Example Of A Student Clinical Report

For this third clinical, I observed a situation where a student was having chest pain and was constantly shaking. Whenever his chest pain would return, his heart rate would increase. I was able to tell he was uncomfortable and in pain due to his behavior. The student would clench his chest with his arms and rub his chest whenever his chest pain would return. As indicated before, he had an elevated HR only during chest pain, but his overall vital signs were normal. Whenever he would stand up, he would feel lightheaded and weak; when laying down he would feel much better. The student’s body was shaking a lot, but as time went by, the shaking wasn’t related to his chest pain. The shaking was related to the fear he was having during the situation. The school nurse was able to extensively check his heart sounds and make connections with vital signs. The school indicated that there could potentially be poor perfusion occurring between the heart and lungs.
The student has had these chest pain episodes before. He had mentioned that he has gone to the doctor and was told that when he had pain, it was being caused by the ribs. He was uncertain about what he knew about what would cause his chest pain. At that point, it would be important to have had access to something that showed the summary of his doctor’s visit, to help understand better what was going on. An elevated heart rate would indicate an exacerbation of the student’s chest pain as whenever he would indicate he was having pain, the heart rate on the pulse ox indicated and