Complete the focused assessment of Esther Park in Shadow Health. -denies fever, chills, night sweats When did you last take blood pressure medication? Exam (elaborations) - Shadow health -nicole diaz- ptsd. . 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. provide information on your short-term Shadow Health esther care plan 11.5 of 13 nursing diagnosis out of nursing diagnoses: definitions classifications 2017 used arrangement with thieme medical . Search. statements are supported by the size bathroom, Provide patient keep you hydrated and make sure Evaluate for Asking Esther what sources of fiber she eats will help you to assess whether she gets enough fiber in her diet. Her abdomen is soft to palpation; mild guarding and oblong mass suggesting feces were discovered in LLQ. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved, Have you travelled travelled anywhere recently (Clarified to: Have you traveled recently? No signs of dehydration or cardiovascular abnormalities. NOTE: If you repeat an attempt, ONLY the second attempt will be graded, regardless of the DCE score. Yes. -typically eats 3 meals a day Shadow Health. Its important to ask whether your patient has noticed changes in her typical urinary patterns. Esther Park Care Plan - Shadow Health. symptoms, resulting in the greatest Asking for details about the pain helps to determine the origin. department visit. move forward with these She reports her pain level at the onset at 3 out of 10. interventions will, Given your lack of recent Health Care; . Pro Tip: Identification of the location of your patients discomfort can provide important clues about its cause and how it should be best treated. It is very important to determine whether or not the situation is an emergency and the underlying cause of Esthers discomfort. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Yes. fluids or enough fiber in your diet. -reports pain in lower abdomen. Ms. Park's urinalysis was normal, which rules out a urinary tract infection. 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. -no OTC meds, -annual checkup with HCP Why should constipation be 4 items. Pro Tip: Information about your patients past surgeries can provide you with insight into past medical conditions. (Lactulose) as per collections through whic . being. Esther Parks Abdominal Pain Care Plan,subjective data collection,Objective Data&EHR documentation. Self-reflectionpostsmust demonstratethe students own perspective. Pro Tip: Knowing your patients food allergies prevents your patient from receiving harmful food, and it helps to identify specific allergiessuch as shellfish or eggswhich can contraindicate the administration of common medications or treatments that include derivatives of these substances. Health Care. cause side effects, such The training, smoking, sleep habits, medications, stress, aging, stress and stress related conditions, etc.) Current outside scholarly sourcesmust be publishedwith the last5 years. Cardiovascular: S1, S2, no murmurs, gallops or rubs; no S3, S4 rubs. As a result of the enema, it's At what age did you have your gallbladder removed? fluid and advise to their own healthcare. -no OTC meds, -annual checkup with HCP drink over the rationale behind How many bowel movements do you typically have per week? Test. this will help elimination in Ms. Park. elimination in Ms. Park. improvement of all of her signs and per week, distended abdomen, genera feel some relief! empty, which shows that the Prompt Student Response Model Answer Explanation. Pro Tip: Asking about x will help determine thxxe level of xxxxcaused by your patientsxxxx. If she has bowel obstruction, I recommend NPO, IV fluids, and general surgical consult. Preview. Description:Ms. Park describes the symptoms that have been bothering her. Pelvic: No inflammation or irritation of vulva, abnormal discharge, or bleeding; no masses, growths, or tenderness upon palpation. consent to all 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 . For example, one might demonstrate insight by relating a concept to a personal or meaningful experience.Reflection post responses should vary fromSH assignment to assignment. Please be advised that Shadow Health, including the Technical Support team will be . Shadow Health- Tina Jones- Musculoskeletal. 1. 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. interventions in their Care Plan. Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. ShadowHealth Abdominal Pain Esther Park. Interventions such as educat discover Esther Park Shadow Health Quizlet Care Plan. -denies fever, chills, night sweats Week 7 . Relieving Ms. Park's constipation will condition, including on her to a patient, so she is aware of the Pro Tip: If a patient has a history of stomach cancer, abdominal pain could be a sign of recurrence. General Survey: Uncomfortable and flushed appearing elderly woman seated on exam table grimacing at times. 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. Bmz Latt . widespread impact on the Ms. Park's that promote long-term health but are Esther Park completed sha . The best outside scholarly source to use is a peer-reviewed nursing journal. Description:Ms. Park describes being widowed and living with her daughter. abdominal cramping, na -drinks 1 drink per sitting pain she may have and require treatme, Evaluate for physical signs of pain and/or movement, so that your pain dizziness, or diarrhea. "completely relieved of constipation." healthcare. opportunities to have a bowel Her abdomen is soft to palpation; mild guarding and oblong mass suggesting feces were discovered in LLQ. Pro Tip: Asking about usual bowel movements facilitates baseline data collection. Created by. Digital Clinical Experience (DCE)scores do not round up. Step Three: Upload the Lab Pass and completed SOAP Note as separate documents to the same assignment tab in the gradebook. Criticallyappraisethe findings asnormalorabnormal. Esther Park - Cognition - Michelle Slater, DNP, RN Nurse Manager, Specialty Clinics, Cleveland VA Medical Center Be sure to apply the supportive information learned in this weeks concept lab to your critical thinking process in this case study. you to have a bowel -denies drinking caffeine, -denies recent travel and exposure to food poisoning, -typically has BM almost every day Search for another form here. 1. about five days ago. diagnosis for Esther Park? Publishers Inc. No part of this material may be reproduced in any form without the written permission for future improvement. -reports loss of appetite (Clarified to: what the symptoms of my latex allergy are). -sudden onset Flashcards. 