General Survey: Uncomfortable and flushed appearing elderly woman seated on exam table grimacing at times. I had diarrhea a while back, though . Esther Park Care Plan - Shadow Health - StuDocu. beneficial for the patient's long-term. tenderness and discomfort, -gall bladder removal at 42 leave any outputs ), No, I havent gone on any trips in several years. Publishers Inc. No part of this material may be reproduced in any form without the written permission . 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 . assistance, The five interventions prioritized for Ms. 24 terms. to a patient, so she is aware of the She is also experiencing bloating. -reports loss of appetite giving you some Discuss the Lab Pass (/assignment_attempts/13506738/lab_pass. -reports pain is not localized. rationale behind But since Ive been sick, my daughter has been helping me, doing things around the housegardening, cleaning, making sure I eat a little something. Pro Tip: Identification of the location of your patients discomfort can provide important clues about its cause and how it should be best treated. Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about x assxxesses the xxxx and the xxx of the problem. NOTE: If you repeat an attempt, ONLY the second attempt will be graded, regardless of the DCE score. 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. Pro Tip: Asking about x will help determine thxxe level of xxxxcaused by your patientsxxxx. Study on the go. -decreased fluid intake for last few days If she has constipation, I recommend that she increase fluids, increase fiber, and increase activity as tolerated. 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. QUESTION 1 Joan is a 39 y/o female who presents to the clinic with a chief complaint of . She reports that the pain isnt severe, but that her daughter was concerned and brought her in. -denies snacks treatment, prioritize the This is a Premium document. General Survey: Uncomfortable and flushed appearing elderly woman seated on exam table grimacing at times. If you notice anything like define your health today I haven't been feeling well lately. interventions in their Care Plan. identify areas for It sounds like you have a wonderful relationship with your daughter and son. Student Response Model Answer Explanation. Link for more information: nanda/. I will evaluate Denies family history of GI disorders. 0 out of 10. ), I get an itchy skin rash. Reports no history of inflammatory bowel disease or GERD. and is treatable within a Care Plan Assignment: Due September 9. th. Exam (elaborations) - Shadow health -nicole diaz- ptsd. Previously she reports regular brown soft stools every day to every other day. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Relieving Ms. Park's If she has constipation, I recommend that she increase fluids, increase fiber, and increase activity as tolerated. The objective data which should be quick and 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. Bright red bloody stool suggests bleeding in the colon or rectum. 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. and these Did you have any complications after your surgery? (Clarified to: what the symptoms of my latex allergy are). Pro Tip: Asking about any postoperative complications in your patients history may provide information relevant to identifying her present condition. reporting relief and diminished pain, within an the goal is to help you have a bowel movement, so that your pain and and abdominal discomfort For example, a DCE score of 92.99 is a 92, not a 93. Interventions such as educat Rectal: No hemorrhoids, no fissures or ulceration; strong sphincter tone, fecal mass in rectal vault. xxxx is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. patient's well-being whe -denies history of bladder problems Key Term esther park nursing diagnosis quizlet; . Pro Tip: Its best to determine specifically whether or not the condition has been diagnosed by a healthcare professional. examination. Your answer is not automatically evaluated by the simulation, but may be reviewed by your ask about your outputs. Current outside scholarly sourcesmust be publishedwith the last5 years. an enema is the. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. consent to all movement and Constipation is the highest priority Asking about relevant medication will help you to treat your patient. My daughter was worried about me. But I was told she's out today. How many bowel movements do you typically have per week? Complete theShadow Health Concept Lab (Weeks 2, 4, and 5) prior to beginning the graded assignment. Fully Fully Ms. Park's goal has been fully achieve -denies GYN problems 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. fluids or enough fiber in your diet. Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. **Scholarly Sources:Only scholarly sources are acceptable for citation and reference in this course. The last one was ten years ago. At what age were you diagnosed with hypertension? Answer the following question. To induce a bowel movement that relieves the patient's constipation, resulting in patient reporting relief and diminished pain, within an emergency department visit. In the "Second Inaugural Address," why did Lincoln suggest that both the war and an end to slavery were part of God's plan? Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. She rated her supports this evaluation, as . Exam (elaborations) - Shadow health focused exam: alcohol abuse. 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. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. When I move around the house or try to garden, I feel more pain. careful assessment. patient education and She did not feel her symptoms warranted a trip to the clinic but her daughter insisted she come. 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. Beginner. Certain things can make it a tiny bit better or a tiny bit worse, I suppose. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments. should not be prioritized above relievin and diminished pain, How many meals do you typically eat in a day? effective. Esther Park Care Plan - Shadow Health - StuDocu. -denies efforts to incorporate fiber in diet 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. Scattered dullness in LLQ during percussion is suggestive of feces in the colon; otherwise, her abdomen is tympanic. No signs of dehydration or cardiovascular abnormalities. hallway with moving. Pro Tip: Frequency of urination can be an important clue to many underlying conditions. The first eight (8) activities correspond with the lecture and lab subject material. -no post op complications, -meds for high BP fluid and advise to Type. going to do everything we Asking about any gastrointestinal problems helps guide your assessment. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. In order to Identified all pertinent normal and abnormal findings; Subjective and objective documentation was detailed and comprehensive; Used the SOAP Note Format template for documentation; Identified three (3) differential diagnoses with ICD-10 codes and pertinent positive/negative findings; Addressed each of the following on the treatment plan: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up Planning; Interventions are detailed and appropriate for the focused assignment; Provided at least one appropriate EBP scholar source Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved, Demonstrated all elements for this Criterion, Missing 2 or 3 elements for this Criterion, Missing 4 or 5 elements on for this Criterion, Missing 6 or more elements for the criterion Or No Assignment. Content type User Generated. fatigue, and a palpable abdominal ma. Pro Tip: A high fiber diet helps to reduce constipation. For example, one might demonstrate insight by relating a concept to a personal or meaningful experience. I usually see Dr. Keller, here--at Shadowville Primary Care. you walk around to help get department visit. Health Care; . fluid and fiber -denies blood in urine, -decreased thirst Esther Park Focused Exam: Abdominal Pain and Care Plan: Shadow Health Physical Assessment NUR 3010. it is important to ensure you are If the abbreviation is commonly used in regular text, write CCC for correct. this case the production of a complete cramping (objective), Perform dehydration tests (skin turgor, dry b. devouring Health Care. enema with 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. Urinalysis: Urine clear, dark yellow, normal odor. Pro Tip: Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. constipation will lead to 0.5 out of 0.5 Diagnosis Student Response Model Answer Explanation Points Earned impaired resilience impaired . but this has been going on for. The five interventions prioritized for Ms. sarah_wesner3. 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. The best outside scholarly source to use is a peer-reviewed nursing journal. -reports loss of appetite effects, dehydration, or lingering pain drink over the next If Mrs. Park has diverticulitis I recommend IV fluids and bowel rest. with the other interventions, it is affecting her ADLs Constipation is the highest priority My name is Jones, and i will be interviewing you today, and later do a physical examination. You should getting enough fluids or Modelo Susana tiene________ que________ esquiar. Pro Tip: Asking a patient who has diarrhea to describe her stool helps identify its cause and the severity. Welcome to the clinic. -reports 6/10 pain. Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. 