What brings you to the clinic today? Reports discomfort for the past five days, Reports pain worsened intensely 2-3 days ago, Describes pain as fluctuating in severity, Asked about non-pharmacological relieving factors, Reports drinking warm water to relieve pain was ineffective, Asked about pharmacological relieving factors, Reports pain is aggravated by physical activity, Reports recent difficulty participating in usual activities, Reports slight decrease in frequency of urination, Reports decreased fluid intake for the last few days, Typical fluid intake is 1-2 glasses of water a day, Denies drinking caffeinated drinks such as coffee or soda, Reports typically having a bowel movement almost every day, Reports last Pap smear was over 10 years ago, Reports belief that her level of health and activity is very good for her age, Asked about sexually transmitted infections, Asked about pre-existing health conditions, Followed up on high blood pressure medication, Reports medication for high blood pressure is quinapril (Accupril), Reports high blood pressure medication is 10 mg. Reports taking high blood pressure medication daily at 8 a.m. Do you take any over the counter medications? ), I have pain in my belly. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. In patients with stomach pain, whether or not physical activity exacerbates pain may help you identify the nature of the condition. And I did not go to my exercise classes. No. . Pro Tip: Recent travel or new experiences can result in gastrointestinal or other stressors. I didn’t take anything. Pro Tip: Racing heart might be an indicator of an underlying cardiovascular or mental health condition, such as anxiety. Pro Tip: Blood in the urine can be an important clue to many underlying conditions like cancer or kidney problems. Asking older patients about their ability to dress on their own allows you to determine if greater caretaking is necessary. It’s taken quite a toll. How many nights a week do you drink alcohol? Well, my mother had diabetes, but that’s it. The last one was ten years ago. Do you have difficulty getting in and out of chairs? S stands for subjective data, which is the information provider by … I can do that–I’ve been doing what I need to do. Dr. Esther Park, DO is a doctor primarily located in Laguna Hills, CA, with other offices in Granada Hills, CA and Laguna Hills, CA.She has 21 years of experience. Do you have difficulty getting on and off the toilet? The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. Pro Tip: Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. once every three of four days or so. No. . . Pro Tip: Whenever you are assessing a symptom such as constipation, inquiring about onset allows you to assess the severity and the progression of the problem. Pro Tip: If a patient has a history of stomach cancer, abdominal pain could be a sign of recurrence. I haven’t been hungry. Pro Tip: When assessing your patient’s sexual health, it is critical to ask whether she has been tested for sexually transmitted infections, especially patients with gastrointestinal conditions, as these are sometimes caused by STIs. Hope that helps. Have you had any changes in the frequency of urination? Pro Tip: Social support is important for coping with daily stressors and for maintaining quality of life. Pro Tip: Although it may be uncomfortable, it is important to ask about the color of usual bowel movements because the stool relays valuable information about gastrointestinal health. Asking about the dose of the medication, in this case for blood pressure, will help you to treat your patient. But I haven’t had one in… I’d say over ten years. Have you experienced any emotional abuse? have you ever been diagnosed with an STD? Experts selected these topics as essential components of a strong, thorough interview with this patient. If there are multiple symptoms, especially related symptoms like constipation and bowel pain, follow up on each one during your interview. (Clarified to How would you rate your abdominal pain on a scale of zero to ten?. Fill Esther Park Shadow Health Quizlet, Edit online. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Pro Tip: Latex allergies can cause severe and even life-threatening consequences. Pro Tip: Broad open questions are efficient and useful in eliciting a large amount of information from your patient. 1 Likes. During the patient interview, there are a number of opportunities to provide patient education and empathy. We have to use this as well. What dose is your high blood pressure medication? I’ve never had any problems with my liver. Esther Park is a 78-year-old woman who usually enjoys good health but is currently having abdominal pain and reports having trouble going to the bathroom. I have been slightly more . You have to ask the Patient questions in a way that would NEVER be so difficult for a real life patient. Pro Tip: Sexual activity can increase your patient’s risk factor for sexually transmitted infections, so it’s important to ask specifically about current sexual activity. (Clarified to: how I would rate my abdominal pain on a scale). She reports difficulty concentrating with a 9/10 pain in the ER. It all started. Do you take fibre supplements? Indicates an item that is available to be found. It’s good that you came in today so we can discuss how to alleviate your discomfort and improve your gastrointestinal health.”