Pro Tip: Holding in urine unnecessarily can increase a patient’s risk of urinary tract infections. Pro Tip: Although it may be uncomfortable, it is important to ask the softness or hardness of usual bowel movements because the stool relays valuable information about gastrointestinal health. 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. Pro Tip: Changes in weight can be a symptom of many medical conditions or may simply be a result of a change in lifestyle. When students perform a focused abdominal exam to explore her past medical history they can uncover a detailed reproductive and surgical history. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Pro Tip: Stress incontinence is common in geriatric women, particularly those who have had multiple vaginal deliveries. Asking older patients about their ability to get on and off the toilet allows you to determine if greater caretaking is necessary. Park is up-to-date with her immunization, had her last flu-vaccine a year or two ago. ), It has its ups and downs. Focused Exam: Abdominal Pain. Pro Tip: Asking about fatigue as a symptom is an important gauge for the seriousness of a patient’s condition, and as an indicator of the impact on the patient’s daily life. The pain and discomfort is down low in my belly. It hurts to eat. How would you rate your pain at its lowest? . 66 terms. Pro Tip: In patients with lower quadrant abdominal pain, confirming a previous appendectomy can help rule out appendicitis as a cause for her current symptoms. 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. Yes, it seems like my energy got low when I did simple things around the house, like tidying up. (Clarified to: what brings me to the hospital), I am sorry to hear that you are having a pain. I didn’t take anything. Pro Tip: If a patient has chills, it could indicate the onset of a fever. I will now do a physical examination. My heart rate has always been normal. (Clarified to: how I would rate my abdominal pain on a scale). Yes. In your interview with Ms. Park, you will. . maybe six months ago. How many alcoholic drinks do you have in a month? Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. I haven’t vomited or had any nausea. No. Pro Tip: When a patient presents with abdominal pain, the presence or absence of fever may help identify the patient’s condition. She rated the pain at 6/10 and said it is dull and. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. It’s more of a problem with pain. Do you have a history of bladder disease? Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Pro Tip: Racing heart might be an indicator of an underlying cardiovascular or mental health condition, such as anxiety. Pro Tip: Information about your patient’s gallbladder and whether it has been removed can provide you with potential insight into her current gastrointestinal pain. I haven’t had any symptoms. 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. Yes. Asking older patients about their ability to walk allows you to determine if greater caretaking is necessary. Asking Esther whether she drinks alcohol will allow you to assess whether she has any indicators of alcoholism or other health conditions. The QSEN Institute advises and lends expertise to the Shadow Health team as they build virtual patient simulations for all courses across the Graduate and Undergraduate curriculum. Model Statement: “I’m sorry you’ve been more tired and haven’t been able to live your daily life with your normal vigor. Before this? She has not had a bowel movement in about five days; she has not had any diarrhea since a food poisoning incident six months ago. No. If you know your patient is taking laxatives for constipation, asking about the medication’s effectiveness can help you adjust treatment as needed. I have a gentleman friend and, yes. 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. Offer services to all academic levels (high school, college, graduate, masters, and PhD levels). Pro Tip: It’s important to ask your patient if her pain is constant or intermittent in order to determine her level of discomfort and identify the cause of the pain. Pro Tip: Difficulty swallowing could be a symptom of gastrointestinal conditions such as GERD. No, no. Did you have any complications after your surgery? 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. “Esther Park(E, P), a seventy-eight-year-old female”, ... (Shadow health, 2019). How many nights a week do you drink alcohol? difficulties going to the bathroom. . Pro Tip: Information about your patient’s pregnancy can provide you with insight into past medical conditions. . Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. did you take any medicine for the diarrhea? Pro Tip: Information about your patient’s pregnancy complications can provide you with insight into past medical conditions. She reports that she has been feeling some abdominal discomfort for close … ), I have pain in my belly. I will interview you today and do a physical examination. 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. No . I don’t think about it, even. and difficulty going to the bathroom. Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm. 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. When you have alcohol, what do you typically drink? Pro Tip: Access to healthcare and resources heavily influences one’s health condition. In what ways did this assignment affect your development into proficiently interviewing and assessing patients? once every three of four days or so. I prefer to be active, but my daughter wants me to rest. Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. Pro Tip: Assessing your patient’s typical level of activity and mobility will help you determine the level of disability associated with their current medical condition. Maybe a little darker than usual. We have experts in … Teaching Template: Progress Analysis – Esther Park, Advanced Health Assessment. . . Pro Tip: Assessing appetite guides understanding of patient health. I don’t know how much fiber is in what . Mrs Esther Park abdomen assessment, Identify and discuss at least 3 things that you learned from completing this assessment and how you can apply. No. 