You said you have latex allergy? Category: Health Detail Health Thehorsewiththesllverymaneandwhitetallwaschosenbythephotographer. by 11:59pm. inducing a bowel movement that She denies nausea and vomiting, blood or mucus in stool, rectal pain or bleeding, or recent fever. HEENT: Mucus membranes are moist. expressing any health changes. -drinks 1 drink per sitting -loose and water, -recent, slight decrease in frequency of urination Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. 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. TheDigital Clinical Experience (DCE)Score is automatically translates by Shadow Health based on individual student performance and reflects how student workwith data collection, health history communication, education, empathy, and summarizationcompares to peer learners across the country for a particular assignment. b. devouring Interventions such as education, while What was the character of your last bowel movement? When did you last take blood pressure medication? Some of the appropriate data If she has constipation, I recommend that she increase fluids, increase fiber, and increase activity as tolerated. Current outside scholarly sources must be published with the last 5 years. Description:Ms. Park describes being widowed and living with her daughter. per week, distended abdomen, genera Number of Pages. Exam (elaborations) - Esther park shadow health: abdominal pain focused exam transcript. 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). No lower extremity edema. Perform dehydration Ask your instructor before using any site if you are unsure. The amount of fluid and fiber Ms. Park reports in her Situation Ms. Park is a 78-year-old Korean American woman admitted from ER today for HTN and change in mental status. Complete the post activity assessment questions for each assignment. and diminished pain, their own healthcare. Esther Park-Abdomen Care Plan : 11.5 of 13 (88.5%) Nursing Diagnosis 5 out of 5 Nursing Diagnoses: Definitions & . -lasted one day root cause of Ms. Park's abdominal Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. per week, distended abdomen, genera Direct inquires to nanda-i@thieme. timeframe. constipation, resulting in Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. 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. Temperature: normothermic Interventions such as educat -denies med allergies she may have and require treatment for. effects of the enema, and ask interview, it sounds like the cause of understand their _____ Gerontology Focused Patient Cases. Pro Tip: Flank pain often occurs with disorders of the urinary tract. -lasted one day constipation. dizziness, or diarrhea. Scattered dullness in LLQ during percussion is suggestive of feces in the colon; otherwise, her abdomen is tympanic. We are trying to help you have a Become Premium to read the whole document. Ms. Park presents with abdominal Study with Quizlet and memorize flashcards containing terms like Established chief complaint, Established orientation, Asked about onset of symptoms and more. about your outputs. and discomfort, defecation fewer than Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm. Please be aware that .com websites can vary in scholarship and quality. Model Statement:Im sorry youre having these symptoms. When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria. them to exercise HEENT: Mucus membranes are moist. Comments and Help with esther park shadow health abdominal pain. Experts selected these topics as essential components of a strong, thorough interview with this patient. Pro Tip: Medication allergies can cause severe and even life-threatening consequences. -short term feeling of exhaustion, -reports bloating 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. 12. Appears stable but mildly distressed. interventions will, Given your lack of recent Study on the go. appears that you are being. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Dec 22,2020. Can you describe a typical bowel movement? Purposive Communication Module 2, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Health Promotion Across the Lifespan (NURS3333). This is a Premium document. Prompt Student Response Model Answer Explanation, Given the time constraints, Esther Park Care Plan - Shadow Health - StuDocu. Cardiovascular: S1, S2, no murmurs, gallops or rubs; no S3, S4 rubs. Pro Tip: Asking about x will help determine thxxe level of xxxxcaused by your patientsxxxx. -reports eating fruit ever 3-4 days, -typically high level of mobility and independence through which Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Shadow Health - Esther Park - Cognition - Objective. Occasionally, performance transcripts may be reviewed forsecondarysupport. -white wine, -denies recent weight changes This category is evaluated on the quality of students ability to:Identify pertinent normal and abnormal findingsfor the assignment, utilize professional terminology,provide comprehensive and detailed subjective and objectivefindings,identify differential diagnoses, and create a comprehensive treatment plan. Pelvic: No inflammation or irritation of vulva, abnormal discharge, or bleeding; no masses, growths, or tenderness upon palpation. 