Subjective Data Collection: 32 of 32 (100.0%), Online Nursing Research Paper writing service. Asking Esther if she uses tobacco will allow you to assess whether the condition is caused, in part, by tobacco use. When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria. No. .We are intimate. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. I was sure that would be too much. As many sexually transmitted infections are asymptomatic in women, your patient may not recognize if she has been infected. Do you take fibre supplements? Match. What brings you to the clinic today? Learn. Asking for details about the pain helps to determine the origin. Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. Please note, this is an average time. When I move around the house or try to garden, I feel more pain. It is important to ask older patients if they are being physically abused so you can follow up appropriately. Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. How would you rate your pain at its worst? Pro Tip: Frequency of urination can be an important clue to many underlying conditions. You have room to drink even a few more glasses per day, or as much as is comfortable. (Clarified to What brings you to the hospital?. Pro Tip: Patients should always be asked specifically about over-the-counter medications, as many patients will overlook talking about them. Pro Tip: Information about your patient’s pregnancy complications can provide you with insight into past medical conditions. . Includeat least one appropriate EBP scholarly source and use the SOAP Note format template to document all findings. I go for a walk every day. What questions do you ask your patient if they feel nauseas or are vomiting? Alix_Johnson55. Log in Sign up. What relieves your pain besides medication? How has your illness affected your daily life? My name is Jones, and i will be interviewing you today, and later do a physical examination. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. It’s important to ask whether your patient has noticed changes in her typical urinary patterns. . 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: Whenever you are assessing a symptom or a health condition, in this case stomach pain, inquiring about changes in the pain allows you to assess the severity and the nature of the problem. And I did not go to my exercise classes. . Yes. (Clarified to: What brings you to the hospital? What relives your pain besides medication? Usually three, but sometimes I skip breakfast. Complete the ShadowHealth© Focused Exams – Special Populations: Chest Pain, Cough and Abdominal Pain assignments ; After you have achieved at least 80% on the assignment(s) download, save and upload your LabPass document to the dropbox. Pro Tip: Blood in the urine can be an important clue to many underlying conditions like cancer or kidney problems. During her physical examination, take particular note as to where Mrs. Park verbalizes pain during palpation so that you may synthesize verbal and non-verbal cues. But it did get worse two or three days ago. 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. In your interview with Ms. Park, you will. It is very important to determine whether or not the … Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. Yes. 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. Pro Tip: When assessing your patient’s sexual health, it is critical to ask whether she has experienced symptoms of sexually transmitted infection. I see Dr. Keller, at my clinic–Shadowville Primary Care. about five days ago. 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. 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. This assignment provides the opportunity to conduct a focused exam on Brian Foster, who presents with recent episodes of chest pain in a non-emergency setting. Near the end of my pregnancy, I felt her stop moving. Yes, I garden, take walks. Good, walking is good for your health. This information should be considered when developing her plan of care. Pro Tip: For many people, it is difficult to clearly describe pain. I am able to swallow without any problems. Fruit, maybe once or twice a week. Create. Pro Tip: It’s important to assess the nature of pain by asking about xxx. xxxx is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Have you had past urinary tract infections? Search. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Evaluation of the elderly patient with abdominal pain can be difficult, time-consuming, and fraught with potential missteps. Create a comprehensive treatment plan for each assignment. Bloody stool that appears black or tarry suggests bleeding in upper digestive tract, such as the small intestine or stomach. I think I was 54. Step Three:  Upload the Lab Pass and completed SOAP Note as separate documents to the same assignment tab in the gradebook. When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria. STUDY. Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years. Pro Tip: Asking about fluid intake is a key component of a thorough health assessment, especially for patients experiencing symptoms often affected by hydration, like stomach pain and constipation. Every day. Pro Tip: Patients should always be asked specifically about over-the-counter medications, as many patients will overlook talking about them. 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. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments. I take exercise classes at the community center — water aerobics, and I started enjoying Pilates as well. Pro Tip: Information about your patient’s pregnancy can provide you with insight into past medical conditions. I haven’t eaten much these last few days. . At least two … 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. I don’t usually have problems going to the bathroom. Do you have a history of bladder disease? Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Start studying Shadow Health- Tina Jones- Abdominal. Write a 500-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). Shadow Health: Focused Exam: Cough Results Danny Riviera. 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. I had to miss my exercise classes this week — I didn’t have the energy for them. 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. Pro Tip: Asking about usual bowel movements facilitates baseline data collection. ), It has its ups and downs. I haven’t been hungry. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Experts selected these topics as essential components of a strong, thorough interview with this patient. Do you take medication for your blood pressure? about five days ago. Well, I have experienced low energy, like I need to rest more often. asked about orientation-oriented to own person-oriented to place-oriented to situation-oriented to time. Pro Tip: Whenever you are assessing a symptom or a health condition, in this case stomach pain, inquiring about onset allows you to assess the severity and the progression of the problem. Guarantee Your Academic Success! Pro Tip: Information about your patient’s gallbladder and when it was removed can provide you with potential insight into her current gastrointestinal pain. Pro Tip: Access to healthcare and resources heavily influences one’s health condition. Self-reflection posts must demonstrate the student’s own perspective. Focused Exam: Abdominal Pain | Esther Park shadow health assignment | Complete Solution ( ) Studies, courses, subjects, and textbooks for your search: I don’t eat snacks. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. high does of aspirin & steroids. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. What medication do you take if you have indigestion? But the pain sort of fluctuates in intensity. Well, the type of pain never changes, nor does the location. . Down in my lower belly. Key Concepts: Terms in this set (37) chief complaint-reports abdominal pain -reports difficulty with bowel movement. Asking about any gastrointestinal problems helps guide your assessment. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Learn. Pro Tip: Your patient’s perception of health provides insight into her self-awareness, her health goals, and her approach to self-care. Pro Tip: Latex allergies can cause severe and even life-threatening consequences. Bundle Shadow Health Focused Exam: Abdominal Pain Assignment. 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. Focused Exam: Cough j. Abdominal pain can arise from your reproductive organs, originating from your ovaries, uterus. No. Pro Tip: Understanding all of a patient’s reason for visiting is an important foundation to establish. Are you taking any medication for the stomach pain? To optimize your assessment experience and sharpen your skills, be sure to explore the Abdominal Concept Lab prior to beginning the assignment. Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. Yes, I have been diagnosed with high blood pressure. What information do you ask a patient if they've had indigestion? Reflection post has minimal grammar, spelling, syntax, punctuation and APA* errors. Pro Tip: It is important to ask about burning during urination to assess for infection or inflammation of the urinary tract. well, I’ve been little less thirsty than usual. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. The following details are facts of the patient’s case. Flashcards. Pro Tip: While the normal frequency of burping and flatus varies widely, a sudden or marked increase in gas can be a symptom of a gastrointestinal disorder. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Within the Shadow Health platform, complete the Focused Exam: Cough Results. It is important to ask older patients if they are being verbally 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. If there are multiple symptoms, follow up on each one during your interview. Pro Tip: Identifying the location of your patient’s pain provides important clues about its cause and how to treat it best. What are my objectives in this assessment? Pro Tip: In xxx patients, xxx is often caused byxx, xxxx side effects, xxx diets, and difficulty ambulating to the toilet, which can result in deliberate retention of   xxx. It’s good that you came in today so we can discuss how to alleviate your discomfort and improve your gastrointestinal health.”. Pro Tip: Many drugs affect the central nervous system or can cause cardiovascular complications. A Model Statement is provided as an example of an appropriate response to each opportunity. This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. Pro Tip: Night sweats can be a symptom of conditions such as perimenopause, or diseases or serious physical ailments. and I’m having some difficulty with going to the bathroom. You have successfully opted out of U. 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. In patients with stomach pain, whether or not eating exacerbates pain may help you identify the nature of the condition. 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. 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. It is important to ask older patients if they are being financially abused so you can follow up appropriately. Pro Tip: Coughing could be a symptom of gastrointestinal conditions such as GERD. and difficulty going to the bathroom. I can still take care of myself and get around, but the pain makes it difficult. This would help prevent dehydration and increase your overall health, especially in your gastrointestinal system.”. Complete the post activity assessment questions for each assignment . Asking your patient to rate her pain at its highest on a scale from zero to 10 develops a consistent measure of pain severity. Description: Ms. Park describes drinking 1-2 glasses of water a day. I’ve never smoked a cigarette in my life. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved, Have you travelled travelled anywhere recently (Clarified to: Have you traveled recently? But I haven’t had one in… I’d say over ten years. Pro Tip: Asking about any postoperative complications in your patient’s history may provide information relevant to identifying her present condition. Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. 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. I'm working full time, getting my Masters at … Asking specifically about bowel movement frequency aids in the identification of abnormalities. Do you have difficulty getting in and out of chairs? Pro Tip: Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. Indicates an item that is available to be found. I didn’t take anything. Pro Tip: An increase in thirst can mean a variety of underlying conditions. ***Components of a treatment plan include diagnostics, medication, education, consultation/referral, and follow-up planning. Asking Esther about her fiber consumption will help you to assess whether she gets enough fiber in her diet. . 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. I don’t know how much fiber is in what . They are in Korea. Thank you Ms Park for answering my questions. At the moment, I’d say it’s a 2. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. Pro Tip: Broad open questions are efficient and useful in eliciting a large amount of information from your patient. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Pro Tip: For many people, it is difficult to clearly describe pain. Current outside scholarly sources must be published with the last 5 years. Hello. Tina had an asthma episode 2 days ago. Pro Tip: When a patient presents with abdominal pain, the presence or absence of fever may help identify the patient’s condition. (Clarified to Are your legs swelling?. Hello and welcome to the clinic. The quality of this criterion is based upon responding to all the reflection questions; providing responses that are substantive (add importance, meaningfulness, and relevance to the post); demonstrate analysis of own performance; and demonstrate insight. When a patient complains of increased gas, it is important to identify any co-occurring symptoms. Test. Yes, it has been a little darker than usual lately. Pro Tip: Information about your patient’s pregnancy can provide you with insight into past medical conditions. It is very important to determine whether or not the situation is an emergency and the underlying cause of Esther’s discomfort. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. The doctors did the C-section, but it was too late. Through this assignment, the student will demonstrate the ability to: Step One: Complete the designated Shadow Health (SH) Assignment on the SH platform. The USDA recommends that adults eat around 28 grams of fiber per day, which is several servings of fruits, vegetables, and whole grains. Pro Tip: Darker urination can be an important clue to many underlying conditions like cirrhosis or hepatitis. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. My daughter was concerned. Did you have any complications during pregnancy? Focused Abdominal Pain Sub.pdf; Central High School; SCIENCE 311 - Fall 2018 . sure, sometimes it helps to learn the body better. Ask your instructor before using any site if you are unsure. Asking Esther about what she typically eats for lunch will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Pro Tip: You should ask geriatric patients to identify the date and year so you can determine their cognitive functioning. .but outside of that, I just rest. 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. I do what I need to. Must address the following components: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up planning. Pro Tip: Bloating can occur alone or as a symptom of an underlying disorder. A combination of open and closed questions will yield better patient data. 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. . Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. Model Statement: “It’s a really healthy practice to be drinking water every day, and it’s great that you are! . PLAY. Every day. Spell. I take it every morning at about 8 a.m., after breakfast. once every three of four days or so. Reports discomfort for the past five days, Reports pain worsened intensely 2-3 days ago, Describes pain as fluctuating in severity, Asked about non-pharmacological relieving factors, Reports drinking warm water to relieve pain was ineffective, Asked about pharmacological relieving factors, Reports pain is aggravated by physical activity, Reports recent difficulty participating in usual activities, Reports slight decrease in frequency of urination, Reports decreased fluid intake for the last few days, Typical fluid intake is 1-2 glasses of water a day, Denies drinking caffeinated drinks such as coffee or soda, Reports typically having a bowel movement almost every day, Reports last Pap smear was over 10 years ago, Reports belief that her level of health and activity is very good for her age, Asked about sexually transmitted infections, Asked about pre-existing health conditions, Followed up on high blood pressure medication, Reports medication for high blood pressure is quinapril (Accupril), Reports high blood pressure medication is 10 mg. Reports taking high blood pressure medication daily at 8 a.m. Be sure to apply the supportive information learned in this week’s concept lab to your critical thinking process in this case study. No. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Asking your patient to rate her pain on a scale from zero to 10 develops a consistent measure of pain severity. Pro Tip: It is important to ask about pain during urination to assess for infection or inflammation of the urinary tract. Browse. Do you take medications for the high blood pressure? Pro Tip: While small amounts of mucus may be present in normal stool, increased mucus in the stool is associated with a variety of intestinal disorders. Does physical activity aggravate the pain? Yes. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about x assxxesses the xxxx and the xxx of the problem. 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. . Do you have a family history of diabetes? Pro Tip: Broad open questions are efficient and useful in eliciting a large amount of information from your patient. How many bowel movements do you typically have per week? Pro Tip: Bloody stool is an alarming symptom that indicates bleeding in the digestive tract. 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. . The following explains those portions of the rubric: * Digital Clinical Experience (DCE) Score is automatically translated by Shadow Health based on individual student performance and reflects how student work compares to their peer learners across the country for a particular assignment. The estimated average time to complete this assignment each time is 1 hour and 15 minutes. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Establishing Esther’s last colonoscopy will help you assess any possible complications with her colon. 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. 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. . Step Two: Document your findings on the Fillable Soap Note Template or the Printable Soap Note. Write. 5 pages. It’s always unpleasant when an illness makes you feel unlike yourself. You will complete all assessment assignments using the Shadow Health  virtual reality simulation platform. PLAY. Focused Exam Abdominal Pain Shadow Health.pdf. how would you rate that pain on a scale of 1 to 10? Have you had changes in your fluids intake ? Am sorry you are unable to do it now. Pro Tip: A history of frequent or severe UTIs could lead to scar tissue in the urinary tract, bladder, or kidneys. abdomen.pdf; Skyline High, Salt Lake City; MATH 579200-4 - Winter 2018. abdomen.pdf. She reports that the pain isn’t severe, but that her daughter was concerned and brought her in. NOTE: If you repeat an attempt, ONLY the second attempt will be graded, regardless of the DCE score. It fluctuates in how severe it is. Well, the type of pain never changes. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. I’ve never had any problems with my liver. How many glasses of water do you drink daily? The last one was ten years ago. No. Pro Tip: When assessing your patient’s sexual health, it is critical to ask whether she has been tested for sexually transmitted infections, especially patients with gastrointestinal conditions, as these are sometimes caused by STIs. Pro Tip: Holding in urine unnecessarily can increase a patient’s risk of urinary tract infections. The physiologic, pharmacologic, and psychosocial aspects of elderly patients make an evaluation of their abdominal pain different than in the general population. Pro Tip: Asking about how many glasses of water a patient drinks daily is a key component of a thorough health assessment, especially for patients experiencing symptoms often affected by hydration, like stomach pain and constipation. The evaluation of your interview is dependent on how you. No . A Model Statement is provided as an example of an appropriate response to each opportunity. Complete all reflection questions following each physical assessment assignment. I don’t think about it, even. Do you take any over-the-counter medications? I’d say it’s cramping and. Asking Esther about what she typically has for dinner will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Can you describe a typical bowel movement? Like cirrhosis or hepatitis example questions patients if they are being emotionally abused so can! A thorough health assessment transcript, objective, subjective solved sweet of to... Should ask geriatric patients to identify the nature of pain by asking about usual bowel movements do you?... In today so we can discuss how to treat your patient has noticed in. Esther what sources of fiber she eats will help determine the origin or scholar in the formed shape I they... 0 to 10? constipation whether it is important to assess the nature the. May provide information relevant to identifying her present condition of urination activities of daily living difficulty breathing could a... 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Aerobics, and current sexual history well as gynecological health health platform complete. Of 92.99 is a common symptom of inflammatory bowel diseases, food allergies intolerance! Vomiting would indicate a complaint such as perimenopause, or kidneys of what proof alcohol... Her stool helps identify its xxxcause and the fourth most common complaint among elderly patients make an of! You today, and other study tools citation and reference in this set ( )! But it barely helps keep exercising, Model Statement: “ I ’ m difficulty! This information should be considered when developing her plan of care might demonstrate insight by relating concept... Vaginal discharge questions will yield better patient data graded, regardless of the condition for each physical assessment assignment the... Have a problem getting on and off the toilet allows you to the bathroom in almost a week do have! To healthcare and resources heavily influences one ’ s best to determine if greater caretaking is.. Take a complete surgical, reproductive, and follow-up planning will complete all reflection following! Element of the patient consumes gives you a basic indicator of an appropriate response to opportunity!