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. Pro Tip: Asking about any postoperative complications in your patient’s history may provide information relevant to identifying her present condition. When do you take your high blood pressure medication? Shadow_Health_Esther Park Objective_Cognition 2020 Focused Exam: Cognition Results Medical Surgical Nursing: Promoting Wellness in the Older Adult... Last document update: 1 month ago. What is the dosage of you blood pressure medication? Do you have UTI history? Every day. My lungs feel very healthy. NR509 Week 5: Esther Park Shadow Health Assessment Assignment. Esther Park is a 78-year-old Korean woman presenting with abdominal pain in theED. . I haven’t been hungry. Yes, I have been diagnosed with high blood pressure. It is important to ask older patients if they are being physically abused so you can follow up appropriately. Am happy to hear that you value exercising , it good for you. Shadow health cognition quizlet Shadow health cognition quizlet Pro Tip: Asking your patient whom she lives with will help to identify any caregivers in the home who are available to assist her. esther park shadow health quizlet care plan esther park shadow health quizlet care plan. It is important to note that elderly patients with appendicitis may present atypically and often lack certain classic symptoms such as rebound tenderness, right lower quadrant pain, fever, and anorexia. Asking about any gynecological problems should guide your assessment. She reports that the pain isn't severe, but that her daughter was concerned and brought her in. Establishing Esther’s last colonoscopy will help you assess any possible complications with her colon. I’ve never had problems with. I think I have the normal amount of vaginal discharge. Have you had any changes in the frequency of urination? Identify Areas for Improvement. Ask patients experiencing constipation whether it is a recurring issue so you can explore for potential causes. . I’m Preceptor Diana. Shadow Health Focused Exam:CognitionAVAILABLE:-Cognition Notes(Nursing Admitting Notes)-Subjective Data Collecetion-Objective Data Collection-SBARCourseMerit is a marketplace for online homework help and provide tutoring service. . Your role in this simulation is that of a healthcare provider who will, The activities evaluated by the simulation are Subjective and Objective Data Collection and Education and Empathy. No, usually I sleep right through the night. Pro Tip: Asking the patient how many drinks she has per month is a way to gauge her understanding of her own level of drinking. Start studying Esther Park-Shadow Health-Abdominal Pain. 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. Asking Esther if she uses tobacco will allow you to assess whether the condition is caused, in part, by tobacco use. Avoid resits and get better grades with material written specifically for your studies. NURS 4520- Esther Park Shadow Health Abdominal Assessment. I’ve had two colonoscopies. 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. . Do you take fibre supplements? Well, I have experienced low energy, like I need to rest more often. Pro Tip: It is important to ask about pain during urination to assess for infection or inflammation of the urinary tract. Have you had changes in your fluids intake ? Bloody stool that appears black or tarry suggests bleeding in upper digestive tract, such as the small intestine or stomach. Esther Parks_Abdominal Pain _ Care Plan_ Shadow Health.pdf . Well, my mother had diabetes, but that’s it. The evaluation of your interview is dependent on how you. (Clarified to Can you rate your current pain level on a scale of 0 to 10?. Preview 1 out of 8 pages Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. How would you rate your pain on a scale of one to ten? (Clarified to how I would rate my abdominal pain on a scale. Have you had past urinary tract infections? I think sometimes it’s better to let your body do what it needs to do. . Health Details: Constipation is the highest priority diagnosis as relieving it will have the quickest, most widespread impact on the Ms. Park's condition, including on her abdominal discomfort. about five days now. Living situation can also relay information about your patient’s relationships, socioeconomic status, functional ability, and sense of self. Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. At what age did you have your gallbladder removed? I don’t get indigestion, heartburn, nothing like that. Asking about the dose of the medication, in this case for blood pressure, will help you to treat your patient. Pro Tip: If a patient has a history of … No. I’ve been going slightly less often because. Esther Park – Cognition – Michelle Slater, DNP, RN Nurse Manager, Specialty Clinics, Cleveland VA Medical Center Pro Tip: Asking about changes in activity level will help determine the level of disability caused by your patient’s condition. A glass or two a day, I’d say. ), It has its ups and downs. . Asking Esther about what she typically eats will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Asking older patients about their ability to bathe on their own allows you to determine if greater caretaking is necessary. She reports that the pain isn’t severe, but that her daughter was concerned and brought her in. Pro Tip: In geriatric patients, constipation is often caused by inadequate fluid intake, medication side effects, low-fiber diets, and difficulty ambulating to the toilet, which can result in retention of stool. Pro Tip: A high fiber diet helps to reduce constipation. focused exam | abdominal pain | esther park shadow health assignment | complete solution (newest) | verified, 100 % correct | lehmann college 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. the abdominal pain is a 6 and described as a constant dull, crampy feeling low low in her abdomen that began as a general discomfort about 5 days ago when the patient states she began having difficulties going to the bathroom and has not had a bowel movement for several days. Pro Tip: Postmenopausal vaginal bleeding is an abnormal finding that can often be attributed to the thinning of uterine and vaginal linings. It is very important to determine whether or not the situation is an emergency and that the underlying cause of Esther's discomfort. and I’m having some difficulty with going to the bathroom. Pro Tip: Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. It’s always unpleasant when an illness makes you feel unlike yourself. It’s taken quite a toll. I have a vegetable every day or two, which I’d guess has fiber. Popular books. I mostly just drink water. 