Features of the Digital Clinical Experience. What dose is your high blood pressure medication? I was sure that would be too much. For example, the American Heart Association is a .com site with scholarship and quality. You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. 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. Sometimes I skip lunch if I’m not feeling hungry, but usually I eat something light, like soup. Created by. Learn. Asking Esther what sources of fiber she eats will help you to assess whether she gets enough fiber in her diet. Pro Tip: It’s important to assess the nature of pain by asking about relief. It’s been too difficult to drink even that since all this started. Pro Tip: Asking your patient toxhelps identify its xxxcause and the severity. Living situation can also relay information about your patient’s relationships, socioeconomic status, functional ability, and sense of self. have you ever been diagnosed with an STD? Written from the student’s own perspective; Responded to all the reflection questions; Responses were each substantive (added importance, meaningfulness, and relevance to the post); Offer self-analysis of performance and insight; Reflection post responses should vary from SH assignment to assignment. I’d say it’s cramping and. ), How would you rate on a scale of one to ten? For example, the American Heart Association is a .com site with scholarship and quality. maybe six months ago. The last one was ten years ago. It’s always unpleasant when an illness makes you feel unlike yourself. The following sources should not be used: Wikipedia, Wikis, or blogs. At what age did you have your gallbladder removed? Learn. Search. Have you had changes in your fluid intake? My daughter was worried about me. Asking your patient to rate her pain at its lowest on a scale from zero to 10 develops a consistent measure of pain severity. Are you taking any medication for the stomach pain? How many meals do you typically take in a day? Missing 4 or more elements for the criterion Or No Assignment, Grammar, Spelling, Syntax, Mechanics and APA Format, 0-1 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format, 2-3 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format, 4-5 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format, 6-7 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format, 8 or more errors in grammar, syntax, spelling, punctuation, mechanics, or APA format Or No assignment. I take exercise classes at the community center — water aerobics, and I started enjoying Pilates as well. Pro Tip: Changes in weight can be a symptom of many medical conditions or may simply be a result of a change in lifestyle. The estimated average time to complete this assignment each time is 1 hour and 15 minutes. Test. 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. Pro Tip: Asking about how your patient has been nxxxxes her current condition and her approach to xxxx. If no interventions for one or more component, document “none at this time” but do not skip over the component. Brian Foster Chest Pain Shadow Health Assessment. Ask your instructor before using any site if you are unsure. How would you rate your pain on a scale of one to ten? Log in Sign up. Yes. Pro Tip: Swelling can indicate allergic reaction or edema, both of which could be caused by medication. Asking about relevant medication will help you to treat your patient. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Learn vocabulary, terms, and more with flashcards, games, and other study tools. It is very important to determine whether or not the … 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. Model Statement: “It’s a really healthy practice to be drinking water every day, and it’s great that you are! You have room to drink even a few more glasses per day, or as much as is comfortable. You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article. Pro Tip: Asking about fluid intake is a key component of a thorough health assessment. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. Shadow Health: Focused Exam: Cough Results Danny Riviera. Focused Exam: Abdominal Pain | Esther Park shadow health assignment | Complete Solution Focused Exam: Abdominal Pain | Esther Park shadow health assignment | Complete Solution - $15.99 Add to cart The pain is there all the time, but eating can make it worse. Pro Tip: A high fiber diet helps to reduce constipation. Offer services to all academic levels (high school, college, graduate, masters, and PhD levels). Do you take any over-the-counter medications? The following details are facts of the patient’s case. Within the Shadow Health platform, complete the Focused Exam: Cough Results. How would you rate your pain at its lowest? Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. 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. The USDA recommends that adults eat around 28 grams of fiber per day, which is several servings of fruits, vegetables, and whole grains. Asking Esther if she uses tobacco will allow you to assess whether the condition is caused, in part, by tobacco use. Asking about the dose of the medication, in this case for blood pressure, will help you to treat your patient. The textbooks and lessons are NOT considered to be outside scholarly sources. . Log in Sign up. No. Pro Tip: It’s important to ask about the duration of diarrhea because it may be a sign of a new onset of a gastrointestinal disease or disorder. No . 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. Critically appraise the findings as normal or abnormal. Pro Tip: Chronic alcohol use can result in a range of health problems. Yes. Yes, I garden, take walks. It’s important to ask whether your patient has noticed changes in her typical urinary patterns. Well, I have experienced low energy, like I need to rest more often. 