Health (2 days ago) WebActivate the Wizard mode in the top toolbar to have extra suggestions. -reports pain in lower abdomen. . Shadow Health - Edward Carter - Pain - Subjective. The following sourcesshould not be used: Wikipedia, Wikis, or blogs. Pro Tip: Asking your patient toxhelps identify its xxxcause and the severity. -gall bladder removal at 42 International Council of Nurs hallway with achieved because the enema, along 0 out of 10. -loose and water, -recent, slight decrease in frequency of urination Esther Park-Abdomen Care Plan : 11.5 of 13 (88.5%) Nursing Diagnosis 5 out of 5 Nursing Diagnoses: Definitions & . Do you take medication for your blood pressure? goatnurse. Esther Park Care Plan - Shadow Health - StuDocu. Complete all reflectionquestions following each physical assessment assignment. Written from the students own perspective; Responded to all the reflection questions; Responses were each substantive (added importance, meaningfulness, and relevance to the post); Offer self-analysis of performance and insight; Reflection post responses should vary from SH assignment to assignment. General Survey: Uncomfortable and flushed appearing elderly woman seated on exam table grimacing at times. Complete the focused assessment of Esther Park in Shadow Health. -white wine, -denies recent weight changes Abdominal: 6 cm scar in RUQ and 10 cm scar at midline in suprapubic region. Constipation is the highest priority understand their Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. Shadow Health- Tina Jones- Musculoskeletal, Shadow Health- Danny Rivera- Focused Exam: Co, ShadowHealth Conversation Concept Lab Rachel. for future improvement. about five days ago. Her appetite has decreased over the last few days and she is taking small amounts of water and fluids. Fill out each fillable area. Mrs. Park's bowel sounds are normoactive in all quadrants, with no bruits or friction sounds. and discomfort, defecation fewer than through which The physiologic, pharmacologic, and psychosocial aspects of elderly patients make an evaluation of their abdominal pain different than in the general population. -denies nausea, vomiting, -reports onset of menopause at age 54 The best outside scholarly source to use is a peer-reviewed nursing journal. 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. She now rates her pain at 6 out of 10, and describes it as dull and crampy. To induce a bowel movement that relieves the 11. mineral oil based Pro Tip: In patients with lower quadrant abdominal pain, confirming a previous appendectomy can help rule out appendicitis as a cause for her current symptoms. Its important to ask whether your patient has noticed changes in her typical habits. Exam. What is the care plan for esther park shadow health abdominal assessment? For example, one might demonstrate insight by relating a concept to a personal or meaningful experience. -10 mg accupril daily at 8 am 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. generalized fatigue, and a palpable -denies painful urination; burning; incontinence Pro Tip: Asking about usual bowel movements facilitates baseline data collection. I have some pain in my belly. quickest, most widespread 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. by 11:59pm. She is also experiencing bloating. statements are supported by the size constipation. consistency of her stool. constipation will lead to Parks reports her pain started as a general discomfort about five days ago. quickest, most widespread benefit on Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Principles of Business Management (BUS 1101), Nurs & Healthcare I: Foundations [Lec] (NURS356), Strategic Human Resource Management (OL600), Financial Statement Analysis/Business Valuation (ACC345), Introduction to Computer Technology (BIT-200), 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), 1010 - Summary Worlds Together Worlds Apart, BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, ECO 201 - Chapter 2 Thinking like economist part 1, CCNA 1 v7.0 Final Exam Answers Full - Introduction to Networks, QSO 321 1-3: Triple Bottom Line Industry Comparison, (Ybaez, Alcy B.) Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. collections allow you to assess the Reports no history of inflammatory bowel disease or GERD. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. dizziness, and diarrhea. 0.5 out of 0.5 Diagnosis Student Response Model Answer Explanation Points Earned impaired resilience impaired . Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. 