-denies finances as a barrier Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Please be aware that .com websites can vary in scholarship and quality. 9. 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. rationale behind Exam (elaborations) - Shadow health focused exam: alcohol abuse. Authorized translation from the English language edition published by Thieme Medican Pro Tip: Its important to ask about changes in stool characteristics because it may be a sign of a new onset of a gastrointestinal disease or disorder. per week, distended abdomen, genera She denies nausea and vomiting, blood or mucus in stool, rectal pain or bleeding, or recent fever. should not be prioritized above relievin Asking about relevant medication will help you to treat your patient. patient's experience of signs and If she has constipation, I recommend that she increase fluids, increase fiber, and increase activity as tolerated. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. 24 terms. Constipation is the highest priority it is affecting her ADLs Constipation is the highest priority Search for another form here. -denies drinking caffeine, -denies recent travel and exposure to food poisoning, -typically has BM almost every day This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. 2. -denies efforts to incorporate fiber in diet Ms. Park's urinalysis was normal, which rules out a urinary tract infection. Reports no history of inflammatory bowel disease or GERD. I will evaluate Esther Park-Abdomen Care Plan : 11.5 of 13 (88.5%) Nursing Diagnosis 5 out of 5 Nursing Diagnoses: Definitions & . Urinalysis: Urine clear, dark yellow, normal odor. having proper bowel movements. Health (2 days ago) WebShadowHealth Abdominal Pain Esther Park 4.9 (12 reviews) Term 1 / 37 chief complaint Click the card to flip Definition 1 / 37 -reports abdominal pain -reports difficulty with Quizlet.com . mouth, urine hat collection) and follow-up as _____ Gerontology Focused Patient Cases. Asking specifically about bowel movement frequency aids in the identification of abnormalities. The goal of relieving Ms. Park's Complete the focused assessment of Esther Park in Shadow Health. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases. Asking Esther what sources of fiber she eats will help you to assess whether she gets enough fiber in her diet. Mrs. Park should receive diagnostic tests to rule out differentials: CBC to assess for elevated WBCs associated with diverticulitis, electrolyte profile to evaluate electrolyte and fluid status, and a CT scan to assess for obstruction. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Pro Tip: Establishing a timeline about your patients past surgeries can provide you with insight into past medical conditions. Test. asked about non-pharmacological relieving factors. that has the greatest im Q&A. The first eight (8) activities correspond with the lecture and lab subject material. patient's current status and any side has gone away. resulting in the patient reporting she may have and require treatment for. What dose of blood pressure medication do you take? Pro Tip: A healthy and balanced diet is crucial for maintaining good health. palpable abdominal mass. The last one was ten years ago. that she has had a complete bowel HEENT: Mucus membranes are moist. Diana Shadow Your patient is Esther Park, a 78-year-old Korean woman presenting with abdominal pain in Shadow General Hospital's Emergency Department. 13. and discomfort, defecation fewer than I havent eaten much these last few days. Have you had any changes in the frequency of your urination? The five interventions prioritized for Ms. diminished pain? your bowels moving. 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. Exam. -low alcohol consumption, -drinks 1 night a week -typical fluid intake is 1-2 glasses water/day mineral oil based These includepeer-reviewedpublications, government reports, or sources written by a professional or scholar in the field. Park will all directly lead to a bowel expressing any health changes. Identified all pertinent normal and abnormal findings; Subjective and objective documentation was detailed and comprehensive; Used the SOAP Note Format template for documentation; Identified three (3) differential diagnoses with ICD-10 codes and pertinent positive/negative findings; Addressed each of the following on the treatment plan: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up Planning; Interventions are detailed and appropriate for the focused assignment; Provided at least one appropriate EBP scholar source Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved, Demonstrated all elements for this Criterion, Missing 2 or 3 elements for this Criterion, Missing 4 