At what age did you have your gallbladder removed? Yes. At what age did you have your gallbladder removed? Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. PLAY. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Self-reflection posts must demonstrate the student’s own perspective. Asking about relevant medication will help you to treat your patient. You have successfully opted out of U. Only $2.99/month. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. and I’m having some difficulty with going to the bathroom. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. 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. Log in Sign up. What dose of blood pressure medication do you take? Did you have any complications after your surgery? Well, I miss a day now and then, but usually every day. The pain and discomfort is down low in my belly. difficulties going to the bathroom. ***Components of a treatment plan include diagnostics, medication, education, consultation/referral, and follow-up planning. Are you taking any medication for the stomach pain? No, I haven’t gone on any trips in several years. 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. However, it may also occur due to trauma, certain cancers, and infections, including STDs. Pro Tip: A high fiber diet helps to reduce constipation. What medication do you take for your blood pressure? maybe six months ago. She reports that the pain isn’t severe but that her daughter was concerned and brought her in. Pro Tip: Presence of vomiting would indicate a complaint such as food poisoning or infection. Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. a dull, cramping feeling, yes. Pro Tip: Bloody stool is an alarming symptom that indicates bleeding in the digestive tract. Browse. Pro Tip: You should ask geriatric patients to identify where they are so you can determine their cognitive functioning. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Pro Tip: Information about your patient’s gallbladder and whether it has been removed can provide you with potential insight into her current gastrointestinal pain. Pro Tip: A high fiber diet helps to reduce constipation. Pro Tip: Understanding all of a patient’s reason for visiting is an important foundation to establish. What relieves your pain besides medication? It’s important to ask whether your patient has noticed changes in her typical habits. No. The pain is there all the time, but eating can make it worse. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Pro Tip: Medication allergies can cause severe and even life-threatening consequences. 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 Pro Tip: Asking about usual bowel movements facilitates baseline data collection. No, I haven’t noticed anything like that. Pro Tip: Assessing appetite guides understanding of patient health. Asking older patients about their ability to bathe on their own allows you to determine if greater caretaking is necessary. Sure, less movements can help relieve pain. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Pro Tip: Asking about changes in activity level will help determine the level of disability caused by your patient’s condition. Asking Esther about what she typically has for a snack will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Pro Tip: Establishing a timeline about your patient’s past surgeries can provide you with insight into past medical conditions. Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. Any kind of movement makes my abdominal discomfort worse, but I don’t usually have problems with that. Summarize, organize, and appropriately document findings using correct professional terminology on the SOAP Note Template. ), I get an itchy skin rash. 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. 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. I can feed myself, but I just haven’t been hungry. My name is xxxxx. I have some pain in my belly. Log in Sign up. Hello. But it did get worse two or three days ago. Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. Indicates an item that is available to be found. Yes. Yes, they’re in the formed shape I think they should be. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved, Have you travelled travelled anywhere recently (Clarified to: Have you traveled recently? Focused Abdominal Pain Sub.pdf; Central High School; SCIENCE 311 - Fall 2018 . STUDY. What brings you to the clinic today? and I’m having some difficulty with going to the bathroom. What medication do you take if you have abdominal pain? It is important to ask older patients if they are being emotionally abused so you can follow up appropriately. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. Pro Tip: Information about your patient’s pregnancy can provide you with insight into past medical conditions. Search. The following details are facts of the patient’s case. (No matching questions found.). But I take very good care of that. xxxx pain is often best managed with around-the-clock pain medications. . and I’m having difficulty going to the bathroom. Welcome to the clinic. All elements of the reference otherwise must be included. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. Pro Tip: Asking your patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self-care. Pro Tip: Asking about usual bowel movements facilitates baseline data collection. Have you taken medication for the stomach pain? Do you have problems getting in and out of chairs? 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 progression of the problem. . If you know your patient is taking pain medication, asking about the medication’s effectiveness can help you adjust treatment as needed. In this assessment, you will become familiarized with the structure and content of an abdominal focused exam so that with real-life patients, you can: º. Pro Tip: For many people, it is difficult to clearly dxxxx. focused exam: abdominal pain. . Pro Tip: Whenever you are assessing a symptom such as constipation, inquiring about onset allows you to assess the severity and the progression of the problem. Down in my lower belly. . i am sorry you are having pain in your belly. As many sexually transmitted infections are asymptomatic in women, your patient may not recognize if she has been infected. Start studying Shadow Health- Brian Foster- Focused Exam: Chest Pain. Pro Tip: Information about your patient’s pregnancy complications can provide you with insight into past medical conditions. She reports that the pain isn’t severe, but that her daughter was concerned and brought her in. 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. Have you experienced any financial abuse? Usually I love to walk. Ask patients experiencing constipation whether it is a recurring issue so you can explore for potential causes. Pro Tip: Bloody stool is an alarming symptom that indicates bleeding in the digestive tract. I haven’t vomited or had any nausea. In patients with stomach pain, whether or not eating exacerbates pain may help you identify the nature of the condition. And I did not go to my exercise classes. Pro Tip: A regular Pap smear is indicated for female patients between 21 and 65. (Clarified to: how I would rate my pain on a scale). The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments. Pro Tip: It is important to ask about pain during urination to assess for infection or inflammation of the urinary tract. NOTE: Before initiating any activity in Shadow Health, complete the required course weekly readings and lessons as well as review the introduction and pre-brief. But I haven’t had one in… I’d say over ten years. How many bowel movements do you typically have per week? Learn vocabulary, terms, and more with flashcards, games, and other study tools. Asking Esther about her fiber consumption will help you to assess whether she gets enough fiber in her diet. The best outside scholarly source to use is a peer-reviewed nursing journal. about five days now. Every day. . It’s important to ask whether your patient has noticed changes in her typical urinary patterns. 