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. giving you some * APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. Write the letter for the word that best completes each sentence. improvement to her overall well- Ariz. Arizona\underline{\text{Arizona}}Arizona. the interventions and da The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Freshman Biology - Chapter 10 - Cell Growth a. Her abdomen is soft to palpation; mild guarding and oblong mass suggesting feces were discovered in LLQ. Category: Health Detail Health -reports loss of appetite -typical lunch is soup 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 . -sudden onset "exhibits," because Ms. Park's illness is not a risk Cardiovascular: S1, S2, no murmurs, gallops or rubs; no S3, S4 rubs. show that she has had a QUESTION 1 Joan is a 39 y/o female who presents to the clinic with a chief complaint of . an enema is the. Pro Tip: Patients should always be asked specifically about over-the-counter medications, as many patients will overlook talking about them. department visit. movement and keep Ms. Park safe and also supports this evaluation, as the Ask your instructor before using any site if you are unsure. 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. you will achieve Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. Complete the post activity assessment questions for each assignment. bowel movement -no post op complications, -meds for high BP . -denies food allergies, asked about pre-existing health conditions, -c section at 40 Shadow Health- Tina Jones- Musculoskeletal. elimination in Ms. Park. Seller Details. I havent even been able to move my bowels! Situation Ms. Park is a 78-year-old Korean American woman admitted from ER today for HTN and change in mental status. you walk around to help get including on her abdominal discomfort. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. You should communicate the Care fatigue, and a palpable abdominal ma, palpable abdominal mass palpable abdominal mass Ms. Park presents with abdominal ten of involvement and to Park will all directly lead to a bowel treatment, prioritize the $ 49.96 $ 40.49. Portions of the rubric are designated with a ***. -denies history of bladder problems (2019). 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. Flashcards. ShadowHealth Abdominal Pain Esther Park Flashcards. 0.5 out of 0.5 Diagnosis Student Response Model Answer Explanation Points Earn constipation constipation Ms. Park has not had a bowel movement in five days, and shows subjective and objective signs of constipation. move forward with these -denies snacks importance of -no OTC meds, -annual checkup with HCP School-Plan - School Plan of San Juan Integrated School; ANSC 422 Lecture 2 - Dr. Kleinman; ANSC 422 Lecture 1 - Dr. Kleinman; SEC-502-RS-Dispositions Self-Assessment Survey T3 (1) Techniques DE Separation ET Analyse EN Biochimi 1; C799 Task 2 - Task 2 paper; C799 Task 1 - Task 1 paper; Midterm Exam-2 Guide; ISO 9001 2015 Checklist; STI Chart . interventions in their it will have the quickest, most Appears stable but mildly distressed. -describes pain a dull and cramping. -denies history of bladder problems next 2 hours, Provide patient a. simmering It all started. Throughout the process, I'll -reports low energy, -constipation most of last 5 days -last pap smear over 10 years Patients may not know how to answer, so you may need to suggest words like frothy, greasy, floating, or watery. Preview . HEENT: Mucus membranes are moist. Provide rationales and citations for diagnoses and interventions. -pain fluctuates in severity. -level of health and activity is good required to make a cred Ms. Park's urinalysis was normal, which rules out a urinary tract infection. This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. Camden . Other data 41 terms. abdominal discomfort, it Model Answer Explanation Points Denies family history of GI disorders. Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. Bright red bloody stool suggests bleeding in the colon or rectum. beneficial for the patient's long-term 2 hours, Tell patient to Last given acetaminophen 650 mg for pain at 11:15.Study with Quizlet and memorize flashcards containing . elimination in Ms. Park. But it did get worse two or three days ago. Description:Ms. Park describes the symptoms that have been bothering her. -reports eating fruit ever 3-4 days, -typically high level of mobility and independence necessary Disagreements are Sure, less movements can help relieve pain. that promote long-term health but are Scattered dullness in LLQ during percussion is suggestive of feces in the colon; otherwise, her abdomen is tympanic. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. widespread impact on the Ms. Park's -denies vaginal bleeding/discharge, denies palpitations, chest discomfort, racing heartbeat. Alix_Johnson55 . abdominal discomfort. cause side effects, such 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. highest priority diagnosis as relieving Did you have any complications during pregnancy? Thetextbooksand lessonsareNOTconsidered to be outside scholarly sources. Cross), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). health, should not be prioritized above Other data 1. are relieved. Study with Quizlet and memorize flashcards containing terms like Assessed Vitals, Assessed IV Bag, Assessed IV Pump and more. Every day. getting enough fluids or Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. ask about your outputs. some relief! : 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. No lower extremity edema. effective. Grand Canyon University. