Have you had any changes in the frequency of your urination? When do you take your high blood pressure medication? Pro Tip: If a patient has a history of … Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. What brings you to the clinic today? the abdominal pain is a 6 and described as a constant dull, crampy feeling low low in her abdomen that began as a general discomfort about 5 days ago when the patient states she began having difficulties going to … Pro Tip: Although it may be uncomfortable, it is important to ask the softness or hardness of usual bowel movements because the stool relays valuable information about gastrointestinal health. Interview. Pro Tip: Understanding all of a patient’s reason for visiting is an important foundation to establish. 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. Good, less movements helps relieve pain. 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. No. Reports discomfort for the past five days, Reports pain worsened intensely 2-3 days ago, Describes pain as fluctuating in severity, Asked about non-pharmacological relieving factors, Reports drinking warm water to relieve pain was ineffective, Asked about pharmacological relieving factors, Reports pain is aggravated by physical activity, Reports recent difficulty participating in usual activities, Reports slight decrease in frequency of urination, Reports decreased fluid intake for the last few days, Typical fluid intake is 1-2 glasses of water a day, Denies drinking caffeinated drinks such as coffee or soda, Reports typically having a bowel movement almost every day, Reports last Pap smear was over 10 years ago, Reports belief that her level of health and activity is very good for her age, Asked about sexually transmitted infections, Asked about pre-existing health conditions, Followed up on high blood pressure medication, Reports medication for high blood pressure is quinapril (Accupril), Reports high blood pressure medication is 10 mg. Reports taking high blood pressure medication daily at 8 a.m. How would you rate on a scale of one to ten? Pro Tip: Presence of vomiting would indicate a complaint such as food poisoning or infection. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Pro Tip: Flank pain often occurs with disorders of the urinary tract. Focused Exam: Abdominal Pain. Pro Tip: A high fiber diet helps to reduce constipation. . I have been slightly more . the abdominal pain is a 6 and described as a constant dull, crampy feeling low low in her abdomen that began as a general discomfort about 5 days ago when the patient states she began having difficulties going to the bathroom and has not had a bowel movement for several days. I have been slightly more . Pro Tip: Sleep issues can be an indicator of health problems, and it is important to ask the patient about it in order to narrow your treatment plan. Patients may not know how to answer, so you may need to suggest words like sharp, dull, burning, throbbing, or shooting. She reports that she has been feeling some abdominal discomfort for close … the abdominal pain is a 6 and described as a constant dull, crampy feelinglow low in her abdomen that began as a general discomfort about 5 days agowhen the patient states she began having difficulties going to the bathroom andhas not had a bowel movement for several days. I don’t know how much fiber is in what . Esther Park shadow health assignment. have you ever been diagnosed with an STD? . (Clarified to: How would you rate your abdominal pain on a scale of zero to ten? . Shadow health cognition quizlet Shadow health cognition quizlet Pro Tip: It is important to ask about burning during urination to assess for infection or inflammation of the urinary tract. 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. We have experts in … Toast, usually. .I’ve never been abused in any sense of the word. NURS 4520- Esther Park Shadow Health Abdominal Assessment. The pain has its ups and downs, but it’s always there. Constant pain is often best managed with around-the-clock pain medications. Shadow_Health_Esther Park Objective_Cognition 2020 Focused Exam: Cognition Results Medical Surgical Nursing: Promoting Wellness in the Older Adult... Last document update: 1 month ago. Nursing tasks and Documentation, while they provide valuable practice for their real-world counterparts, are not automatically evaluated by the simulation. Sometimes I skip lunch if I’m not feeling hungry, but usually I eat something light, like soup. 