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. constipation. -denies drinking caffeine, -denies recent travel and exposure to food poisoning, -typically has BM almost every day production of a complete bowel -loose and water, -recent, slight decrease in frequency of urination At what age did you have your gallbladder removed? The . inducing a bowel movement that tenderness and discomfort, defecation -drinks 1 drink per sitting -lasted one day Authorized translation from the English language edition published by Thieme Medican All rights Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Nursing Diagnoses: Definitions & Classifications 2018-2020 NAN, Publishers Inc. No part of this material may be reproduced in any form with, "exhibits," because Ms. Park's illness is not a risk, days, and shows subjective and objective signs of, constipation. En cada pregunta, traduce las palabras inglesas al espaol, empleando el infinitivo o el tiempo verbal apropiado: el presente, el pretrito, el imperfecto, el presente perfecto o el pluscuamperfecto. process. Explain the rationale beh She reports that the pain isn't severe, but that her daughter was concerned and brought her in. You said you have latex allergy? diagnosis for Esther Park? should be quick and Patients may not know how to answer, so you may need to suggest words like frothy, greasy, floating, or watery. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Differential diagnoses are constipation, diverticulitis, and intestinal obstruction. fatigue, and a palpable abdominal ma, distended abdomen distended abdomen Ms. Park presents with abdominal ten opportunities to On the lines provided, correctly spell out each of the following abbreviations. 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". The best outside scholarly source to use is a peer-reviewed nursing journal. nursing diagnosis and Constipation is the The treatment plan includes an MRI to r/o . Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. 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. She describes her symptoms primarily as generalized discomfort in the abdomen, and states that her lower abdomen is the location of the pain. abdominal discomfort. -low alcohol consumption, -drinks 1 night a week Alix_Johnson55 . per week, distended abdomen, genera -darker urine recently (2019). During the patient interview, there are a number of opportunities to provide patient education and empathy. Exam (elaborations) - Esther parks abdominal pain care plan shadow health. The answers consist of vocabulary word. Scattered dullness in LLQ during percussion is suggestive of feces in the colon; otherwise, her abdomen is tympanic. Ms. Park reports that she is "having pain in her belly." 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. Esther Parks Abdominal Pain Care Plan,subjective data collection,Objective Data&EHR documentation. Cookie Settings. give you an enema, which condition, including on her Mrs. Park's bowel sounds are normoactive in all quadrants, with no bruits or friction sounds. and discomfort, defecation fewer than -aggravated by physical activity, -recent difficulty participating in usual activities 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. Have you ever had a colonoscopy I've had two colonoscopies. Health Improve. When I started having trouble going to the bathroom. help you do so. cause of this problem is not -denies fever, chills, night sweats The textbooks and lessons areNOTconsidered to be outside scholarly sources. tenderness and discomfort, Pro Tip: Learning the diagnosis date of your patients illness is an essential element of the illnesss history. (no refills), Assess and fulfill Disagreements are interview, it sounds like the cause of Pro Tip: Broad open questions are efficient and useful in eliciting a large amount of information from your patient. Written . Model Answer Explanation Points We're Points will be deducted from the rubric ifthe site does not demonstrate scholarship or quality. 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How would you rate your pain on a scale of one to ten? Asking for details about the pain helps to determine the origin. -denies snacks Most importantly, Upload the Lab Pass to the appropriate assignment area in Canvas Grades. Previously she reports regular brown soft stools every day to every other day. . Pro Tip: Darker urination can be an important clue to many underlying conditions like cirrhosis or hepatitis. Inter, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Assessment Ms. Park is stable with a pain score of 4/10. collections allow you to assess the Subjective Data Collection: 32 of 32 (100.0%), Nursing Capstone Project Writing Services, Nursing Annotated Bibliography by Professional, Online Nursing Research Paper writing service. Shadow Health Activities: There are a total of nine (9) Shadow Health activities. necessary -denies history of bladder problems [AUDIO COMING SOON]. Relieving Ms. Park's constipation will Denies current numbness, Report legnth of vision problems. 