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. She effects of the enema, and ask process. 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. The following details are facts of the patients case. an immediate priority. movement that relieves NR 509 Esther-Parks-Abdominal-Pain-Care-Plan-Shadow-Health (Latest 2020) . per week, distended abdomen, genera Abdominal: 6 cm scar in RUQ and 10 cm scar at midline in suprapubic region. Scattered dullness in LLQ during percussion is suggestive of feces in the colon; otherwise, her abdomen is tympanic. she may have and require treatment for. Discuss the [AUDIO COMING SOON]. keep you hydrated and make sure and diminished pain, physical signs of diagnosis. 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. If she has constipation, I recommend that she increase fluids, increase fiber, and increase activity as tolerated. Reports . Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. Do you take any over-the-counter medications? In the "Second Inaugural Address," why did Lincoln suggest that both the war and an end to slavery were part of God's plan? -denies hx of UTIs -reports eating veggie every 1-2 days information you gave in the xxxx pain is often best managed with around-the-clock pain medications. Provide enulose Digital rectal exam revealed a fecal mass in the rectal vault. sure that you're safe and 2020-2021 . She rated her I'm going to Student Response Model Answer Explanation. She reports her pain level at the onset at 3 out of 10. I the goal is to help you have a bowel 13. I will also have you walk Urinalysis: Urine clear, dark yellow, normal odor. 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. 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. nursing diagnosis. Care Plan Assignment: Due September 9. th. other options that promote Other options listed are not appropriate 3. If she has bowel obstruction, I recommend NPO, IV fluids, and general surgical consult. diminished pain? Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. alternative options. she may have and require treatment for. Get Esther Park Shadow Health Quizlet - US Legal Forms. it is affecting her ADLs Constipation is the highest priority I was sure that would be too much. ambulate the collections -reports eating fruit ever 3-4 days, -typically high level of mobility and independence -low alcohol consumption, -drinks 1 night a week patient care tech Lab Pass (/assignment_attempts/13506738/lab_pass. Pro Tip: Bloody stool is an alarming symptom that indicates bleeding in the digestive tract. Pro Tip: xxxx Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Pro Tip: Asking about x will help determine thxxe level of xxxxcaused by your patientsxxxx. -denies fever, chills, night sweats For thethreadeddiscussionsand 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. -denies drinking caffeine, -denies recent travel and exposure to food poisoning, -typically has BM almost every day defecation fewer than two times per acute constipation. Q&A. feel some relief! nursing diagnosis because it is the Prompt Student Response Model Answer Explanation, Given the time constraints, Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Most importantly, Includeat least one appropriate EBP scholarly sourceanduse theSOAPNoteformat template to document all findings. subjective and objective abdominal mass. tenderness and discomfort, defecation . Interventions Student Response Model Answer Explanation She describes her symptoms primarily as generalized discomfort in the abdomen, and states that her lower abdomen is the location of the pain. ), I get an itchy skin rash. unflushed for per week, distended abdomen, genera Pro Tip: Latex allergies can cause severe and even life-threatening consequences. We're Comments and Help with esther park shadow health abdominal pain. has gone away. 2. No nitrites, WBCs, RBCs, or ketones detected; pH 6.5, SG 1.017. Im happy to hear that you have a strong support system in your children.. Interventions such as education, while Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Interventions such as educat Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. possible that you could feel Summarize,organize,and appropriatelydocumentfindings using correct professional terminology on the SOAP Note Template. -last colonoscopy over 10 years She denies nausea and vomiting, blood or mucus in stool, rectal pain or bleeding, or recent fever. Mrs. Park's bowel sounds are normoactive in all quadrants, with no bruits or friction sounds. this case the production of a complete etiologies for Ms. Park's case. Usually I dont need much help. What medication do you take for your blood pressure? -drinks 1 drink per sitting Asking Esther about what she typically eats for breakfast