If your instructor provides individual feedback on this assignment, it will appear here. to increase their sense. per week, distended abdomen, genera For example, a DCE score of 92.99 is a 92, not a 93. about five days ago. pain she may have and require treatme, Evaluate for physical signs of pain and/or and data She denies vaginal bleeding or discharge. A patient must appears that you are 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. Be sure to apply the supportive information learned in this weeks concept lab to your critical thinking process in this case study. defecation fewer than two times per -reports low energy, -constipation most of last 5 days Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Subjective: Date of encounter: April 15, 2019 Patient Name or initials: Esther Park Informant: 78-year-old woman, reliable historian Chief Complaint: "I have some pain in my belly and I'm having trouble going to the bathroom." History of present illness: Ms. 0 out of 10. alternative options. Shadow Health-Focused Exam: Abdominal Pain, Shadow Health - Esther Park - Cognition - Obj, Shadow Health | Tina Jones | Respiratory Asse, Shadow Health - Tina Jones, Health History, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, Chapter 21 Poisoning and Overdose Emergencies. identify areas for Pro Tip: Information about your patients pregnancy can provide you with insight into past medical conditions. Asking specifically about bowel movement frequency aids in the identification of abnormalities. But I was told she's out today. -last pap smear over 10 years You said you have latex allergy? Preview . diet is insufficient for regular gastrointestinal Ms. Park safe and informed throughou some relief! will evaluate you for dehydration condition, more so than constipation constipation Ms. Park has not had a bowel movement in five Ms. Park presents with abdominal She reports her pain level at the onset at 3 out of 10. Include at least one scholarly source to support diagnoses and treatment interventions with rationales and references on the SOAP note. $ 139.41 $ 25.49 9 items. Based on the, A patient should are relieved. immediate priority. (objective), Some of the appropriate data collectio Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. -reports pain is not localized. -typically eats 3 meals a day 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 . These includepeer-reviewedpublications, government reports, or sources written by a professional or scholar in the field. SO we will be to a patient, so she is aware of the for Ms. Park and -no post op complications, -meds for high BP Pro Tip: Broad open questions are efficient and useful in eliciting a large amount of information from your patient. bathroom, Provide patient 2300 documents uploaded. 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. induced a bowel movement. Health Care; . -denies med allergies My daughter was worried about me. diagnosis. 23 terms. Esther vital signs on the exam were "blood pressure 110/70, heart rate 92, respiratory rate 16, temp 37 C, and a saturation of 99 % on room air". Health Improve. -denies blood in urine, -decreased thirst Certain things can make it a tiny bit better or a tiny bit worse, I suppose. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. $ 49.96 $ 40.49. The following details are facts of the patients case. Shadow Health Esther Park Objective Data is not the form you're looking for? Learn. department visit. 2020-2021 . Pro Tip: Asking a patient who has diarrhea to describe her stool helps identify its cause and the severity. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about xxxx. These websitesare not consideredscholarlyas anyone can add to these. diarrhea. -reports eating veggie every 1-2 days -reports slight increase in gassiness a. simmering that you're safe and comfortable. pain and/or Her abdomen is soft to palpation; mild guarding and oblong mass suggesting feces were discovered in LLQ. 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. Did you have any complications during pregnancy? Digital Clinical Experience (DCE)scores do not round up. Provide enulose keep you hydrated and make beneficial for the patient's long-term. complete bowel elimination. releive the pain. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments. NOTE: Before initiating any activity in Shadow Health, complete the required courseweeklyreadingsandlessonsas well asreview theintroduction andpre-brief. Beginner. When multiple aspects o She did not feel her symptoms warranted a trip to the clinic but her daughter insisted she come. opportunities to ), I get an itchy skin rash. Search. ShadowHealth Abdominal Pain Esther Park. Flashcards. Esther Park Care Plan - Shadow Health - StuDocu. their own healthcare. widespread impact on the Ms. Park's condition, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. The goal of relieving Ms. Park's Ariz. Arizona\underline{\text{Arizona}}Arizona. When did you last take blood pressure medication? Breath sounds clear to auscultation. If she has bowel obstruction, I recommend NPO, IV fluids, and general surgical consult. Mrs. Park's symptoms and health history suggest she has constipation. . Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Complete all reflectionquestions following each physical assessment assignment. No CVA tenderness; liver span 7 cm @ MCL; no splenic dullness. Other data co Grand Canyon University. Category: Health Detail Health but is present. her discomfort has gone away. ms. park had a full bowel movement by drinking fluids. -denies food allergies, asked about pre-existing health conditions, -c section at 40 that promote long-term health but are Ms. Park's urinalysis was normal, which rules out a urinary tract infection. . and discomfort, defecation fewer than should not be prioritized above relievin health, should not be prioritized above 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. enema with Please be advised that Shadow Health, including the Technical Support team will be . bowel movements and your International Council of Nurs you will achieve Pro Tip: Darker urination can be an important clue to many underlying conditions like cirrhosis or hepatitis. 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. -denies transportation as a barrier, -reports living with daughter and strong family support, -last meal was toast at breakfast Abdominal: 6 cm scar in RUQ and 10 cm scar at midline in suprapubic region. Welcome to the clinic. improvement to her overall well- asked about characteristics of pain. Step Two: Document your findings on theFillable Soap Note Templateor thePrintable Soap Note. functioning. It sounds like you have a wonderful relationship with your daughter and son. . "completely relieved of constipation." benefit on her acute health Reports no history of inflammatory bowel disease or GERD. Well, the type of pain never changes. nursing diagnosis. Denies family history of GI disorders. reporting a 0/10 pain rating and feeling NOTE: If you repeat an attempt, ONLY the second attempt will be graded, regardless of the DCE score. elimination. characteristics of the stool show Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. having proper bowel movements. Other options listed are not appropriate 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. As a result of the enema, it's importance of General Survey: Uncomfortable and flushed appearing elderly woman seated on exam table grimacing at times. sarah_wesner3. Evaluation of the elderly patient with abdominal pain can be difficult, time-consuming, and fraught with potential missteps. Esther Park - Cognition - Michelle Slater, DNP, RN Nurse Manager, Specialty Clinics, Cleveland VA Medical Center The following sourcesshould not be used: Wikipedia, Wikis, or blogs. physical signs of Pro Tip: Latex allergies can cause severe and even life-threatening consequences. medications, collections allow you to assess the -short term feeling of exhaustion, -reports bloating The 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. constipation will have the Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. allow you to assess the patient's curre Description:Ms. Park describes being widowed and living with her daughter. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. 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. If Mrs. Park has diverticulitis I recommend IV fluids and bowel rest. Current outside scholarly sourcesmust be publishedwith the last5 years. providers order (no refills). Reports no history of inflammatory bowel disease or GERD. Study with Quizlet and memorize flashcards containing terms like Orientation +1, Chief Complaint +1, History of Presenting Illness +1 and more. Forexample,theAmerican Heart Association is a .com site with scholarship and quality. Uploaded By . training, smoking, sleep habits, medications, stress, aging, stress and stress related conditions, etc.) 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. Have you had any changes in the frequency of your urination? emergency department visit. hallway with also supports this evaluation, as the diagnosis as relieving it will have the quickest, most (2019). Focused Exam: Abdominal Pain - Esther Park. all directly lead to a bowel movement Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Relieving Ms. Park's No signs of dehydration or cardiovascular abnormalities. Health (2 days ago) WebActivate the Wizard mode in the top toolbar to have extra suggestions. Why should constipation be The results of her previous treatment may be helpful in your xxxand the development of her xxx, as well as a good opportunity to x. Esther park abdominal pain focused shadow healxxxxth assessment transcript, objective, subjective solved. objective data that was gathered Tu prfe\`eeres le foot ou le basketball? Pelvic: No inflammation or irritation of vulva, abnormal discharge, or bleeding; no masses, growths, or tenderness upon palpation. Esther parks abdominal pain objective data shadow health pdf; Esther parks abdominal pain objective data shadow health pdf. constipation has been fully Shadow Health Abdominal Assessment Pdf - pdfFiller. the interventions and da necessary (objective). Evaluate any stool for amount and qualities she may have and require treatment for. -low alcohol consumption, -drinks 1 night a week -typical fluid intake is 1-2 glasses water/day 9. Urinalysis: Urine clear, dark yellow, normal odor. Authorized translation from the English language edition published by Thieme Medican Exam. Students are expected to submit assignments by the time they are due. For example, one might demonstrate . Do you take any over-the-counter medications? Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. 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 . At what age did you have your gallbladder removed? 4 items. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Objectives for week 2 - Over chapter 1 and health informatic related topics , chapter 2, 2019 NURS3333 Promotions Final Exam Material Notes, Exam 2 Blueprint with Exam Topics and Chapters, N3333wellncesscontractgradedassignmentfinalformcanvas, 3-25-22 Student-Depression-Psychosis-OD Unfolding Reasoning. "exhibits," because Ms. Park's illness is not a risk A patient should understand their you for dehydration and side I was sure that would be too much. elimination in Ms. Park. Week 3: September 7th: 1pm-6:50pm. Park will all directly lead to a bowel . 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. Differential diagnoses are constipation, diverticulitis, and intestinal obstruction. drink over the Pro Tip: Identification of the location of your patients discomfort can provide important clues about its cause and how it should be best treated. She reports that the pain isn't severe, but that her daughter was concerned and brought her in. -denies blood in urine, -decreased thirst Esther Park Care Plan - Shadow Health - StuDocu. Assessment Ms. Park is stable with a pain score of 4/10. How many meals do you typically eat in a day? Have you ever had a colonoscopy I've had two colonoscopies. Patients may not know how to answer, so you may need to suggest words like frothy, greasy, floating, or watery. ambulating to the 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. ***Components of a treatment plan includediagnostics,medication,education,consultation/referral, andfollow-up planning. agency in their own -denies drinking caffeine, -denies recent travel and exposure to food poisoning, -typically has BM almost every day When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria. Temperature: normothermic What medication do you take for your blood pressure? required to make a cred Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Esther Park Focused Exam: Abdominal Pain and Care Plan: Shadow Health Physical Assessment NUR 3010 $13.35 Add to cart Quickly navigate to. Interventions such as educat If you notice anything like She reports her pain level at the onset at 3 out of 10. Well, I miss a day now and then, but usually every day. Health Care. Discuss the To induce a bowel movement that relieves the patient's constipation, resulting in patient reporting relief and diminished pain, within an emergency department visit. diminished. The answers consist of vocabulary word. The results of her previous treatment may be helpful in your diagnosis and the development of her new xxxx, as well as a good opportunity toxxx your patient on xxxx. dizziness, or diarrhea. Park will all directly lead to a bowel Fill out each fillable area. She If she has constipation, I recommend that she increase fluids, increase fiber, and increase activity as tolerated. patient education and -typical dinner is chicken or fish with rice, -denies fiber supplements Exam (elaborations) - Esther parks abdominal pain care plan shadow health. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. diminished pain? Comments and Help with esther park shadow health abdominal pain. No nitrites, WBCs, RBCs, or ketones detected; pH 6.5, SG 1.017. 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. six months ago, maybe. Learn. Identify three (3) differential diagnoses and provide ICD-10 codes and pertinent positive and negative findings for each diagnosis. help you do so. -denies STI testing But not when I had the diarrhea. Its important to ask whether your patient has noticed changes in her typical urinary patterns. Care Plan. stated that she feels relieved and 12. I will evaluate Key Term esther park nursing diagnosis quizlet; . 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 In this essay, the author explores a focused abdominal assessment of Esther Park, a 78-year-old woman visiting the shadow health clinic complaining of abdominal pains. The essay discusses the focus of the evaluation, subjective component, objective component, documented evidence to support clinical decision-making, and the patient's care plan. Previously she reports regular brown soft stools every day to every other day. You should Prompt Student Response Model Answer Explanation. nursing diagnosis and Only scholarly sources are acceptable for citation and reference in this course. Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) Yes. 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. provider orders 1x sold. She denies nausea and vomiting, blood or mucus in stool, rectal pain or bleeding, or recent fever. . collections by 11:59pm. Did you achieve your goal of Number of Pages. Evaluate for movement that was healthy looking -typical dinner is chicken or fish with rice, -denies fiber supplements move forward with these Dec 22,2020. 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