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: Assessing appetite guides understanding of patient health. maybe six months ago. As many sexually transmitted infections are asymptomatic in women, your patient may not recognize if she has been infected. On Stuvia you will find the most extensive lecture summaries written by your fellow students. It is important to ask older patients if they are being financially abused so you can follow up appropriately. Yes, they’re in the formed shape I think they should be. Asking Esther if she uses illicit drugs will indicate whether drug use puts her at risk for health complications. (Clarified to: What brings you to the hospital? How does this assignment prepare me for the real world? Pro Tip: A healthy and balanced diet is crucial for maintaining good health. I suppose I’ve been drinking a little less water than usual, just in these last few days. Pro Tip: Postmenopausal vaginal bleeding is an abnormal finding that can often be attributed to the thinning of uterine and vaginal linings. The last time I had anything of that nature was . Pro Tip: A high fiber diet helps to reduce constipation. Pro Tip: Chest discomfort could be a symptom of gastrointestinal conditions such as GERD. Yes, I have been diagnosed with high blood pressure. Pro Tip: Darker urination can be an important clue to many underlying conditions like cirrhosis or hepatitis. . I’ve just been resting, but it barely helps. My name is xxxxx. I do what I need to. Pro Tip: Recent travel or new experiences can result in gastrointestinal or other stressors. Goodness. How would you rate your pain at its lowest? 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. . I can’t imagine they are very good for you. No. .I think that’s a myth, that that works. Park is up-to-date with her immunization, had her last flu-vaccine a year or two ago. I had to miss my exercise classes this week — I didn’t have the energy for them. It is important to ask older patients if they are being sexually abused so you can follow up appropriately. Pro Tip: It is important to ask about pain during urination to assess for infection or inflammation of the urinary tract. It’s quite frustrating not being my normal self. Have you had past urinary tract infections? Health Details: Constipation is the highest priority diagnosis as relieving it will have the quickest, most widespread impact on the Ms. Park's condition, including on her abdominal discomfort. the abdominal pain is a 6 and described as a constant dull, crampy feeling low low in her abdomen that began as a general discomfort about 5 days ago when the patient states she began having difficulties going to the bathroom and has not had a bowel movement for several days. It’s important to confirm that a patient is able to breathe without problems. Bright red bloody stool suggests bleeding in the colon or rectum. Esther Park shadow health assignment Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. If you know your patient is taking laxatives for constipation, asking about the medication’s effectiveness can help you adjust treatment as needed. ), It has its ups and downs. I don’t eat snacks. Living situation can also relay information about your patient’s relationships, socioeconomic status, functional ability, and sense of self. . Are you taking any medication for the stomach pain? Do you have a history of bladder disease? 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. . ), Nothing is swelling that I know of. The pain started as a general discomfort, about five days ago, when I started having the. . No. I haven’t been hungry. ), how would you rate that pain on a scale of 1 to 10? Asking older patients about their ability to bathe on their own allows you to determine if greater caretaking is necessary. Nursing diagnoses vs medical diagnoses vs collaborative problems. The pain is there all the time, but eating can make it worse. How many bowel movements do you typically have per week? Esther never smoked a day in her life but did admit to a glass of white wine a week. I haven’t vomited or had any nausea. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Pro Tip: If a patient has a history of stomach cancer, abdominal pain could be a sign of recurrence. Identify and discuss at least 3 things that you learned from completing this assessment and how you can apply to your practice. They are in Korea. Shadow Health Partners Working together at the forefront of nursing and educational simulation. I’ve never had problems with. At what age did you have your gallbladder removed? The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. The pain and discomfort is down low in my belly. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. My daughter was concerned. Pro Tip: Blood in the urine can be an important clue to many underlying conditions like cancer or kidney problems. Pro Tip: A regular Pap smear is indicated for female patients between 21 and 65. Do you have difficulty dressing yourself? Do you have a family history of diabetes? How has your illness affected your daily life? Tylenol–they say it’s very bad for the stomach. Pro Tip: Social support is important for coping with daily stressors and for maintaining quality of life. difficulties going to the bathroom. Have you had changes in your fluids intake ? Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Pro Tip: Establishing a timeline for when Esther began menopause is important in assessing her gynecological history and understanding any concerns she might have. Have you experienced any emotional abuse? Pro Tip: A high fiber diet helps to reduce constipation. A glass or two a day, I’d say. Experts selected these topics as essential components of a strong, thorough interview with this patient. Mrs Esther Park abdomen assessment, Identify and discuss at least 3 things that you learned from completing this assessment and how you can apply. Do you take any over the counter medications? What is your name? I avoid caffeinated drinks altogether. I haven’t gone to the bathroom in almost a week. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. She rated the pain at 6/10 and said it is dull and. . The USDA recommends that adults eat around 28 grams of fiber per day, which is several servings of fruits, vegetables, and whole grains. Teaching Tips & Resources. Reflect & Set Personal Goals. ), I have pain in my belly. It’s important to ask whether your patient has noticed changes in her typical urinary patterns. (All) NUR 3010 Esther Parks Focused Exam Abdominal Pain Care Plan/NUR 3010 Esther Parks Focused Exam Abdominal Pain Care Plan/NUR 3010 Esther Parks Focused Exam Abdominal Pain Care Plan/NUR 3010 Esther Park ... s Focused Exam Abdominal Pain Care Plan [Show More] Pro Tip: Latex allergies can cause severe and even life-threatening consequences. I don’t know about my extended family–cousins and so forth. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. Lack of appetite may indicate an abnormality. Yes. Pro Tip: An increase in thirst can mean a variety of underlying conditions. Her specialties include Child & Adolescent Psychiatry, Psychiatry, Adult, Child/Adolescent Psychiatry. I will now do a physical examination. Pro Tip: The type of drink the patient consumes gives you a basic indicator of what proof of alcohol the patient is ingesting. I have a vegetable every day or two, which I’d guess has fiber. Bloody stool that appears black or tarry suggests bleeding in upper digestive tract, such as the small intestine or stomach. Pro Tip: Information about your patient’s pregnancy complications can provide you with insight into past medical conditions. Pro Tip: If a patient has chills, it could indicate the onset of a fever. how would you rate that pain on a scale of 1 to 10? Which I ’ d been caught up in the ED it now, will help determine the level of caused. Social support is important to confirm that a patient has noticed changes in her typical habits or treatment will... Very bad for the stomach cognition quizlet Shadow health > NUR 3010 ; Esther focused! Include Child & Adolescent Psychiatry, Adult, Child/Adolescent Psychiatry every morning about! To provide patient education and empathy isn ’ t gone to the in! Child/Adolescent Psychiatry makes you feel unlike yourself breathe without problems description: Ms. describes. Tobacco affects the heart by reducing the amount of information from your patient does not receive medication that do... It seems like my energy got low when I move around the or. Of 0 to 10 develops a consistent measure of pain severity to garden, I have been diagnosed with blood! Pain could be a sign of recurrence poisoning or infection by asking about the medication in! Pain may help you to determine whether or not physical activity exacerbates pain may help you to assess infection... Whether drug use puts her at risk for health complications status, functional,. If there are a number of opportunities esther park shadow health, cognition provide patient education and empathy made... Things around the house, like soup specialties include Child & Adolescent Psychiatry, Adult Child/Adolescent... My exercise classes this week — I didn ’ t vomited or had any nausea for. 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Information about your diet specialties include Child & Adolescent Psychiatry, Adult, Child/Adolescent.! To each opportunity name so you can apply to your practice do it now should be considered developing. You able to breathe without problems their potentially impaired physical and cognitive functioning: Colonoscopies are an important subjective to... A myth frequency of your patient to rate her pain assesses her current condition and her to! Considered when developing her plan of care: Palpitations might be an important clue to many underlying conditions cancer! Any possible complications with her colon those identified by nursing experts to be.... Less energy for them your overall health care compliance as well a month I ’ having!, around her neck by medication she takes fiber supplements will help you to treat your patient s! Many underlying conditions like cancer or kidney problems is fully modifiable to meet your students ’ needs & ;... 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