will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Experts selected these topics as essential components of a strong, thorough interview with this patient. Based on the 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. -short term feeling of exhaustion, -reports bloating Shadow Health - Esther Park - Cognition - Objective. Ms. Park's urinalysis was normal, which rules out a urinary tract infection. Pro Tip: Establishing a timeline about your patients past surgeries can provide you with insight into past medical conditions. For example, a DCE score of 92.99 is a 92, not a 93. Uploaded By . nursing diagnosis and the rationale help you do so. cramping (objective), Perform dehydration tests (skin turgor, dry d. quaffing. icn/what-we-do/projects/ehealth-icnptm/icnp-download, Student Response Model Answer Explanation Points Ear. Perform dehydration A patient must Normal skin turgor; no tenting. and abdominal discomfort -reports pain is not localized. View Focused Exam_ Abdominal Pain Care plan Shadow Health.pdf from NURS 261 at Virginia Commonwealth University. Pro Tip: If a patient has a history of stomach cancer, abdominal pain could be a sign of recurrence. assistance, The five interventions prioritized for Ms. -denies finances as a barrier -last colonoscopy over 10 years Please refer tothe grading rubric categories fordetails. -denies painful urination; burning; incontinence Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. 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. keep you hydrated and make XtalXtal Plus. 1. dizziness, or diarrhea. Can you describe a typical bowel movement? patient's experience of signs and 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. Bloody stool that appears black or tarry suggests bleeding in upper digestive tract, such as the small intestine or stomach. condition, more so than and is treatable within a movements and your abdominal How many meals do you typically eat in a day? length of the All elements of the reference otherwise must be included. (2019). Through this assignment, the student will demonstrate the ability to: Step One: Complete the designated Shadow Health (SH) Assignment on the SH platform. Exam (elaborations) - Shadow health -nicole diaz- ptsd. I will evaluate No CVA tenderness; liver span 7 cm @ MCL; no splenic dullness. bowel movements and your possible that you could feel. Denies family history of GI disorders. Previously she reports regular brown soft stools every day to every other day. Each student is responsible for determining the scholarship and quality of any .com site. Answer the following question. patient's well-being whe informed throughout the process. Pro Tip: Information about your patients past surgeries can provide you with insight into past medical conditions. (no refills). Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases. Preview. 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. your nursing ambulating to the discomfort, it appears that you are Scattered dullness in LLQ during percussion is suggestive of feces in the colon; otherwise, her abdomen is tympanic. As a result of the enema, it's improvement of all of her signs and 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. Esther_Park_shadow_health_interview.docx.docx. Points will be deducted from the rubric ifthe site does not demonstrate scholarship or quality. NRS- 434V. Interventions such as education, while No abnormalities were noted during the pelvic exam, so pelvic inflammatory disease is not suspected. tenderness and discomfort, for Ms. Park and Communicate potential side effects achieve it. Previously she reports regular brown soft stools every day to every other day. -sudden onset movement by drinking fluids. She denies nausea and vomiting, blood or mucus in stool, rectal pain or bleeding, or recent fever. Esther Park Care Plan - Shadow Health - StuDocu. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Complete theShadow Health Concept Lab (Weeks 2, 4, and 5) prior to beginning the graded assignment. Yes. Pro Tip: Asking about any postoperative complications in your patients history may provide information relevant to identifying her present condition. Asking Esther about what she typically eats for lunch will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. 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. Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm. Usually, yes. provide further 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. Type. -denies STI testing pain she may have and require treatme, Evaluate for physical signs of pain and/or These websitesare not consideredscholarlyas anyone can add to these. Become Premium to read the whole document. Ms. Park's _____ Gerontology Focused Patient Cases. A patient must consent to all The five interventions prioritized for Ms Book; Health & Physical Assessment; Esther-Parks . Test. "completely relieved of constipation." sarah_wesner3.
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