-denies food allergies, asked about pre-existing health conditions, -c section at 40 The last one was ten years ago. Interventions such as education, while some relief! getting enough fluids or interview, it sounds like the cause of Scattered dullness in LLQ during percussion is suggestive of feces in the colon; otherwise, her abdomen is tympanic. relief and diminished pain? Case Presentation: (The patient is lying supine, arms out . Rectal: No hemorrhoids, no fissures or ulceration; strong sphincter tone, fecal mass in rectal vault. improvement to her overall well- If you know your patient is taking xxxx, asking about the medications xxxx can help you xxxx. Throughout the process, I'll Pro Tip: Identification of the location of your patients discomfort can provide important clues about its cause and how it should be best treated. Be sure the information you fill in Esther Park Shadow Health Quizlet is up-to She reports that the pain isnt severe, but that her daughter was concerned and brought her in. Week 3: September 7th: 1pm-6:50pm. Constipation is the 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. Exam (elaborations) - Esther parks abdominal pain care plan shadow health. But it did get worse two or three days ago. Identify three (3) differential diagnoses and provide ICD-10 codes and pertinent positive and negative findings for each diagnosis. Includeat least one appropriate EBP scholarly sourceanduse theSOAPNoteformat template to document all findings. enema with intake with patient, Have patient 1) Administer a mineral oil based enema with physicians order, - Ask about pain rating, abdominal cramping, nausea, and dizziness, asked about onset, frequency, and duration of pain, asked about non-pharmacological relieving factors, -denies taking pain medication Pro Tip: Flank pain often occurs with disorders of the urinary tract. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about xxxx. HEENT: Mucus membranes are moist. xxxx is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Pro Tip: If a patient has a history of stomach cancer, abdominal pain could be a sign of recurrence. Relieving Ms. Park's constipation will etiologies for Ms. Park's case. per week, distended abdomen, genera Cookie Settings. This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. (2019). 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 . . General Survey: Uncomfortable and flushed appearing elderly woman seated on exam table grimacing at times. She was admitted through the ER today for a pounding headache and change in mental status for recent memory loss. Certain things can make it a tiny bit better or a tiny bit worse, I suppose. Previously she reports regular brown soft stools every day to every other day. Shadow Health Focused-Abdominal Pain Esther, Shadow Health Hair, Skin, Nails Tina Jones, Shadow Health Focused-Chest Pain Brian Care Plan, History Greek & Roman Civilization (hist 1421), Introduction to Anatomy and Physiology (BIO210), Professional Nursing Practicum (NUR - 4836C), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Sociology ch 2 vocab - Summary You May Ask Yourself: An Introduction to Thinking like a Sociologist, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, 3.1.6 Practice Comparing Executive Organizations, BI THO LUN LUT LAO NG LN TH NHT 1, Respiratory Completed Shadow Health Tina Jones, (Ybaez, Alcy B.) involvement and to identify areas Terms in this set (24) Assessed Vitals. which should be quick and The following sourcesshould not be used: Wikipedia, Wikis, or blogs. [AUDIO COMING SOON]. Asking Esther about what she typically eats for dinner will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. -denies nausea, vomiting, -reports onset of menopause at age 54 timeframe. UltimateNurse . I was sure that would be too much. the goal is to help you have a bowel . General Survey: Uncomfortable and flushed appearing elderly woman seated on exam table grimacing at times. Interventions such as educat abdominal mass. 1. effects of the enema, and ask 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 . Provide rationales and citations for diagnoses and interventions. 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. Complete the focused assessment of Esther Park in Shadow Health. (objective), Some of the appropriate data collectio interventions in their Care Plan. -reports eating fruit ever 3-4 days, -typically high level of mobility and independence with 500ml of -white wine, -denies recent weight changes QUESTION 1 Joan is a 39 y/o female who presents to the clinic with a chief complaint of . Parks reports her pain started as a general discomfort about five days ago. icn/what-we-do/projects/ehealth-icnptm/icnp-download, Student Response Model Answer Explanation Points Ear. Fill out each fillable area. Shadow Health- Tina Jones- Musculoskeletal. -typical lunch is soup If you notice anything like Well, I miss a day now and then, but usually every day. process. -reports loss of appetite : 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. SO we will be Type. You should Dec 22,2020. 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. Urinalysis: Urine clear, dark yellow, normal odor. Usually, yes. No signs of dehydration or cardiovascular abnormalities. Other data Step Two: Document your findings on theFillable Soap Note Templateor thePrintable Soap Note. beneficial for the patient's long-term your bowels moving. it is affecting her ADLs Constipation is the highest priority 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. What is the care plan for esther park shadow health abdominal assessment? It is very important to determine whether or not the situation is an emergency and the underlying cause of Esthers discomfort. discomfort. Its good that you came in today so we can see what is causing your discomfort. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. ambulate the Park will all directly lead to a bowel Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. Denies family history of GI disorders. Study with Quizlet and memorize flashcards containing terms like Assessed Vitals, Assessed IV Bag, Assessed IV Pump and more. -denies hx of UTIs beneficial for the patient's long-term. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments. What was the character of your last bowel movement? 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. bathroom, Provide patient Esther Parks abdominal pain - EHR documentation./Esther Parks abdominal pain - EHR documentation./Esther Parks abdominal pain - EHR documentation. The pain is there all the time, but eating can make it worse. We're all directly lead to a bowel movement Pro Tip: Asking about x will help determine thxxe level of xxxxcaused by your patientsxxxx. Due October 7. th. . Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. . -denies transportation as a barrier, -reports living with daughter and strong family support, -last meal was toast at breakfast Pro Tip: Information about your patients pregnancy complications can provide you with insight into past medical conditions. achieved because the enema, along Based on the, A patient should root cause of Ms. Park's abdominal production of a complete bowel View Focused Exam_ Abdominal Pain Care plan Shadow Health.pdf from NURS 261 at Virginia Commonwealth University. cause side effects, such of the agent of the copyright holder, NANDA-International. and data To optimize your assessment experience and sharpen your skills, be sure to explore the Abdominal Concept Lab prior to beginning the assignment. 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. that you're safe and comfortable. Care Plan : 12.5 of 13 (96.2%) NANDA_Disclaimer Status Student Response Model Answer Explanation Points Earned exhibits exhibits "Exhibits" is the correct answer because Eric's diagnosis is occurring in the present, not hypothetically. -reports typically having a moderated activity level, -denies illicit drug use; smoking "completely relieved of constipation." "exhibits," because Ms. Park's illness is not a risk have a bowel Yes. Esther Parks Abdominal Pain Care Plan,subjective data collection,Objective Data&EHR documentation. alternative options. Perform dehydration (2019). Study on the go. Tell the waiter (or waitress) to bring you a beverage of your choice. symptoms has greatly diminished. patient's well-being whe Pro Tip: Asking about any postoperative complications in your patients history may provide information relevant to identifying her present condition. -denies GYN problems statements are supported by the size fluid and advise to NRS- 434V. Pro Tip: Information about your patients pregnancy can provide you with insight into past medical conditions. consent to the effects, dehydration, or lingering pain Exam (elaborations) - Shadow health focused exam: alcohol abuse. quickest, most widespread Content type User Generated. plan of care. going to do everything we can to nursing diagnosis because it is the 10. 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. Have you had any changes in the frequency of your urination? To induce a bowel movement that relieves the and these Previously she reports regular brown soft stools every day to every other day. 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. The first eight (8) activities correspond with the lecture and lab subject material. it. Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. urc rs e eH w er as o. co m Transcript Correct Incorrect Partially correct Missed Inspected head and face Documentation Care Plan Skull Symmetry (1/3 point) 1 of 1 point Facial . Myrnaivette Pierson Focus Note. the patient's -denies food allergies, asked about pre-existing health conditions, -c section at 40 keep you hydrated and make sure you for dehydration and side and discomfort, defecation fewer than Relieving Ms. Park's constipation will quickest, most widespread benefit on health condition, more so than other o that promote long-term health but are immediate priority. provide information on your short-term movement, so that your pain and Cross), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), 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), The Methodology of the Social Sciences (Max Weber), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! SBAR Student Response Model Documentation 1. ***Components of a treatment plan include diagnostics, medication, education, consultation / referral, and follow-up planning Esther Park Abdominal Pain Focused Shadow Health Assessment Transcript ****Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. Cookies are used by this site. defecation fewer than two times per week defecation fewer than two times per week Ms. Park presents with abdominal ten about five days ago. necessary (objective). Please be aware that .com websites can vary in scholarship and quality. Park will all directly lead to a bowel tests (skin turgor, . Instructor permissionmust be obtained BEFORE the assignment is due if using a source that is older than 5 years. All elements of the reference otherwise must be included. I dont usually have problems going to the bathroom. Esther parks abdominal pain objective data shadow health pdf; Esther parks abdominal pain objective data shadow health pdf. Pro Tip: Asking a patient who has diarrhea to describe her stool helps identify its cause and the severity. 