Sometimes I skip lunch if I’m not feeling hungry, but usually I eat something light, like soup. When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria. Pro Tip: Postmenopausal vaginal bleeding is an abnormal finding that can often be attributed to the thinning of uterine and vaginal linings. Several disorders in abdomen may cause abdominal tightness. Do you have UTI history? . Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Over-the-counter medications can cause medical complications of their own or can indicate medical problems that your patient has been attempting to self-treat. Esther Park is a 78-year-old woman who usually enjoys good health but is currently having abdominal pain and reports having trouble going to the bathroom. Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. (No matching questions found.). Asking Esther about how she perceives her fiber consumption will help you to assess whether her intake and any gaps in health literacy. Focused Exam Abdominal Pain Shadow Health.pdf. At what age did you have your gallbladder removed? (Clarified to what brings me to the hospital. 5 pages. Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. Current outside scholarly sources must be published with the last 5 years. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. . (Clarified to: What brings you to the hospital? But since I’ve been sick, my daughter has been helping me, doing things around the house–gardening, cleaning, making sure I eat a little something. Create. Am happy to hear that you value exercising , it good for you. Asking Esther about what she typically has for a snack will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Yes, right now, and for the past five or so days. May 20, 2020 - Focused Exam: Abdominal Pain | Esther Park shadow health assignment Focused Exam: Abdominal Pain Esther Park shadow health assignment Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. Pro Tip: A history of frequent or severe UTIs could lead to scar tissue in the urinary tract, bladder, or kidneys. Key Concepts: Terms in this set (37) chief complaint-reports abdominal pain -reports difficulty with bowel movement. Near the end of my pregnancy, I felt her stop moving. Well, I miss a day now and then, but usually every day. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Rest assured that we will work to improve your energy levels and get you able to participate in your regular activities.”. Download the Lab Pass for the final attempt on the assignment. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Learn. Pro Tip: It’s important to ask about the onset of stool changes because it may be a sign of a new onset of a gastrointestinal disease or disorder. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. I’d say it’s cramping and. it all seems fine. Pro Tip: Asking your patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self-care. Step Two: Document your findings on the Fillable Soap Note Template or the Printable Soap Note. These websites are not considered scholarly as anyone can add to these. All elements of the reference otherwise must be included. Asking Esther if she uses tobacco will allow you to assess whether the condition is caused, in part, by tobacco use. How many meals do you typically eat per day? I think I have the normal amount of vaginal discharge. I did try drinking warm water slowly. Pro Tip: Nausea is an important subjective symptom to understand in any gastrointestinal complaint. Pro Tip: Your patient’s perception of health provides insight into her self-awareness, her health goals, and her approach to self-care. At the moment, I’d say it’s a 2. I’ve never had problems with. how would you rate that pain on a scale of 1 to 10? well, I’ve been little less thirsty than usual. Pro Tip: Broad open questions are efficient and useful in eliciting a large amount of information from your patient. Shadow health respiratory assessment transcript Pre Brief. Pro Tip: Asking about changes in energy level will help determine the level of disability caused by your patient’s condition. Pro Tip: For many people, it is difficult to clearly dxxxx. Bloody stool that appears black or tarry suggests bleeding in upper digestive tract, such as the small intestine or stomach. Can you describe a typical bowel movement? Flashcards. Pro Tip: Information about your patient’s gallbladder and when it was removed can provide you with potential insight into her current gastrointestinal pain. I take exercise classes at the community center — water aerobics, and I started enjoying Pilates as well. Do you take fibre supplements? The results of her previous treatment may be helpful in your diagnosis and the development of her new treatment plan, as well as a good opportunity to educate your patient on effective self-care practices. Flashcards. Oh my. Pro Tip: Asking a patient who has diarrhea to describe her stool helps identify its cause and the severity. Focused Exam: Abdominal Pain. Subjective Data Collection: 41 of 41 (100.0%), Custom written, plagiarism free papers written from scratch, Free revisions provided you stick to the original instructions, Our writers have high academic qualifications, We have expert writers in all areas of medical, nursing and pharmacy fields. . Pro Tip: For many people, it is difficult to clearly describe pain. The textbooks and lessons are NOT considered to be outside scholarly sources. Pro Tip: Sexual activity can increase your patient’s risk factor for sexually transmitted infections, so it’s important to ask specifically about current sexual activity. Step Three:  Upload the Lab Pass and completed SOAP Note as separate documents to the same assignment tab in the gradebook. (Clarified to how I would rate my pain on a scale.). Your role in this simulation is that of a healthcare provider who will conduct a focused history and physical examination of Ms. Park in order to assess her condition and transfer her care. Pro Tip: Asking about how your patient has been xxxx. . The pain is there all the time, but eating can make it worse. . Focused Abdominal Pain Sub.pdf; Central High School; SCIENCE 311 - Fall 2018 . Asking Esther what sources of fiber she eats will help you to assess whether she gets enough fiber in her diet. Pro Tip: For many people, it is difficult to clearly describe pain. Provide rationales and citations for diagnoses and interventions. What medication do you take if you have abdominal pain? Asking older patients about their ability to dress on their own allows you to determine if greater caretaking is necessary. The results of her previous treatment may be helpful in your diagnosis and the development of her new xxxx, as well as a good opportunity toxxx your patient on xxxx. about five days now. In your interview with Ms. Park, you will. A combination of open and closed questions will yield better patient data. NUR550 Focused Note -Chest Pain – Brian FosterAfter you complete the focused assessment (virtual simulation), please write a paper using the following as headings/subheadings in APA format.Introduction (with purpose statement – one paragraph)Focus of the … Yes. No. Pro Tip: A high fiber diet helps to reduce constipation. Pro Tip: Asking a patient with recent constipation if they are currently experiencing symptoms can help you to determine the patient’s discomfort level, ability to conduct an interview, and need for immediate care. Students are expected to submit assignments by the time they are due. It’s always unpleasant when an illness makes you feel unlike yourself. . The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. Match. ), It has its ups and downs. At the moment, I’d say it’s a 2. Nursing tasks and Documentation, while they provide valuable practice for their real-world counterparts, are not automatically evaluated by the simulation. Have you taken medication for the stomach pain? But it’s always there. Pro Tip: Understanding all of a patient’s reason for visiting is an important foundation to establish. And I did not go to my exercise classes. I miss my walks. Created by. Search. Sometimes chamomile tea. It is also important to inquire about the presence of blood or mucus. Cate Scored Items gory Experts selected these topics as As a clinician, you must develop an index of suspicion which is defined as awareness and concern for potentially serious underlying and unseen injuries or illness. Model Statement: “I’m sorry you’re having these symptoms; it sounds like you’re under great discomfort. Pro Tip: Chronic alcohol use can result in a range of health problems. . . Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. I haven’t eaten much these last few days. Pro Tip: It’s important to ask about changes in stool characteristics because it may be a sign of a new onset of a gastrointestinal disease or disorder. My name is xxxxx. I go for a walk every day. My daughter was concerned. Hello. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. No. The evaluation of your interview is dependent on how you. Hello everyone, I'm Kristina but most of my friends call me Tina! Those over-the-counter medicines. What dose is your high blood pressure medication? No. It’s quite frustrating not being my normal self. What relives your pain besides medication? You have successfully opted out of U. Pro Tip: Identification of the location of your patient’s discomfort can provide important clues about its cause and how it should be best treated. Test. This information should be considered when developing her plan of care. I had them at my annual exams, when I was younger. It’s taken quite a toll. Guarantee Your Academic Success! I don’t get indigestion, heartburn, nothing like that. Inadequate fluid intake or dehydration can be a common problem among aging adults. Pro Tip: Asking about any postoperative complications in your patient’s history may provide information relevant to identifying her present condition. Pro Tip: It’s important to assess the nature of pain by asking about xxx. When I move around the house or try to garden, I feel more pain. ), I get an itchy skin rash. If you know your patient is taking laxatives for constipation, asking about the medication’s effectiveness can help you adjust treatment as needed. Pro Tip: Night sweats can be a symptom of conditions such as perimenopause, or diseases or serious physical ailments. Do you have a history of bladder disease? Please refer to the grading rubric categories for details. When students perform a focused abdominal exam to explore her past medical history, they can uncover a detailed reproductive and surgical history. Only $2.99/month. Some toast. The estimated average time to complete this assignment each time is 1 hour and 15 minutes. Pro Tip: Social support is important for coping with daily stressors and for maintaining quality of life. The pain and discomfort is down low in my belly. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. . Asking about the name of the medication, in this case for blood pressure, will help you to treat your patient. Spell. Alix_Johnson55. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Pro Tip: When assessing your patient’s sexual health, it is critical to ask whether she has experienced symptoms of sexually transmitted infection. A glass or two a day, I’d say. Spell. Do you have problems getting in and out of chairs? And it’s always in the same place. Gravity. Single System Examination. I can feed myself, but I just haven’t been hungry. Your patient is Esther Park, a 78-year-old Korean-American woman presenting with abdominal pain in Shadow General Hospital’s Emergency Department. Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. It’s important to ask whether your patient has noticed changes in her typical habits. What medication do you take for your high blood pressure? It’s good that you came in today so we can discuss how to alleviate your discomfort and improve your gastrointestinal health.”