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. Usually I don’t need much help. I hadn’t quite considered it . What relieves your pain besides medication? Yes, I have been diagnosed with high blood pressure. . When a patient complains of increased gas, it is important to identify any co-occurring symptoms. Pro Tip: Frequency of urination can be an important clue to many underlying conditions. Pro Tip: Latex allergies can cause severe and even life-threatening consequences. Create. I can’t imagine they are very good for you. but this has been going on for. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Pro Tip: Darker urination can be an important clue to many underlying conditions like cirrhosis or hepatitis. 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 … -Does breast self-exams monthly -Cholesterol = 220 (in 2000). It is important to assess other symptoms in order to determine the cause of bloating. What medication do you take for your high blood pressure? Created by. Before this? Digital Clinical Experiences are used to strengthen your understanding of different body systems and to help refine your assessment skills. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. I have a vegetable every day or two, which I’d guess has fiber. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. I think sometimes it’s better to let your body do what it needs to do. Pro Tip: Many drugs affect the central nervous system or can cause cardiovascular complications. I don’t usually have problems going to the bathroom, but this has been going on for . NR 509 Week 5 Shadow Health Focused Exam: Abdominal Pain Assignment{TRANSCRIPT}GRADED A Pre Brief: Ms. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. It’s taken quite a toll. 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. . 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: Finding out the number of nights a patient drinks each week is a good baseline for asking additional questions about alcohol consumption. I mostly just drink water. For example, a DCE score of 92.99 is a 92, not a 93. I miss my walks. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Pro Tip: You should ask geriatric patients to identify the date and year so you can determine their cognitive functioning. Pro Tip: Asking about changes in activity level will help determine the level of disability caused by your patient’s condition. Checking your patient’s screening status can give important information about overall health care compliance as well as gynecological health. Do you have difficulty dressing yourself? Pro Tip: Holding in urine unnecessarily can increase a patient’s risk of urinary tract infections. 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 just have so little energy, and moving too much hurts. Well, I miss a day now and then, but usually every day. Experts selected these topics as essential components of a strong, thorough interview with this patient. Asking about any gynecological problems should guide your assessment. . What a sad habit. I’ve been going slightly less often because. . Summarize, organize, and appropriately document findings using correct professional terminology on the SOAP Note Template. Pro Tip: Asking generally about a patient’s pre-existing health conditions allows you to ascertain how well they are controlled and whether they may be affecting the patient’s present illness. . Asking Esther about what she typically has for lunch will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Ask your instructor before using any site if you are unsure. I prefer to be active, but my daughter wants me to rest. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. 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. Upgrade to remove ads. Do you have difficulty getting on and off the toilet? Pro Tip: It’s best to determine specifically whether or not the condition has been diagnosed by a healthcare professional. When do you take your high blood pressure medication? . This morning, my daughter made sure I had a little something. ), I get an itchy skin rash. .We are intimate. Am sorry you are unable to do it now. A combination of open and closed questions will yield better patient data. I can do that–I’ve been doing what I need to do. A combination of open and closed questions will yield better patient data. It hurts to eat. Description: Ms. Park describes drinking 1-2 glasses of water a day. I will now do a physical examination. Can you describe a typical bowel movement? It’s 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. 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. This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. I haven’t been hungry. Single System Examination. Each student is responsible for determining the scholarship and quality of any .com site. . . I’ve had two colonoscopies. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments. 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. 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. When do you take blood pressure medication? Log in Sign up. No. What information do you ask a patient if they've had indigestion? Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Bloody stool that appears black or tarry suggests bleeding in upper digestive tract, such as the small intestine or stomach. Pro Tip: It’s important to ask about the suddenness of diarrhea because it may be a sign of a new onset of a gastrointestinal disease or disorder. . Several disorders in abdomen may cause abdominal tightness. . 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. Maybe a little darker than usual. Only $2.99/month. It’s important to ask whether your patient has noticed changes in her typical urinary patterns. How many bowel movements do you typically have per week? (Clarified to if my legs are swelling.). This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. I am able to swallow without any problems. Pro Tip: For many people, it is difficult to clearly dxxxx. The last time I had anything of that nature was . The following details are facts of the patient’s case. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as 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. My daughter was concerned. Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. Complete the post activity assessment questions for each assignment . During the patient interview, there are a number of opportunities to provide patient education and empathy. Yes. Every day. No. Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years. Pro Tip: A high fiber diet helps to reduce constipation. Experts selected these topics as essential components of a strong, thorough interview with this patient. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Gravity. Patients may not know how to answer, so you may need to suggest words like frothy, greasy, floating, or watery. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. She’d been caught up in the cord, around her neck. All elements of the reference otherwise must be included. I'm working full time, getting my Masters at … My name is Jones, and i will be interviewing you today, and later do a physical examination. I don’t eat snacks. (Clarified to what brings me to the hospital. 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 your interview with Ms. Park, you will. Do you have problems getting into and out of chairs? How many meals do you typically eat per day? . Pro Tip: Bloody stool is an alarming symptom that indicates bleeding in the digestive tract. 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. It’s important to ask whether your patient has noticed changes in her typical habits. When I move around the house or try to garden, I feel more pain. Pro Tip: Social support is important for coping with daily stressors and for maintaining quality of life. . We will write your work from scratch and ensure it's plagiarism-free, you just submit. They are in Korea. How has your illness affected your daily life? Do you have problems getting in and out of chairs? Your patient’s relationships with others can be assessed by your asking about social support. 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. Only $2.99/month. However, you may elect not to repeat any assignment. focused exam: abdominal pain. Nursing tasks and Documentation, while they provide valuable practice for their real-world counterparts, are not automatically evaluated by the simulation. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Pro Tip: Asking about changes in energy level will help determine the level of disability caused by your patient’s condition. 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. Pro Tip: It is important to ask about burning during urination to assess for infection or inflammation of the urinary tract. 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. Hi. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. If there are multiple symptoms, follow up on each one during your interview. I’ll have it instead of my breakfast toast. At the moment, I’d say it’s a 2. Create. Asking about the name of the medication, in this case for blood pressure, will help you to treat your patient. 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. Do you take any over the counter medications? Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Well, my mother had diabetes, but that’s it. Must address the following components: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up planning. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. Asking Esther about how she perceives her fiber consumption will help you to assess whether her intake and any gaps in health literacy. ****Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. A glass or two a day, I’d say. Pro Tip: Tobacco affects the heart by reducing the amount of oxygen the blood is able to carry. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about x assxxesses the xxxx and the xxx of the problem. Please be aware that .com websites can vary in scholarship and quality. The physiologic, pharmacologic, and psychosocial aspects of elderly patients make an evaluation of their abdominal pain different than in the general population. If there are multiple symptoms, especially related symptoms like constipation and bowel pain, follow up on each one during your interview. Pro Tip: Assessing appetite guides understanding of patient health. Include at least one scholarly source to support diagnoses and treatment interventions with rationales and references on the SOAP note. Have you had changes in your fluids intake ? (Clarified to Are your legs swelling?. It is very important to determine whether or not the situation is an emergency and the underlying cause of Esther’s discomfort. Asking specifically about bowel movement frequency aids in the identification of abnormalities. Pro Tip: Access to healthcare and resources heavily influences one’s health condition. Spell. No, it seems normal enough to me. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Description: Ms. Park describes being more fatigued and having less energy for her daily activities. Pro Tip: For many people, it is difficult to clearly describe pain. Has the pain affected your daily activities? Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. . Exercise is good for you, keep exercising, Model Statement: “Thanks for telling me about your diet. Usually I don’t need much help. [AUDIO COMING SOON]. Description: Ms. Park describes being widowed and living with her daughter. Pro Tip: A history of frequent or severe UTIs could lead to scar tissue in the urinary tract, bladder, or kidneys. controlling myself. 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. I do what I need to. Do you have a family history of diabetes? Have you taken medication for the stomach pain? Created by. . 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