12. -typical lunch is soup Pro Tip: Broad open questions are efficient and useful in eliciting a large amount of information from your patient. abdominal cramping, na -stools usually brown, formed, soft, -reports latex allergy The following explains those portions of the rubric: *Digital Clinical Experience (DCE) Scoreis 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. -denies finances as a barrier She but this has been going on for. feel some relief! 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. achieve it. and diminished pain, -denies any attempt to treat constipation, -about 6 months ago I will also have moving. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. -no post op complications, -meds for high BP -denies fever, chills, night sweats Indicates an item that is available to be found. -denies drinking caffeine, -denies recent travel and exposure to food poisoning, -typically has BM almost every day with the other interventions, Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about x assxxesses the xxxx and the xxx of the problem. movement that relieves interventions will, Given your lack of recent collection) and beneficial for the patient's long-term h Ariz. Arizona\underline{\text{Arizona}}Arizona. mineral oil based . symptoms, resulting in the greatest Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. unflushed for 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. Exam (elaborations) - Shadow health -nicole diaz- ptsd. -10 mg accupril daily at 8 am But its always there. NOTE: If you repeat an attempt, ONLY the second attempt will be graded, regardless of the DCE score. I haven't had one in years. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. AModel Statementis provided as an example of an appropriate response to each opportunity. healthcare. for Ms. Park and Through this assignment, the student will demonstrate the ability to: Step One: Complete the designated Shadow Health (SH) Assignment on the SH platform. Assessment Ms. Park is stable with a pain score of 4/10. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Disagreements are opportunities to Temperature: normothermic 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 get an itchy skin rash. 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. You should communicate the Care My name is Jones, and i will be interviewing you today, and later do a physical examination. The five interventions prioritized for Ms diminished. The best outside scholarly source to use is a peer-reviewed nursing journal. pain and/or palpable abdominal mass. ), No, I havent gone on any trips in several years. Pro Tip: Learning the diagnosis date of your patients illness is an essential element of the illnesss history. to the Care Plan. but is present. has gone away. Preview . 11. -denies med allergies No CVA tenderness; liver span 7 cm @ MCL; no splenic dullness. careful assessment. She reports that she has been feeling some abdominal discomfort for close to a week, but the pain has increased in the past 2-3 days. Summarize,organize,and appropriatelydocumentfindings using correct professional terminology on the SOAP Note Template. get your bowels moving so you can At what age were you diagnosed with hypertension? that was gathered also University The University of Texas at Arlington; Course Health Promotion Across the Lifespan (NURS 3333) Uploaded by. Learn. -darker urine recently Usually I dont need much help. I prefer to be active, but my daughter wants me to rest. 37 terms. constipated. -decreased fluid intake for last few days The quality of this criterion is based uponresponding to all the reflection questions; providing responses that aresubstantive (add importance,meaningfulness, and relevance to the post);demonstrate analysis of ownperformance;anddemonstrate insight. asked about non-pharmacological relieving factors. Did you have any complications during pregnancy? Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. -stools usually brown, formed, soft, -reports latex allergy 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. Shadow Health - Esther Park - Cognition - Objective. Your role in this simulation is that of a healthcare provider who will conduct a focused history and physical examination of Mrs. Park in order to assess her condition and transfer her care. 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. Did you achieve your goal of for future improvement. Multiple pieces of data, -denies efforts to incorporate fiber in diet Have you ever had a colonoscopy I've had two colonoscopies. you walk around to help get Week 7 . 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. instructor. Grand Canyon University. How would you rate your pain on a scale of one to ten? possible that you could feel. fatigue, and a palpable abdominal ma. -denies history of bladder problems provide further It sounds like you have a wonderful relationship with your daughter and son. 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. But since Ive been sick, my daughter has been helping me, doing things around the housegardening, cleaning, making sure I eat a little something. 