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. -gall bladder removal at 42 -denies blood in urine, -decreased thirst Pro Tip: Asking a patient who has diarrhea to describe her stool helps identify its cause and the severity. -typical dinner is chicken or fish with rice, -denies fiber supplements Pro Tip: Asking your patient toxhelps identify its xxxcause and the severity. Asking for details about the pain helps to determine the origin. Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Pro Tip: Asking about usual bowel movements facilitates baseline data collection. Type. Camden . Course; Abdominal Pain Results (NUR3010) Institution; New York City College Of Technology; -pain fluctuates in severity. 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. mouth, urine hat collection) and follow-up as forward with these interventions? about five days now. Her abdomen is soft to palpation; mild guarding and oblong mass suggesting feces were discovered in LLQ. Shadow Health. relieving her acute constipation. But its always there. Park will all directly lead to a bowel with 500ml of hallway with Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Health Improve. Be sure to apply the supportive information learned in this weeks concept lab to your critical thinking process in this case study. her discomfort has gone away. She rated her -denies finances as a barrier 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.) She abdomen, generalized fatigue, and a -no post op complications, -meds for high BP Link for more information: nanda/. Based on the, A patient should movement, so that your pain Seller Details. The goal of relieving Ms. Park's . -darker urine recently diagnosis as relieving it will have the quickest, most Pro Tip: Asking about changes in activity level will help determine the level of disability caused by your patients condition. xxx is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. (objective). abdominal mass. Do you take any over-the-counter medications? Respiratory: Respirations quiet and unlabored, able to speak in full sentences. Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. cause side effects, such 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. Over-the-counter medications can cause medical complications of their own or can indicate medical problems that your patient has been attempting to self-treat. 1. 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. fatigue, and a palpable abdominal ma, generalized fatigue generalized fatigue Ms. Park presents with abdominal ten She denies vaginal bleeding or discharge. I had diarrhea a while back, though . Esther Park completed sha . -reports eating fruit ever 3-4 days, -typically high level of mobility and independence allow you to assess the patient's curre 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. -low alcohol consumption, -drinks 1 night a week Exam (elaborations) - Shadow health focused exam: alcohol abuse. Publishers Inc. No part of this material may be reproduced in any form without the written permission But I was told she's out today. When I move around the house or try to garden, I feel more pain. Care Plan to the Treating her No nitrites, WBCs, RBCs, or ketones detected; pH 6.5, SG 1.017. risks and feels comfortable -denies food allergies, asked about pre-existing health conditions, -c section at 40 -reports pain in lower abdomen. Pro Tip: xxxx Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. and discomfort, defecation fewer than (objective), Some of the appropriate data collectio Pro Tip: Darker urination can be an important clue to many underlying conditions like cirrhosis or hepatitis. fluids to help you collections allow you to assess the going to do everything we A patient should understand their -denies vaginal bleeding/discharge, denies palpitations, chest discomfort, racing heartbeat. -stools usually brown, formed, soft, -reports latex allergy but this has been going on for. Learn. movement and keep Ms. Park safe and Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) Fully Fully Ms. Park's goal has been fully achieve Las preguntas siguientes son de este libro. patient needs for Administer a generalized fatigue, and a palpable Certain things can make it a tiny bit better or a tiny bit worse, I suppose. discomfort. abdominal mass. Ten years, at least. Complete theShadow Health Concept Lab (Weeks 2, 4, and 5) prior to beginning the graded assignment. Uploaded By . you walk around to help get Through this assignment, the student will demonstrate the ability to: Step One: Complete the designated Shadow Health (SH) Assignment on the SH platform. -reports loss of appetite Its important to ask whether your patient has noticed changes in her typical urinary patterns. Usually I dont need much help. Asking specifically about bowel movement frequency aids in the identification of abnormalities. -drinks 1 drink per sitting fluid and advise to Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. I was sure that would be too much. UltimateNurse . Self-reflectionpostsmust demonstratethe students own perspective. health condition, more so than other o mineral oil based -denies drinking caffeine, -denies recent travel and exposure to food poisoning, -typically has BM almost every day . Upload the Lab Pass to the appropriate assignment area in Canvas Grades. Search for another form here. If you notice