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Patient Interview: Chest Pain and Medical History

The nurse is taking a patient history from Miss Ayu, a bank employee who presented with chest pain. The nurse collects biographic information, learns that Miss Ayu is married with two children and lives in Kumala. Miss Ayu describes her chief complaint of chest pain that radiates to her jaw, neck, arms and back. She reports a history of diabetes but no other illnesses. Miss Ayu's family history is significant for heart disease in her father, and her mother passed away two years ago. She currently smokes two packs of cigarettes per day since her mother's death. The nurse ends the interview by reassuring Miss Ayu that she needs to get well soon to care for her children.

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Cicci Chairunisa Mas'um
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169 views2 pages

Patient Interview: Chest Pain and Medical History

The nurse is taking a patient history from Miss Ayu, a bank employee who presented with chest pain. The nurse collects biographic information, learns that Miss Ayu is married with two children and lives in Kumala. Miss Ayu describes her chief complaint of chest pain that radiates to her jaw, neck, arms and back. She reports a history of diabetes but no other illnesses. Miss Ayu's family history is significant for heart disease in her father, and her mother passed away two years ago. She currently smokes two packs of cigarettes per day since her mother's death. The nurse ends the interview by reassuring Miss Ayu that she needs to get well soon to care for her children.

Uploaded by

Cicci Chairunisa Mas'um
Copyright
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We take content rights seriously. If you suspect this is your content, claim it here.
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a.

Biographic data
Nurse : Good morning Miss, Iam nurse cicci, I will treat you from this
morning until 2pm. Are you miss ayu right?
Patient : Good morning nurse. Yes Iam
Nurse
: miss ayu, could you tell me when you
birthday?
Patient : my birthday is Januari 10 1997
Nurse
: whats your job?
Patient : my job is bank employees
Nurse
: good and are you married?
Patient : yes I have 2 children
Nurse
: where you address?
Patient : I live in kumala
b. Chief complaint or reason
Nurse
: what is troubling you Miss?
Patient : I have chest pain, my chest can feel like it is being pressed or
squeezed by a heavy object, and pain can radiate from the chest to the jaw,
neck, arms and back.
Nurse : you have been working very hard lately havent you?
Patient : yes, I have. and I feel overwhelming of anxiety and weak
c. History of present illness
Nurse : when your chest pain is started miss?
Patient : I was well until last week, but 2 days ago the pain briefly occurred
while I was read a book and I felt like gasping for breath so my husband
brough me here to hospital.
Nurse : it is your firstly you come to hospital (?)
Patient : I have pernah dirawat dengan diabetes
d. Past history
Nurse : Are you have experiences with childhood illness like chicken pox,
mumps measles, rebella, treptococcus infections and other significance
illnesses
Patient : yes I have gotten chicken pox, but my mom said its not serious
illness, it is not need to hospitalization
Nurse : are you have an allergic?
Patient : no
e. Family history of illness
Nurse : where is your parent?
Patient : my parent have death because heart disease
Nurse : both of them?
Patient : no, my father got heart disease and I dont know what happen with
my mom she look like so health but 2 years ago she have leave me.
f.

Life style
Nurse : I am sorry, but are you smoker?
Patient : honestly yes, I currently smokes 2 packs of cigarettes/day. I start to
smoke when my mom has death and I cant quit from smoke
Nurse : you look like so kurus are you doing diet?

Patient : yes after I have melahirkan anak kedua I look gendut so I just eat
once per day
g. Social data
Nurse : I dont ever see your child and your husband
Patient : oh yes he early back to home, because my children wanna go to
school
Nurse : are you have an ethnic affliation?
Patient : yes I am buginese
h. Psychological data
Nurse : so miss ayu, what do you feel right now?
Patient : I feel like I cant do anything if I am sick, I have to get well soon so I
can do my activity I have to care of my children
Nurse : youre mom, so you have to get well soon.
Patient : yah thank you nurse
Nurse : I have you go in side room, if you need anything you can tell your
husband to call me at nurse stations, and I will be back at 12 pm. Bye bye
miss ayu see you later
Patient : see you nurse!

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