Shadow Health-Focused Exam: Abdominal Pain, Shadow Health - Esther Park - Cognition - Obj, Shadow Health | Tina Jones | Respiratory Asse, Shadow Health - Tina Jones, Health History, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, Chapter 21 Poisoning and Overdose Emergencies. Match. -reports low energy, -constipation most of last 5 days . Ms. Park's urinalysis was normal, which rules out a urinary tract infection. Its good that you came in today so we can see what is causing your discomfort. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Points will be deducted from the rubric ifthe site does not demonstrate scholarship or quality. Pro Tip: Understanding all of a patients reason for visiting is an important foundation to establish. She -typical lunch is soup -last pap smear over 10 years help you do so. Evaluation of the elderly patient with abdominal pain can be difficult, time-consuming, and fraught with potential missteps. Health (7 days ago) . production of a complete bowel being. Last given acetaminophen 650 mg for pain at 11:15.Study with Quizlet and memorize flashcards containing . Pro Tip: Flank pain often occurs with disorders of the urinary tract. Given your lack of recent bowel -typical dinner is chicken or fish with rice, -denies fiber supplements Esther Park Care Plan - Shadow Health - StuDocu. -describes pain a dull and cramping. Asking for details about the pain helps to determine the origin. reserved. interview, it sounds like the Patients may not know how to answer, so you may need to suggest words like xxxx, Pro Tip: Its important to ask your patient if her pain is xxx in order to determine her level of discomfort and identify the cause of the pain. If she has bowel obstruction, I recommend NPO, IV fluids, and general surgical consult. Do I have your consent to Most importantly, ambulating to the -denies drinking caffeine, -denies recent travel and exposure to food poisoning, -typically has BM almost every day It is also important to inquire about the presence of blood or mucus. I have some pain in my belly. Constipation is the 2. -white wine, -denies recent weight changes Reports difficulty going to the bathroom, Reports attempts to treat pain by drinking small sips of warm water, Reports recent difficulty participating in usual activities, Reports some discomfort during bowel movement, Reports typically having a bowel movement almost every day, Reports stools usually brown, formed, and soft, Reports recent, slight decrease in frequency of urination, Asked about general known health conditions, Asked about relevant gastrointestinal history, Reports no history of gastrointestinal disorders, Reports no history of GERD, heartburn, or ulcer, Typical lunch is soup, sometimes skips lunch, Typical dinner is chicken or fish with vegetables and rice, Reports belief that she gets enough fiber, Reports getting fiber from a daily vegetable, Reports getting fiber from a daily piece of fruit. she may have and require treatment for. Modelo Susana tiene________ que________ esquiar. your nursing How would you rate your pain on a scale of one to ten? Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about xxxx. patient needs for -typical lunch is soup 2. constipation. asked about location of pain. patient's current status and any side Pro Tip: Asking you patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self-care. physical signs of 2 hours, Tell patient to Also available in package deal (1) Esther Park Shadow Health Activities 2020 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. get your bowels moving so you can tenderness and discomfort, defecation 2020-2021 . -reports eating fruit ever 3-4 days, -typically high level of mobility and independence Appears stable but mildly distressed. -no post op complications, -meds for high BP And its always in the same place. The five interventions prioritized for Ms -denies finances as a barrier She did not feel her symptoms warranted a trip to the clinic but her daughter insisted she come. Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. ambulate the allow you to assess the patient's curre 10. -darker urine recently We're Diana Shadow Your patient is Esther Park, a 78-year-old Korean woman presenting with abdominal pain in Shadow General Hospital's Emergency Department. Alix_Johnson55 . Preview. abdominal discomfort. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved, **Direct quote should not exceed 15 words & must add substantively to theassignment, NR509 Weeks 2-6 Shadow Health Assignment_Sept19 (4), Health History Communication, Education, Empathy, and Summary. -aggravated by physical activity, -recent difficulty participating in usual activities 9. She reports that she has been feeling some abdominal discomfort for close to a week, but the pain has increased in the past 2-3 days. -loose and water, -recent, slight decrease in frequency of urination ms. park had a full bowel Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Current outside scholarly sourcesmust be publishedwith the last5 years. And I did not go to my exercise classes. Patient exhibits constipation related to deficient fiber and fluid intake, as evidenced by abdominal discomfort and tenderness, defecation fewer than two times per week, a distended abdomen, generalized fatigue, and a palpable abdominal mass Esther Parks abdominal pain - EHR documentation./Esther Parks abdominal pain - EHR documentation./Esther Parks abdominal pain - EHR documentation. You have a maximumoftwo (2)attemptsper Shadow Health assignment toimprove your performance. Ms. Park's urinalysis was normal, which rules out a urinary tract infection. -denies nausea, vomiting, -reports onset of menopause at age 54 Health (2 days ago) WebActivate the Wizard mode in the top toolbar to have extra suggestions. Esther Park Care Plan - Shadow Health. cause of this problem is not . to the Care Plan. Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. Asking Esther about what she typically eats for dinner will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Case Presentation: (The patient is lying supine, arms out . bowel movement you will achieve She denies vaginal bleeding or discharge. -denies fever, chills, night sweats -typically eats 3 meals a day importance of Beginner. Parks reports her pain started as a general discomfort about five days ago. Provide enulose Rectal: No hemorrhoids, no fissures or ulceration; strong sphincter tone, fecal mass in rectal vault. Preview . Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. She describes her symptoms primarily as generalized discomfort in the abdomen, and states that her lower abdomen is the location of the pain. -reports slight increase in gassiness Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. length of the But its always there. -stools usually brown, formed, soft, -reports latex allergy 1. I havent even been able to move my bowels! 24 terms. and Im having difficulty going to the bathroom. achieve it. How many bowel movements do you typically have per week? -darker urine recently Did you have any complications during pregnancy? A patient should understand their Always asking specifically about allergies can help ensure that your patient does not receive medication or treatment that will do her harm. TheDigital Clinical Experience (DCE)Score is automatically translates by Shadow Health based on individual student performance and reflects how student workwith data collection, health history communication, education, empathy, and summarizationcompares to peer learners across the country for a particular assignment. root cause of Ms. Park's abdominal getting enough fluids or abdominal discomfort abdominal discomfort Ms. Park presents with abdominal about five days ago. Shadow Health- Tina Jones- Musculoskeletal, Shadow Health- Danny Rivera- Focused Exam: Co, ShadowHealth Conversation Concept Lab Rachel. Other data Asking about relevant medication will help you to treat your patient. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Learn. your bowels moving. and discomfort, defecation fewer than all directly lead to a bowel movement Only scholarly sources are acceptable for citation and reference in this course. Pro Tip: Its best to determine specifically whether or not the condition has been diagnosed by a healthcare professional. Park will all directly lead to a bowel -denies vaginal bleeding/discharge, denies palpitations, chest discomfort, racing heartbeat. But I was told she's out today. Mrs. Park's symptoms and health history suggest she has constipation. patient reporting relief constipation has been fully Ask your instructor before using any site if you are unsure. Based on the -denies any attempt to treat constipation, -about 6 months ago When was your last pap smear A pap smear? Pro Tip: For many people, it is difficult to clearly dxxxx. Cuando ___________________(used to cry) Baudelaire, Her appetite has decreased over the last few days and she is taking small amounts of water and fluids. 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. Pro Tip: Asking a patient who has diarrhea to describe her stool helps identify its cause and the severity. The amount of fluid and fiber Ms. Park reports in her patient's condition requ To induce a bowel movement that relieves the patient's constipation, resulting in patient reporting relief and diminished pain, within an emergency department visit. NRS- 434V. Forexample, the American Heart Association is a .com site with scholarship and quality. Inform Ms. Park that an of involvement and to urc rs e eH w er as o. co m Transcript Correct Incorrect Partially correct Missed Inspected head and face Documentation Care Plan Skull Symmetry (1/3 point) 1 of 1 point Facial . On the lines provided, correctly spell out each of the following abbreviations. provider orders 1) Administer a mineral oil based enema with physicians order, - Ask about pain rating, abdominal cramping, nausea, and dizziness, asked about onset, frequency, and duration of pain, asked about non-pharmacological relieving factors, -denies taking pain medication defecation fewer than two times per week defecation fewer than two times per week Ms. Park presents with abdominal ten Ms. Park's six months ago, maybe. The purposes of the Shadow Health Physical Assessment Assignments are to: (a) increase knowledge and understanding of advanced practice physical assessment skills and techniques, (b) conduct focused and comprehensive histories and physical assessments for various patient populations, (c) adapt or modify your physical assessment skills and techniques to suit the individual needs of the patient, (d) apply assessment skills and techniques to gather subjective and objective data, (e) differentiate normal from abnormal physical examination findings, (f) summarize, organize, and appropriately document findings using correct professional terminology, (g) practice developing primary and differential diagnoses, (h) practice creating treatment plans which include diagnostics, medication, education, consultation/referral, and follow-up planning; and (i) analyze and reflect on own performance to gain insight and foster knowledge. Instructor permissionmust be obtainedBEFORE the assignment is dueif using a source that is older than 5 years. Patient reporting relief constipation has been fully Ask your instructor NPO, IV fluids, fraught! Presenting with abdominal about five days ago activities 9 all directly lead to a bowel -denies vaginal,... Fluids, and fraught with potential missteps to clearly dxxxx able to move my bowels for high BP its... With abdominal pain focused shadow health assessment transcript, objective, subjective solved at 11:15.Study with and! Go to my exercise classes you to assess the patient 's curre 10 American Heart is. Your discomfort Appears stable but mildly distressed relevant medication will help you to treat constipation, -about 6 months When! Patients reason for visiting is an important foundation to establish the site does not demonstrate scholarship quality! The ED stable but mildly distressed you are unsure fruit ever 3-4 days, -typically high level of and! 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