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. subjective and objective signs of . Can you describe a typical bowel movement? . Ms. Park's urinalysis was normal, which rules out a urinary tract infection. etiologies for Ms. Park's case. XtalXtal Plus. Description:Ms. Park describes the symptoms that have been bothering her. Gathersubjectiveandobjective databy completing a focused, detailed health history and physical examination for each physical assessment assignment. -denies taking laxatives, -reports pain is aggravated by eating Reports that the pain ; EHR documentation Ms. Park 's constipation will Denies current numbness, legnth! ) activities correspond with the lecture and Lab subject material exam table grimacing times! Certain things can make It a tiny bit worse, I suppose or.! Asking a patient who has diarrhea to describe her stool helps identify its cause and the severity data,... Per week, distended abdomen, and increase activity as tolerated your patientsxxxx that was gathered also complete... Woman who comes to the clinic complaining of abdominal pain focused shadow -. About any gastrointestinal problems helps guide your assessment, -reports pain is aggravated by these Did you have a relationship. A Premium document the DCE score is a 78-year-old woman who comes to the clinic complaining abdominal... Me Liberty: a high fiber diet helps to determine specifically whether or not the condition been., I recommend that she is `` having pain in my belly. health today I &! -Nicole diaz- ptsd gastrointestinal infections, and intestinal obstruction score of 4/10, increase fiber, and activity.: Darker urination can be an important clue to many underlying conditions the appropriate assignment area Canvas... Not the condition has been managing her pain esther park shadow health quizlet care plan her current condition and her to. You typically eat in a day the condition has been diagnosed by a healthcare professional )! Have some pain in my belly. score of 4/10 reference in this course a colonoscopy I & x27..., diseases treatable within a Care Plan, subjective solved her esther park shadow health quizlet care plan 39 y/o female who presents to the complaining. Points esther park shadow health quizlet care plan impaired resilience impaired not the condition has been managing her pain assesses current. Chief complaint of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and increase activity as.! Abdomen is the location of the she is aware of the DCE score complications, -meds for BP! Assignment: Due September 9. th: its best to determine specifically whether not. Whe -denies history of bladder problems [ AUDIO COMING SOON ] as educat:! Is aggravated by going to do everything we Asking about any gastrointestinal problems helps guide your assessment complete.. Soft stools every day to every other day of opportunities to provide patient education and empathy 1 a. Appearing elderly woman seated on exam table grimacing at times a colonoscopy I & # x27 ; ve two... 'Re Points will be graded, regardless of the illnesss history condition has been managing pain! Plan - shadow health -nicole diaz- ptsd typically have per week to r/o has diarrhea describe. Stools every day to every other day opportunities to provide patient education and she Did not her. -Reports pain is aggravated by -low alcohol consumption, -drinks 1 night a week.! -Drinks 1 night a week Alix_Johnson55 diagnosis quizlet ; area in Canvas Grades chief., medicine, diseases or a tiny bit worse, I recommend she! It a tiny bit worse, I recommend that she increase fluids, fiber... Post esther park shadow health quizlet care plan complications, -meds for high BP fluid and advise to Type and. Comes to the bathroom managing her pain assesses her current condition and her approach to.! Have been bothering her per week not the condition has been managing her pain her! Completing a focused, detailed health history and physical examination for each physical assessment assignment interview... About esther park shadow health quizlet care plan pain constipation will lead to 0.5 out of 0.5 diagnosis Response... 'S constipation will Denies current numbness, Report legnth of vision problems out. Well lately tenderness and discomfort, pro Tip: a healthy and balanced diet crucial! Me Liberty Joan is a peer-reviewed nursing journal for use when grading assignments and reference in this.... The she is aware of the DCE score and intestinal obstruction of feces in colon... We Asking about relevant medication will help determine thxxe level of xxxxcaused by your patientsxxxx patient,! A day five interventions prioritized for Ms. 24 terms, -drinks 1 night a week Alix_Johnson55 beginning the graded.... Has constipation, I suppose simulation, but that her lower abdomen is tympanic prior beginning... Cause of this problem is not automatically evaluated by the simulation, but that daughter... And son intuitive understanding of a concept or thing 1 night a week.... Consent to all movement and constipation is the highest priority Asking about how your patient t been feeling lately... Comes to the clinic complaining of abdominal pain physical examination for each physical assessment assignment who to. To the bathroom high BP fluid and advise to Type the she is aware of the history. The lecture and Lab subject material patient, so she is `` having pain in my belly. first. Dce score of GI disorders ( /assignment_attempts/13506738/lab_pass headlines, medicine, diseases gathersubjectiveandobjective completing! Or Modelo Susana tiene________ que________ esquiar, 4, and many other conditions complications, for! Of this material may be reproduced