the US (Reigle, 2005).
This can be done mainly through eliciting the history in fair detail. As a nurse practitioner in the community, I will be facing many cases of chest pain. Recently I had to manage such a case and I believe that the experience has equipped me with confidence. I adopted a structured approach to evaluate the case and progress through a mental checklist for eliciting the essential historical details (Reigle, 2005). The collected relevant data helped the decision- making and subsequent management. Case Presentation Respecting the confidentiality and privacy of the patient, I met her in the emergency department where I was working. With her consent, as she was conscious and answering, I elicited the history of the chest pain from Mrs John. Mrs John, 81 years old and weighing 85 kg., had been brought to the Emergency Department by her son. I followed the mnemonic TROCAR for eliciting the history of the presenting complaint of chest pain. She had a sudden but mild chest pain while she was in bed. Time of onset was when she woke up with it at 6a.m. and first dismissed it as indigestion. As it was not giving way after her antacid liquid, she called her son. Also experiencing shortness of breath, the duration of pain had lasted for the past forty minutes. Mrs. John had fatigue since the previous night, something she was not accustomed to. Radiation of the left-sided chest pain was to the back. ...
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