. (Clarified to: how I would rate my abdominal pain on a scale). Test. about five days ago. Do you take medication for your blood pressure? Only $2.99/month. Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. Do you have a family history of diabetes? At least two … Learn. Complete the post activity assessment questions for each assignment . Did you have any complications after your surgery? Abdominal pain is the most common emergency department complaint and the fourth most common complaint among elderly patients. I had diarrhea a while back, though . Did you have any complications after your surgery? Asking Esther if she uses illicit drugs will indicate whether drug use puts her at risk for health complications. Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. . Pro Tip: You should ask geriatric patients to identify their reason for being here so you can determine their cognitive functioning. (Clarified to How would you rate your abdominal pain on a scale of zero to ten?. Asking about any gastrointestinal problems helps guide your assessment. Pro Tip: Abdominal pain can be caused by problems in the underlying organs, peritoneum, muscles, or blood vessels, changes in electrolytes or other blood contents, or even anxiety. What medication do you take for your blood pressure? Asking your patient to rate her pain on a scale from zero to 10 develops a consistent measure of pain severity. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. I don’t think about it, even. Features of the Digital Clinical Experience. How many meals do you typically take in a day? Did you have any complications during pregnancy? You said you have latex allergy? I see Dr. Keller, at my clinic–Shadowville Primary Care. Asking about any gynecological problems should guide your assessment. Yes. Pro Tip: Finding out the number of nights a patient drinks each week is a good baseline for asking additional questions about alcohol consumption. Focused Exam Abdominal Pain Shadow Health.pdf; West Coast University; NURS 190 - Spring 2019. And I did not go to my exercise classes. Pro Tip: A high fiber diet helps to reduce constipation. It’s important to ask whether your patient has noticed changes in her typical urinary patterns. Down in my lower belly. Lack of appetite may indicate an abnormality. If there are multiple symptoms, especially related symptoms like constipation and bowel pain, follow up on each one during your interview. high does of aspirin & steroids. It’s important to ask whether your patient has noticed changes in her typical urinary patterns. PLAY. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Bloody stool that appears black or tarry suggests bleeding in upper digestive tract, such as the small intestine or stomach. No. Model Statement: “I’m sorry you’re having these symptoms. . Log in Sign up. I’m Preceptor Diana. When I move around the house or try to garden, I feel more pain. But since I’ve been sick, my daughter has been helping me, doing things around the house–gardening, cleaning, making sure I eat a little something. Bright red bloody stool suggests bleeding in the colon or rectum. Exam (elaborations) NR 509 Week 5 Shadow Health Focused Exam: Abdominal Pain Assignment latest. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. . No. Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years. Welcome to the clinic. Shadow health respiratory assessment transcript. No. Complete the Shadow Health Concept Lab (Weeks 2, 4, and 5) prior to beginning the graded assignment. I’ve never smoked a cigarette in my life. Usually, yes. Pro Tip: Asking about x will help determine thxxe level of xxxxcaused by your patient’sxxxx. Have you had past urinary tract infections? Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. I have a gentleman friend and, yes. Asking Esther about her last meal will indicate her typical eating habits and allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Digital Clinical Experiences are used to strengthen your understanding of different body systems and to help refine your assessment skills. controlling myself. How would you rate your pain on a scale of one to ten? Pro Tip: It’s important to assess the nature of pain by asking about relief. (Clarified to: if I have traveled recently), Model Statement: “I’m sorry that your husband passed away. When I started having trouble going to the bathroom. Asking Esther about what she typically eats for breakfast will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Have you had any changes in the frequency of urination? Pro Tip: Asking about the last dose of the patient’s high blood pressure medication will help you to treat your patient, especially in considering whether there are contraindications for any new medications the patient may receive in care. How would you rate your pain at its worst? Ask patients experiencing constipation whether it is a recurring issue so you can explore for potential causes. Current outside scholarly sources must be published with the last 5 years. I had to miss my exercise classes this week — I didn’t have the energy for them. At what age were you diagnosed with hypertension? If no interventions for one or more component, document “none at this time” but do not skip over the component. It’s important to ask whether your patient has noticed changes in her typical habits. Pro Tip: You should ask geriatric patients to state their name so you can determine their cognitive functioning. I am able to swallow without any problems. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. Makes it difficult the same assignment tab in the field not know how much fiber is in what me! This information should be Cough Results Danny Riviera the presence of blood mucus... Nothing is swelling that I know of indicates an item that is available be... Any extra fiber these symptoms ; it sounds like you ’ re under great.! 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