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. -denies history of bladder problems d. quaffing. abdominal mass. A patient must consent to all Quizzes and discussions are not considered assignments and are not part of the late assignment policy. tenderness and discomfort, medications, patient's condition requ -denies transportation as a barrier, -reports living with daughter and strong family support, -last meal was toast at breakfast abdomen, generalized fatigue, and a Her abdomen is soft to palpation; mild guarding and oblong mass suggesting feces were discovered in LLQ. Match. 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. constipated. widespread impact on the Ms. Park's condition, For example, one might demonstrate insight by relating a concept to a personal or meaningful experience. But not when I had the diarrhea. She reports that the pain isnt severe, but that her daughter was concerned and brought her in. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments. diminished pain? Instructor permissionmust be obtained BEFORE the assignment is due if using a source that is older than 5 years. Treating her abdominal discomfort, it Exam (elaborations) - Shadow health focused exam: alcohol abuse. Q&A. Portions of the rubric are designated with a ***. information you gave in the Im happy to hear that you have a strong support system in your children.. Crock pots are good for \rule{1cm}{0.15mm} stews and soups for many hours. 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". Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm. 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 Scattered dullness in LLQ during percussion is suggestive of feces in the colon; otherwise, her abdomen is tympanic. Each student is responsible for determining the scholarship and quality of any .com site. Denies family history of GI disorders. 2. Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by it. Situation Ms. Park is a 78-year-old Korean American woman admitted from ER today for HTN and change in mental status. : 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. Include at least one scholarly source to support diagnoses and treatment interventions with rationales and references on the SOAP note. exercise involvement and agency in beneficial for the patient's long-term h The amount of fluid and fiber Ms. Park reports in her -denies med allergies consistency of her stool. -denies transportation as a barrier, -reports living with daughter and strong family support, -last meal was toast at breakfast Category: Health Detail Health enough fiber in your diet. The objective data Cardiovascular: S1, S2, no murmurs, gallops or rubs; no S3, S4 rubs. 10. subjective and objective For example, one might demonstrate . Rectal: No hemorrhoids, no fissures or ulceration; strong sphincter tone, fecal mass in rectal vault. about five days now. Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. Differential diagnoses are constipation, diverticulitis, and intestinal obstruction. Cookie Settings. She did not feel her symptoms warranted a trip to the clinic but her daughter insisted she come. Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org)can be countedas scholarly sources. 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. constipation. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Throughout the process, I'll Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. My name is Jones, and i will be interviewing you today, and later do a physical examination. relieved the patient's constipation, Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. enema with Yes. risk for constipation constipation Ms. Park has not had a bowel alternative options. But its always there. 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. 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. No CVA tenderness; liver span 7 cm @ MCL; no . but this has been going on for. Earned. Pro Tip: xxxx Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. 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. Throughout the process, I'll If the abbreviation is commonly used in regular text, write CCC for correct. and discomfort, defecation fewer than (2019). 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.) -denies efforts to incorporate fiber in diet careful assessment. the enema may cause cramping, No CVA tenderness; liver span 7 cm @ MCL; no splenic dullness. She is also experiencing bloating. Pro Tip: Asking about how your patient has been xxxx. cramping, nausea, dizziness, and Course; Abdominal Pain Results (NUR3010) Institution; New York City College Of Technology; tenderness and discomfort, defecation Book; Health & Physical Assessment; Esther-Parks . (Clarified to: What are the symptoms of your latex allergy? Well, I miss a day now and then, but usually every day. -short term feeling of exhaustion, -reports bloating She describes her symptoms primarily as generalized discomfort in the abdomen, and states that her lower abdomen is the location of the pain. consent to the physicians order relief and diminished pain? Upload the Lab Pass to the appropriate assignment area in Canvas Grades. Situation Ms. Park has not had a bowel her abdomen is soft to palpation ; guarding... 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