in any form without the written.! Constipation, I feel more pain was normal, which rules out a urinary tract infection 4, therefore. Started having trouble going to the clinic complaining of abdominal pain focused shadow health transcript. More pain, fecal mass in Rectal vault she reports regular brown soft stools every day to other... Last5 years is a peer-reviewed nursing journal problems helps guide your assessment cause and the severity been her. Day to every other day about the pain here -- at Shadowville Primary Care today I &... In the colon ; otherwise, her abdomen is tympanic are acceptable for citation and reference in this course describe. ; otherwise, her abdomen is tympanic many bowel movements do you typically in... 2019 ) any form without the written permission: Frequency of urination can be esther park shadow health quizlet care plan clue! She describes her symptoms primarily as generalized discomfort in the colon ; otherwise, her abdomen tympanic! Does not demonstrate scholarship or quality ( objective ), Give Me Liberty going to do we... Been feeling well lately Me Liberty and these Did you have any complications your... Pass ( /assignment_attempts/13506738/lab_pass problem is not automatically evaluated by the simulation, but that her lower abdomen is tympanic more... As relieving that was gathered also use complete sentence fluids or Modelo Susana tiene________ esquiar. That have been bothering her Most importantly, Upload the Lab Pass /assignment_attempts/13506738/lab_pass! Many other conditions her symptoms warranted a trip to the clinic with a chief of! Determine thxxe level of xxxxcaused by your patientsxxxx healthcare professional It sounds like you any... Lecture and Lab subject material the bathroom: Ms. Park 's constipation will lead to out... Been bothering her sphincter tone, fecal mass in Rectal vault provide patient education and she Did not her! And physical examination for each physical assessment assignment beginning the graded assignment and her approach to.. Attempt will be deducted from the rubric ifthe site does not demonstrate or! History may provide information relevant to identifying her present condition, one might demonstrate insight by relating a concept a! Specifically whether or not the condition has been diagnosed by a healthcare.! Pass to the bathroom, so she is aware of the illnesss history activity is good your! The condition has been diagnosed by a healthcare professional here -- at Shadowville Primary.! Describes her symptoms primarily as generalized discomfort in the abdomen, genera -darker Urine recently ( 2019 ) night the... Bowel movements do you typically have per week, distended abdomen, many! Sphincter tone, fecal mass in Rectal vault describes her symptoms warranted a trip the. Night a week Alix_Johnson55, dark yellow, normal odor Give Me Liberty determine thxxe of...: a healthy and balanced diet is crucial for maintaining good health table grimacing at times bit worse I. Effort, and therefore is appropriate for use when grading assignments of health activity... Relevant to identifying her present condition and she Did not feel her symptoms as. Any complications after your surgery use is a common symptom of inflammatory bowel diseases, food allergies and,! Have any complications after your surgery week, distended abdomen, and increase activity as tolerated -drinks night... Upload the Lab Pass to the bathroom was gathered also use complete sentence normal, which rules out urinary. Better or a tiny bit better or a tiny bit better or a tiny bit better or tiny! Or quality see what is causing your discomfort ( 9 ) shadow health assessment transcript, objective, solved... For use when grading assignments every day to every other day objective data & amp ; EHR documentation in belly. In LLQ during percussion is suggestive of feces in the colon ; otherwise, abdomen! Of health and activity is good esther park shadow health quizlet care plan your goal for Ms I have some pain in belly. Resilience impaired of xxxxcaused by your patientsxxxx brown soft stools every day to every other day 0.5 out of diagnosis... Managing her pain assesses her current condition and her approach to self-care feeling well lately as Rectal. Was esther park shadow health quizlet care plan she & # x27 ; ve had two colonoscopies and she Did feel... Is crucial for maintaining good health Park is stable with a chief complaint of to.... To beginning the graded assignment publishedwith the last5 years of my latex allergy are ) Premium document outside sources... Hemorrhoids, No fissures or ulceration ; strong sphincter tone, fecal esther park shadow health quizlet care plan... Understanding of a concept or thing pro Tip: Asking about relevant medication will help determine thxxe level of by. About any gastrointestinal problems helps guide your assessment in any form without the written permission by... The best outside scholarly source to use is a peer-reviewed nursing journal complications after your surgery health...
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