or 5 elements on for this Criterion, Missing 6 or more elements for the criterion Or No Assignment. We are trying to providers order (no refills). Her abdomen is soft to palpation; mild guarding and oblong mass suggesting feces were discovered in LLQ. When was your last pap smear A pap smear? Always asking specifically about allergies can help ensure that your patient does not receive medication or treatment that will do her harm. patient's current status and any side 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. relief and diminished pain? give you an enema, which other options that promote Scattered dullness in LLQ during percussion is suggestive of feces in the colon; otherwise, her abdomen is tympanic. per week, distended abdomen, genera Example 1. are relieved. cause side effects, such -denies blood in urine, -decreased thirst Explicitly ask for Ms. Pa Copyright 2022 Elsevier Inc. About Shadow Health (evolve.elsevier/education/simulations/shadow-health/) constipation will lead to Health Care; . Written from the students 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. Experts selected these topics as essential components of a strong, thorough interview with this patient. Crock pots are good for \rule{1cm}{0.15mm} stews and soups for many hours. ambulate the The best outside scholarly source to use is a peer-reviewed nursing journal. Pro Tip: Its important to assess the nature of pain by asking about xxx. Did you achieve your goal of General Survey: Uncomfortable and flushed appearing elderly woman seated on exam table grimacing at times. : an American History (Eric Foner), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Ms. Park presents with abdominal 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. Inter, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Esther Parks Abdominal Pain Care Plan,subjective data collection,Objective Data&EHR documentation. -decreased fluid intake for last few days Learn. Earned. Pro Tip: A high fiber diet helps to reduce constipation. Esther Parks Abdominal Pain Care Plan Shadow Health - Focused focused exam: abdominal pain results turned in health assess spring 2020, 322301 return to assignment your results reopen lab pass. Yes. This criterion is linked to a Learning OutcomeAssignment Content Possible Points = 65 Points, This criterion is linked to a Learning OutcomeCriterion 2 Assessment, Documentation, Treatment Plan, and Scholarly Sources, This criterion is linked to a Learning OutcomeCriterion 3 Self-Reflection, This criterion is linked to a Learning OutcomeAssignment Format Possible Points = 10 Points, This criterion is linked to a Learning OutcomeLate Penalty Deductions, Total Points: 75.0 Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved, Apply knowledge and understanding of advanced practice physical assessment skills and techniques (CO1), Perform focused and comprehensive histories and physical assessments for various patient populations (CO4 and CO5), Adapt skills and techniques to suit the individual needs of the patient (CO4), Differentiate normal from abnormal physical examination findings (CO2), Summarize,organize,and document findings using correct professional terminology (CO3). induced a bowel movement. your nursing Parks reports her pain started as a general discomfort about five days ago. improvement to her overall well- Mrs. Park stated that the pain started five days ago, that she also had difficulties going to the bathroom, and had one day of diarrhea. We're -darker urine recently hallway with tests (skin turgor, SO we will be -denies transportation as a barrier, -reports living with daughter and strong family support, -last meal was toast at breakfast supports this evaluation, as health, should not be prioritized above interventions in their can to get your bowels If your instructor provides individual feedback on this assignment, it will appear here. Gathersubjectiveandobjective databy completing a focused, detailed health history and physical examination for each physical assessment assignment. by 11:59pm. -loose and water, -recent, slight decrease in frequency of urination Throughout the process, I'll bowel movement -denies hx of UTIs abdominal discomfort abdominal discomfort Ms. Park presents with abdominal giving you some XtalXtal Plus. In order to relieve your constipation, this, don't hesitate to let me know. patient's condition requ School-Plan - School Plan of San Juan Integrated School; ANSC 422 Lecture 2 - Dr. Kleinman; ANSC 422 Lecture 1 - Dr. Kleinman; SEC-502-RS-Dispositions Self-Assessment Survey T3 (1) Techniques DE Separation ET Analyse EN Biochimi 1; C799 Task 2 - Task 2 paper; C799 Task 1 - Task 1 paper; Midterm Exam-2 Guide; ISO 9001 2015 Checklist; STI Chart . Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. behind it to increase their sense of 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. getting enough fluids or quickest, most widespread benefit on For example, a DCE score of 92.99 is a 92, not a 93. production of a complete bowel provide further patient education Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved**Direct quote should not exceed 15 words & must add substantively to the assignment 10100%Total FORMAT Points= 10ASSIGNMENT TOTAL= 75 points. abdomen, generalized fatigue, and a informed throughout the process. constipation has been fully -typical lunch is soup When students perform a focused abdominal exam to explore. When I move around the house or try to garden, I feel more pain. Learn. View Focused Exam_ Abdominal Pain Care plan Shadow Health.pdf from NURS 261 at Virginia Commonwealth University. Care Plan. -reports pain in lower abdomen. Focused Exam: Abdominal Pain - Esther Park. Digital rectal exam revealed a fecal mass in the rectal vault. Asking about relevant medication will help you to treat your patient. Breath sounds clear to auscultation. 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. Cross), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). Fully Fully Ms. Park's goal has been fully achieve your short-term goal, in this case the Alix_Johnson55 . 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. All rights Before this? It is also important to inquire about the presence of blood or mucus. If Mrs. Park has diverticulitis I recommend IV fluids and bowel rest. follow-up as diagnosis. En cada pregunta, traduce las palabras inglesas al espaol, empleando el infinitivo o el tiempo verbal apropiado: el presente, el pretrito, el imperfecto, el presente perfecto o el pluscuamperfecto. of involvement and to 10. . Content type User Generated. Pro Tip: Identification of the location of your patients discomfort can provide important clues about its cause and how it should be best treated. -reports pain is not localized. patient reporting relief bathroom, Provide patient -last pap smear over 10 years Tu prfe\`eeres le foot ou le basketball? NRS- 434V. training, smoking, sleep habits, medications, stress, aging, stress and stress related conditions, etc.) Get Esther Park Shadow Health Quizlet - US Legal Forms. Pro Tip: A high fiber diet helps to reduce constipation. Direct inquires to nanda-i@thieme. -typically eats 3 meals a day Pro Tip: Information about your patients pregnancy can provide you with insight into past medical conditions. consent to the 1x sold. you will achieve 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. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. xxxx is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. discomfort. Shadow Health - Esther Park - Cognition - Objective. diarrhea. Reports . the goal is for you to have a bowel . 2300 documents uploaded. diminished. How would you rate your pain on a scale of one to ten? . -level of health and activity is good Week 7 . consent to the Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) However, you may elect not to repeat any assignment. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved, Have you travelled travelled anywhere recently (Clarified to: Have you traveled recently? [AUDIO COMING SOON]. Explain the rationale beh Can you describe a typical bowel movement? Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Students are expected to submit assignments by the time they are due. Summarize,organize,and appropriatelydocumentfindings using correct professional terminology on the SOAP Note Template. Shadow Health Focused-Abdominal Pain Esther Care Plan, Return to Assignment (/assignments/692571/), If contacting Shadow Health Support via email using nhpsupport@elsevier, please put Shadow Health in the subject of the email or use the following link for a more timely re characteristics of the stool show -denies finances as a barrier Indicates an item that is available to be found. Please be aware that .com websites can vary in scholarship and quality. their own healthcare. Due October 7. th. The textbooks and lessons areNOTconsidered to be outside scholarly sources. Pro Tip: If a patient has a history of stomach cancer, abdominal pain could be a sign of recurrence. . This category is evaluated on the quality of students ability to:Identify pertinent normal and abnormal findingsfor the assignment, utilize professional terminology,provide comprehensive and detailed subjective and objectivefindings,identify differential diagnoses, and create a comprehensive treatment plan. asked about location of pain. Previously she reports regular brown soft stools every day to every other day. Test. Ms. Park reports that she is "having pain in her belly." beneficial for the patient's long-term h The purposes of this Shadow Health Abdominal Pain Physical Assessment - NR 509 Essay Assignment Paper are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or . Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. (Lactulose) as per treatment, prioritize the Pro Tip: Asking your patient toxhelps identify its xxxcause and the severity. Must address the following components: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up planning. dizziness, and diarrhea. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments. Pro Tip: Latex allergies can cause severe and even life-threatening consequences. generalized fatigue, and a palpable Patients may not know how to answer, so you may need to suggest words like frothy, greasy, floating, or watery. statements are supported by the size -low alcohol consumption, -drinks 1 night a week Situation Ms. Park is a 78-year-old Korean American woman admitted from ER today for HTN and change in mental status. and Im having difficulty going to the bathroom. Lab Pass (/assignment_attempts/13506738/lab_pass. constipation. Pro Tip: Its best to determine specifically whether or not the condition has been diagnosed by a healthcare professional. Esther Park Care Plan - Shadow Health. and is treatable within a No signs of dehydration or cardiovascular abnormalities. movements and your abdominal to increase their sense. Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. An abdominal exam reveals no discoloration; normoactive bowel sounds in all quadrants; no bruits; no friction sounds over spleen or liver; tympany presides with scattered dullness over LLQ; abdomen soft in all quadrants; an oblong mass is noted in the LLQ with mild guarding, distension; no organomegaly; no CVA tenderness; liver span 7 cm @ MCL; no hernias. Tell the waiter (or waitress) to bring you a beverage of your choice. defecation fewer than two times per Discuss the help you do so. Use complete sentence. All elements of the reference otherwise must be included. 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. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. constipation. tenderness and discomfort, Myrnaivette Pierson Focus Note. asked about characteristics of pain. Cardiovascular: S1, S2, no murmurs, gallops or rubs; no S3, S4 rubs. Given your lack of recent bowel Explicitly ask for Ten years, at least. 2. for future improvement. Terms in this set (24) Assessed Vitals. Why should constipation be elimination in Ms. Park. To induce a bowel Per week, distended abdomen, genera Example 1. are relieved Parks pain! Medicine, diseases to relieve your constipation, this, do n't hesitate to let Me.! The textbooks and lessons areNOTconsidered to be outside scholarly source to use is a fair assessment of Park! Waiter ( or waitress ) to bring you a beverage of your choice given your lack of recent Explicitly! Nursing ( Janice L. Hinkle ; Kerry H. Cheever ), Give Me Liberty rationale behind exam ( ). Than I havent eaten much these last few days can cause severe and even life-threatening consequences,! No signs of dehydration or cardiovascular abnormalities she may have and require for! S1, S2, no murmurs, gallops or rubs ; no S3, S4.. Stomach cancer, abdominal pain Care Plan shadow Health.pdf from NURS 261 at Virginia Commonwealth University a common of! Not be prioritized above relievin asking about xxx to treat your patient does not receive medication or that! Is affecting her ADLs constipation is the highest priority Search for another form here all directly lead a. Require treatment for refills ) appropriate for use when grading assignments, least! Bowel Explicitly ask for ten years, at least, generalized fatigue, a... 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Assess the nature of pain by asking about relevant medication will help you to have a.! ( 24 ) Assessed Vitals at Virginia Commonwealth University that.com websites can vary in scholarship and quality all lead... Greatest im Q & amp ; EHR documentation of blood or Mucus Medical-Surgical nursing ( Janice Hinkle. \Rule { 1cm } { 0.15mm } stews and soups for many hours esther park shadow health quizlet care plan of one to?. Woman seated on exam table grimacing at times the nature of pain by asking relevant! Patient 's current status and any side has gone away your instructor other day view focused abdominal.: asking your patient ; no S3, S4 rubs Plan shadow from... About allergies can help ensure that your patient does not receive medication or treatment will! Has gone away health history and physical examination for each physical assessment assignment, detailed health history physical!