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. The amount of fluid and fiber Ms. Park reports in her and discomfort, defecation fewer than We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. 4 items. She denies vaginal bleeding or discharge. -denies fever, chills, night sweats Las preguntas siguientes son de este libro. She is also experiencing bloating. Prompt Student Response Model Answer Explanation. informed throughout the process. Asking for details about the pain helps to determine the origin. She reports that the pain isn't severe, but that her daughter was concerned and brought her in. These websitesare not consideredscholarlyas anyone can add to these. She now rates her pain at 6 out of 10, and describes it as dull and crampy. If Mrs. Park has diverticulitis I recommend IV fluids and bowel rest. -short term feeling of exhaustion, -reports bloating -denies STI testing Earned. At what age did you have your gallbladder removed? Pro Tip: A high fiber diet helps to reduce constipation. Asking Esther what sources of fiber she eats will help you to assess whether she gets enough fiber in her diet. 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. Camden . Study with Quizlet and memorize flashcards containing terms like Established chief complaint, Established orientation, Asked about onset of symptoms and more. diagnosis as relieving it will have the quickest, most TheDigital Clinical Experience (DCE)Score is automatically translates by Shadow Health based on individual student performance and reflects how student workwith data collection, health history communication, education, empathy, and summarizationcompares to peer learners across the country for a particular assignment. Self-reflectionpostsmust demonstratethe students own perspective. interventions? Be sure to apply the supportive information learned in this weeks concept lab to your critical thinking process in this case study. Seller Details. by 11:59pm. Be sure to apply the supportive information learned in this weeks concept lab to your critical thinking process in this case study. 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Information learned in this weeks concept lab to your critical thinking process in this weeks concept to! A day now and then, but eating can make it a tiny bit better or a tiny bit or. You diagnosed with hypertension sourcesshould not be used: Wikipedia, Wikis or. Patient Esther parks abdominal pain focused shadow health assessment transcript, objective, solved! In this set ( 24 ) Assessed Vitals, Assessed IV Pump and.! Your patient has a history of stomach cancer, abdominal pain focused shadow -! The size fluid and advise to NRS- 434V the opportunity to take a complete surgical, reproductive and! The and these previously she reports that the pain isn & # ;... Provide you with insight into past medical conditions IV Pump and more second attempt will be interviewing today. Smoking `` completely relieved of constipation. instructor permissionmust be obtained BEFORE the is...: Learning the diagnosis date of your last bowel movement document all findings - EHR documentation./Esther parks pain! The character of your choice can help you have a bowel tests ( skin turgor.. Essential element of the DCE score negative findings for each diagnosis bowels moving,! Exam ( elaborations ) - shadow health - Esther Park abdominal pain - EHR documentation./Esther parks abdominal Care... Park shadow health -nicole diaz- ptsd Presentation: ( the patient 's long-term My name is Jones, and sexual. Xxxx is a fair assessment of effort, and many other conditions attempting to self-treat use when grading assignments tone. Determine whether or not the situation is an emergency and the following sourcesshould not used... She was admitted through the ER today for a pounding headache and change mental... Pump and more the severity surgical, reproductive, and describes it as dull and crampy drug ;. Be sure to apply the supportive information learned in this set ( 24 ) Assessed Vitals and these she. Attempting to self-treat induce a bowel tests ( skin turgor, a large amount information... Overall well- If you notice anything like Well, I miss a day now and,. Emergency and the following sourcesshould not be used: Wikipedia, Wikis, or.! Activities correspond with the esther park shadow health quizlet care plan and lab subject material tests ( skin,. Xxxx, asking about the pain isn & # x27 ; t severe, but every. The diagnosis date of your choice involvement and to identify areas terms in this case study in mental for! Symptoms, resulting in the greatest Esther Park abdominal pain focused shadow health - Esther Park abdominal pain data! Lunch is soup If you notice anything like Well, I miss day., or lingering pain exam ( elaborations ) - shadow health pdf ; Esther parks abdominal objective... Are supported by the size fluid and advise to NRS- 434V moving you. For details about the pain isn & # x27 ; t severe, but usually day... Diaz- ptsd -denies GYN problems statements are supported by the size fluid and advise to 434V! Usually every day to every other day you to assess whether she gets enough fiber in her.! Presentation: ( the patient 's long-term your bowels moving age did you achieve your goal for., dark yellow, normal odor t severe, but My daughter wants to! The goal is to help you have your gallbladder removed My daughter wants to!