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. Pro Tip: For many people, it is difficult to clearly describe pain. Asking older patients about their ability to dress on their own allows you to determine if greater caretaking is necessary. 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. I just have so little energy, and moving too much hurts. Pro Tip: For many people, it is difficult to clearly describe pain. Pro Tip: If a patient has a history of stomach cancer, abdominal pain could be a sign of recurrence. Patients may not know how to answer, so you may need to suggest words like sharp, dull, burning, throbbing, or shooting. I was sure that would be too much. Browse. It is also important to inquire about the presence of blood or mucus. No, I don’t take any extra fiber. Step Three:  Upload the Lab Pass and completed SOAP Note as separate documents to the same assignment tab in the gradebook. Pro Tip: If a patient has a past experience with food poisoning, she may be able to compare and contrast her present symptoms with previous illnesses. I’ve had two colonoscopies. Pro Tip: Blood in the urine can be an important clue to many underlying conditions like cancer or kidney problems. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. . I can still take care of myself and get around, but the pain makes it difficult. What a sad habit. Do you have problems getting into and out of chairs? Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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. What questions do you ask your patient if they feel nauseas or are vomiting? Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. 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. In patients with stomach pain, whether or not physical activity exacerbates pain may help you identify the nature of the condition. ****Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. Have you had changes in your fluids intake ? Usually, yes. Description: Ms. Park describes her dietary habits and reveals a lack of consistent fiber intake. Well, I have experienced low energy, like I need to rest more often. Asking for details about the pain helps to determine the origin. It’s important to confirm that a patient is able to breathe without problems. Model Statement: “It’s a really healthy practice to be drinking water every day, and it’s great that you are! STUDY. focused exam | abdominal pain | esther park shadow health assignment | complete solution (newest) | verified, 100 % correct | lehmann college Critically appraise the findings as normal or abnormal. The following sources should not be used: Wikipedia, Wikis, or blogs. Have you had any changes in the frequency of your urination? 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. Pro Tip: Asking about changes in activity level will help determine the level of disability caused by your patient’s condition. Spell. Pro Tip: It’s important to assess the nature of pain by asking about relief. Model Statement: “I’m sorry you’re having these symptoms. 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. . . Each student is responsible for determining the scholarship and quality of any .com site. Did you have any complications during pregnancy? . Learn. Pro Tip: Asking about any postoperative complications in your patient’s history may provide information relevant to identifying her present condition. Introduction and Pre-brief. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. No, that hasn’t been necessary. Start studying Esther Park-Shadow Health-Abdominal Pain. The last time I had anything of that nature was . . Every day. . It is important to ask older patients if they are being verbally abused so you can follow up appropriately. Gravity. 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. Spell. 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. 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. **Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. Focused Exam: Abdominal Pain | Esther Park shadow health assignment | Complete Solution ( ) Studies, courses, subjects, and textbooks for your search: 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. Have you had changes in your fluid intake? Sometimes I skip lunch if I’m not feeling hungry, but usually I eat something light, like soup. Model Statement: “I’m sorry you’re having these symptoms; it sounds like you’re under great discomfort. 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. Asking specifically about bowel movement frequency aids in the identification of abnormalities. 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. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. 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. A Model Statement is provided as an example of an appropriate response to each opportunity. . It’s important to ask about incontinence, especially during physical strain, laughing, coughing, or sneezing. Water is also good for you, its not a myth. I can breathe well. Did you have any complications during pregnancy? Do you take medications for the high blood pressure? Pro Tip: Chronic alcohol use can result in a range of health problems. Test. Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm. Occasionally, performance transcripts may be reviewed for secondary support. How many bowel movements do you have per week? Good, less movements helps relieve pain. Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. Write a 500-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. No, no. I had them at my annual exams, when I was younger. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. . Pre Brief: Ms. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. She reports that the pain isn’t severe, but that her daughter was concerned and brought her in. It is very important to determine whether or not … Pro Tip: Postmenopausal vaginal bleeding is an abnormal finding that can often be attributed to the thinning of uterine and vaginal linings. Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. Asking older patients about their ability to feed themselves allows you to determine if greater caretaking is necessary. Pro Tip: Frequency of urination can be an important clue to many underlying conditions. Maybe a little darker than usual. I think sometimes it’s better to let your body do what it needs to do. What medication do you take for your high blood pressure? Pro Tip: Asking your patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self-care. Pro Tip: Asking about fluid intake is a key component of a thorough health assessment. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. .I think that’s a myth, that that works. Pro Tip: Knowing your patient’s food allergies prevents your patient from receiving harmful food, and it helps to identify specific allergies, such as shellfish or eggs, which can contraindicate the administration of common medications or treatments that include derivatives of these substances. Do you take high blood pressure medication? The pain is there all the time, but eating can make it worse. Pro Tip: A history of frequent or severe UTIs could lead to scar tissue in the urinary tract, bladder, or kidneys. ), Nothing is swelling that I know of. It’s important to ask whether your patient has noticed changes in her typical urinary patterns. Pro Tip: Flank pain often occurs with disorders of the urinary tract. 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 don’t think about it, even. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. 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. To optimize your assessment experience and sharpen your skills, be sure to explore the Abdominal Concept Lab prior to beginning the assignment. You will complete all assessment assignments using the Shadow Health  virtual reality simulation platform. Pro Tip: Stress incontinence is common in geriatric women, particularly those who have had multiple vaginal deliveries. Establishing Esther’s last colonoscopy will help you assess any possible complications with her colon. This morning, my daughter made sure I had a little something. 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