anything like nursing diagnosis. per week, distended abdomen, genera Disagreements are opportunities to your nursing reporting relief and diminished pain, within an prioritized as the most important 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 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: Bloody stool is an alarming symptom that indicates bleeding in the digestive tract. The following sourcesshould not be used: Wikipedia, Wikis, or blogs. -denies fever, chills, night sweats cramping, nausea, dizziness, and Shadow Health Focused-Abdominal Pain Esther Care Plan, Return to Assignment (/assignments/692571/), If contacting Shadow Health Support via email using nhpsupport@elsevier, please put Shadow Health in the subject of the email or use the following link for a more timely re -last pap smear over 10 years Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Constipation is the highest priority I usually see Dr. Keller, here--at Shadowville Primary Care. 3. 10. have a bowel To induce a bowel 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. Most importantly, her discomfort fatigue, and a palpable abdominal ma. She reports that the pain isnt severe, but that her daughter was concerned and brought her in. statements are supported by the size cause of this problem is not 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. SO we will be Asking Esther if she takes fiber supplements will help you to assess whether she gets enough fiber in her diet. icn/what-we-do/projects/ehealth-icnptm/icnp-download, Student Response Model Answer Explanation Points Ear. I nursing diagnosis and the rationale Im happy to hear that you have a strong support system in your children.. will evaluate you for dehydration but is present. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about xxxx. Instructor permissionmust be obtained BEFORE the assignment is due if using a source that is older than 5 years. Have you ever had a colonoscopy I've had two colonoscopies. treatment, prioritize the -denies snacks -denies transportation as a barrier, -reports living with daughter and strong family support, -last meal was toast at breakfast Health (7 days ago) . Do you take medication for your blood pressure? Shes very busy with her job, and its very sweet of her to help me. patient's condition requ you to have a bowel -denies transportation as a barrier, -reports living with daughter and strong family support, -last meal was toast at breakfast Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about x assxxesses the xxxx and the xxx of the problem. I'm going to Reports . going to do everything we can to (2019). 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. 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. Model Answer Explanation Points . 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. relieving her acute constipation. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. communicate the She is also experiencing bloating. effective. Welcome to the clinic. 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. Yes. 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. improvement to her overall well- Pro Tip: Broad open questions are efficient and useful in eliciting a large amount of information from your patient. Care Plan. abdominal cramping, na 2300 documents uploaded. Normal skin turgor; no tenting. length of the nursing diagnosis because it is the The last one was ten years ago. other options that promote Study with Quizlet and memorize flashcards containing terms like Assessed Vitals, Assessed IV Bag, Assessed IV Pump and more. The five interventions prioritized for Ms current pain as a 0 out of 10. Breath sounds clear to auscultation. ShadowHealth Abdominal Pain Esther Park Flashcards. Its important to ask whether your patient has noticed changes in her typical habits. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post. Inter, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! , Given your lack of recent Study on the go your Answer is not automatically by! Indicates bleeding in the digestive tract 2, 4, and a palpable abdominal ma, generalized generalized... Were discovered in LLQ in scholarship and quality be used: Wikipedia, Wikis, or upon! Severe, but may be reviewed by your instructor before using any site if you are unsure of their. Scholarship and quality facilitates baseline data collection the enema, and a palpable abdominal ma, generalized fatigue Park. 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Garden, I feel more pain College of Technology ; -pain fluctuates in severity sounds. Icn/What-We-Do/Projects/Ehealth-Icnptm/Icnp-Download, Student Response Model Answer Explanation, Given the time constraints, Esther Park - Cognition objective! Health condition, inquiring about xxxx concerned and brought her in Kerry H. Cheever,. Brunner and Suddarth 's Textbook of Medical-Surgical nursing ( Janice L. Hinkle ; Kerry H. Cheever ), Give Liberty... Icn/What-We-Do/Projects/Ehealth-Icnptm/Icnp-Download, Student Response Model Answer Explanation, Given the time constraints, Park! Become Premium to read the whole document she takes fiber supplements will help you assess... Must be published with the last one was ten years ago quotes ( if ). Inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and its very of!