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 think I was 54. Pro Tip: Palpitations might be an indicator of an underlying cardiovascular or mental health condition, such as anxiety. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. . Esther park is a 78-year-old woman who is presenting with persistent, generalized abdominal pain. Ati teas all mathematics formulas you must know! .but outside of that, I just rest. Asking Esther if she’s traveled recently might reveal a new experience that’s affected her health. Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. Fruit, maybe once or twice a week. .We are intimate. 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. Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. . Identify and discuss at least 3 things that you learned from completing this assessment and how you can apply to your practice. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Pro Tip: Although it may be uncomfortable, it is important to ask about the color of usual bowel movements because the stool relays valuable information about gastrointestinal health. In what ways did this assignment affect your development into proficiently interviewing and assessing patients? Pro Tip: It’s important to assess the nature of pain by asking about relief. At the moment, I’d say it’s a 2. Those over-the-counter medicines. Pro Tip: Night sweats can be a symptom of conditions such as perimenopause, or diseases or serious physical ailments. Pro Tip: Chronic alcohol use can result in a range of health problems. In this assessment, you will become familiarized with the structure and content of an abdominal focused exam so that with real-life patients, you can: º. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. As a leader in educational simulation technology, Shadow Health has developed an extensive network of partner experts and institutions to support our mission of nursing excellence and patient health. It’s been too difficult to drink even that since all this started. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. It’s mostly in the lower part. That’s unusual for me. . I do what I need to. At the moment, I’d say it’s a 2. it was around two hours long. Do you have difficulty dressing yourself? At the moment, I’d say it’s a 2. What are my objectives in this assessment? how would you rate that pain on a scale of 1 to 10? Pro Tip: A high fiber diet helps to reduce constipation. Pro Tip: Whenever you are assessing a symptom such as constipation, inquiring about onset allows you to assess the severity and the progression of the problem. Yes, right now, and for the past five or so days. . . Asking your patient to rate her pain at its lowest on a scale from zero to 10 develops a consistent measure of pain severity. Asking specifically about bowel movement frequency aids in the identification of abnormalities. Pro Tip: Presence of vomiting would indicate a complaint such as food poisoning or infection. How has your illness affected your daily life? Ms. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. She reports that the pain isn’t severe, but that her daughter was concerned and brought her in. ), I have pain in my belly. Pro Tip: Medication allergies can cause severe and even life-threatening consequences. Denies typically taking any OTC medications, Denies difficulty transferring in and out of chairs, Reports sometimes skipping lunch due to low appetite, Reports typical dinner is chicken or fish with rice, Denies efforts to incorporate fiber in her diet, Reports eating a vegetable every 1 or 2 days, Reports typically high level of mobility and independence, Reports typically having a moderate activity level, Asked about history of gastrointestinal disorders, Asked additional review of systems for gastrointestinal, Reports loss of appetite in the past few days, Asked review of systems for genitourinary. Model Statement: “It’s a really healthy practice to be drinking water every day, and it’s great that you are! Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Pro Tip: A sore throat could be a symptom of gastrointestinal conditions such as GERD. The following details are facts of the patient’s case. When students perform a focused abdominal exam to explore her past medical history, they can uncover a detailed reproductive and surgical history. Usually I don’t need much help. She’d been caught up in the cord, around her neck. Yes. 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. (Clarified to what brings me to the hospital. Pro Tip: It’s important to assess the nature of pain by asking about relief. 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When students perform a focused abdominal exa, Nr 509 week 2 shadow health: respiratory physical assessment –. .I’ve never been abused in any sense of the word. Asking about relevant, in this case for the patient’s high blood pressure, medication will help you to treat your patient. Ms. t:.stner ParK 1s a / -year-old woman who comes to the clinic complaining of abdominal pain. . It is important to ask older patients if they are being sexually abused so you can follow up appropriately. Pro Tip: You should ask geriatric patients to identify where they are so you can determine their cognitive functioning. I don’t eat snacks. No. Do you take high blood pressure medication? You have room to drink even a few more glasses per day, or as much as is comfortable. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Ms. Park reports that she is "having pain in her belly." 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