. Yes, right now, and for the past five or so days. I suppose I’ve been drinking a little less water than usual, just in these last few days. Does physical activity aggravate the pain? This is a list of the MPs who have voted against England’s third coronavirus lockdown. Pro Tip: Whenever you are assessing a symptom or a health condition, in this case stomach pain, inquiring about onset allows you to assess the severity and the progression of the problem. I’m Preceptor Diana. Teaching Tips & Resources. They are in Korea. and I’m having some difficulty with going to the bathroom. Usually I love to walk. It is important to ask older patients if they are being sexually abused so you can follow up appropriately. . (Clarified to how I would rate my pain on a scale.). did you take any medicine for the diarrhea? . Inadequate fluid intake or dehydration can be a common problem among aging adults. . Have you had changes in your fluids intake ? It’s quite frustrating not being my normal self. Model Statement: “It’s a really healthy practice to be drinking water every day, and it’s great that you are! Ms. Park states the pain is a throbbing, pounding sensation in the front of her head that has increased since yesterday. Ask client to urinate before exam 2. (Clarified to: what brings me to the hospital), I am sorry to hear that you are having a pain. Model Statement: “I’m sorry you’ve been more tired and haven’t been able to live your daily life with your normal vigor. If you know your patient is taking pain medication, asking about the medication’s effectiveness can help you adjust treatment as needed. I have a vegetable every day or two, which I’d guess has fiber. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Pro Tip: It’s important to assess the nature of pain by asking about relief. Pro Tip: When assessing your patient’s sexual health, it is critical to ask whether she has experienced symptoms of sexually transmitted infection. I think I have the normal amount of vaginal discharge. 1. a. improve cognitive function in the fetus. (Clarified to: how I would rate my pain on a scale). Sometimes I skip lunch if I’m not feeling hungry, but usually I eat something light, like soup. Pro Tip: Patients should always be asked specifically about over-the-counter medications, as many patients will overlook talking about them. In your interview with Ms. Park, you will. 5 years ago. A suggested framework to consider using is the SOAPIER format (Haider, 2009). ABDOMINAL PAIN ASSIGNMENT (ESTHER PARK) Sign up for free to request access. Pro Tip: Identifying the location of your patient’s pain provides important clues about its cause and how to treat it best. . It fluctuates in how severe it is. Aaaah ive found u.....this is also why i come to this site. 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. This morning, my daughter made sure I had a little something. I take exercise classes at the community center — water aerobics, and I started enjoying Pilates as well. etc. . Description: Ms. Park describes the symptoms that have been bothering her. Eating only makes me feel worse. Using data from the Education Longitudinal Study, this study assessed the relevance of shadow education to the high academic performance of East Asian American students by … Pro Tip: Coughing could be a symptom of gastrointestinal conditions such as GERD. How has your illness affected your daily life? Pro Tip: Swelling can indicate allergic reaction or edema, both of which could be caused by medication. What is your name? Oh my. Share Tips & Get Feedback. Shadow Health has you percuss third, then palpate last. c. increase fetal weight and length. It’s more of a problem with pain. Enough fiber can help regulate your digestive system and prevent gastrointestinal upsets, so let’s talk about ways you might increase your fiber intake.”. Pro Tip: Asking about fluid intake is a key component of a thorough health assessment. (Especially for Tina Jones' focused abdominal assessment). I think sometimes it’s better to let your body do what it needs to do. jtbangaan. Pro Tip: It’s important to ask about the suddenness of diarrhea because it may be a sign of a new onset of a gastrointestinal disease or disorder. What a sad habit. Asking Esther if she’s traveled recently might reveal a new experience that’s affected her health. ANS: D. When preterm delivery cannot be prevented, injecting the pregnant patient with glucocorticoids can accelerate fetal lung maturation. Asking older patients about their ability to get on and off the toilet allows you to determine if greater caretaking is necessary. No. Do you take high blood pressure medication? It’s important to ask whether your patient has noticed changes in her typical urinary patterns. Yes, I garden, take walks. The pain started as a general discomfort, about five days ago, when I started having the. (Clarified to Are your legs swelling?. When a patient complains of increased gas, it is important to identify any co-occurring symptoms. No, I haven’t noticed anything like that. Tylenol–they say it’s very bad for the stomach. Pro Tip: It is important to ask about burning during urination to assess for infection or inflammation of the urinary tract. and I’m having some difficulty with going to the bathroom. Pro Tip: Bloody stool is an alarming symptom that indicates bleeding in the digestive tract. Abdominal pain in older adults is more difficult to diagnose. Pro Tip: If a patient has a past experience with food poisoning, she may be able to compare and contrast her present symptoms with previous illnesses. . Asking older patients about their ability to feed themselves allows you to determine if greater caretaking is necessary. Indicates an item that is available to be found. Hello and welcome to the clinic. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. Did you have any complications during pregnancy? Patients may not know how to answer, so you may need to suggest words like sharp, dull, burning, throbbing, or shooting. Pro Tip: A high fiber diet helps to reduce constipation. Pro Tip: Knowing your patient’s food allergies prevents your patient from receiving harmful food, and it helps to identify specific allergies, such as shellfish or eggs, which can contraindicate the administration of common medications or treatments that include derivatives of these substances. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Pro Tip: Asking about how many glasses of water a patient drinks daily is a key component of a thorough health assessment, especially for patients experiencing symptoms often affected by hydration, like stomach pain and constipation. Her specialties include Child & Adolescent Psychiatry, Psychiatry, Adult, Child/Adolescent Psychiatry. The results of her previous treatment may be helpful in your diagnosis and the development of her new treatment plan, as well as a good opportunity to educate your patient on effective self-care practices. How many meals do you typically take in a day? _____ Gerontology Focused Patient Cases. NURSING 225 Shadow_Health_Esther Park Objective_Cognition 2020 Shadow_Health_Objective_Cognition 2020 Focused Exam: Cognition Results | Turned In Medical Surgical Nursing: Promoting Wellness in the Older Adult - 2020 Pro Tip: Your patient’s perception of health provides insight into her self-awareness, her health goals, and her approach to self-care. (Clarified to: What brings you to the hospital? Living situation can also relay information about your patient’s relationships, socioeconomic status, functional ability, and sense of self. Description: Ms. Park describes being more fatigued and having less energy for her daily activities. It is important to assess other symptoms in order to determine the cause of bloating. That’s unusual for me. controlling myself. Pro Tip: Darker urination can be an important clue to many underlying conditions like cirrhosis or hepatitis. As many sexually transmitted infections are asymptomatic in women, your patient may not recognize if she has been infected. . (Clarified to how I would rate my abdominal pain on a scale. . d. increase lung development in the fetus. . . Pro Tip: Asking the patient how many drinks she has per month is a way to gauge her understanding of her own level of drinking. 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. Pro Tip: Stress incontinence is common in geriatric women, particularly those who have had multiple vaginal deliveries. When I move around the house or try to garden, I feel more pain. What relives your pain besides medication? Before this? I’ll have it instead of my breakfast toast. . 1. . . I’ve been going slightly less often because. Pro Tip: Chronic alcohol use can result in a range of health problems. Pro Tip: Bloating can occur alone or as a symptom of an underlying disorder. (Clarified to if my legs are swelling.). . When do you take your high blood pressure medication? I don’t know about my extended family–cousins and so forth. Reflect & Set Personal Goals. No, I haven’t gone on any trips in several years. Constant pain is often best managed with around-the-clock pain medications. Ask your instructor before using any site if you are unsure. It is important to ask older patients if they are being physically abused so you can follow up appropriately. Shadow Health - QSEN. But since I’ve been sick, I’ve needed to rest. Asking about any gynecological problems should guide your assessment. Pro Tip: Understanding all of a patient’s reason for visiting is an important foundation to establish. Pro Tip: You should ask geriatric patients to identify where they are so you can determine their cognitive functioning. . . Pro Tip: Night sweats can be a symptom of conditions such as perimenopause, or diseases or serious physical ailments. Always asking specifically about allergies can help ensure that your patient does not receive medication or treatment that will do her harm. Pro Tip: Presence of vomiting would indicate a complaint such as food poisoning or infection. Description: Ms. Park describes drinking 1-2 glasses of water a day. I will interview you today and do a physical examination. Pro Tip: If a patient has a history of bladder disease, it could contribute or relate to her present condition. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. My heart rate has always been normal. Some toast. Pro Tip: A regular Pap smear is indicated for female patients between 21 and 65. Focused Exam: Abdominal Pain. We're available through e-mail, live chat and Facebook. No. Kaitlyn McCue Physical Education and Health Teacher at Nanuet Senior High School New York City Metropolitan Area 181 connections At the moment, I’d say it’s a 2. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Pro Tip: For many people, it is difficult to clearly describe pain. Pro Tip: Although it may be uncomfortable, it is important to ask the softness or hardness of usual bowel movements because the stool relays valuable information about gastrointestinal health. Asking your patient to rate her pain on a scale from zero to 10 develops a consistent measure of pain severity. No, that hasn’t been necessary. Pro Tip: Information about your patient’s pregnancy can provide you with insight into past medical conditions. At the moment, I’d say it’s a 2. How would you rate on a scale of one to ten? What is the dosage of you blood pressure medication? Usually three, but sometimes I skip breakfast. Pro Tip: It is important to ask about pain during urination to assess for infection or inflammation of the urinary tract. Esther Park Shadow Health: Focused Exam: Cognition. No, I don’t take any extra fiber. She’s very busy with her job, and it’s very sweet of her to help me. . I don’t usually have problems going to the bathroom, but this has been going on for . Pro Tip: It’s important to ask about the duration of diarrhea because it may be a sign of a new onset of a gastrointestinal disease or disorder. Patient Data Not Scored A combination of open and closed questions will yield better patient data. Bloody stool that appears black or tarry suggests bleeding in upper digestive tract, such as the small intestine or stomach. Pro Tip: Asking about changes in activity level will help determine the level of disability caused by your patient’s condition. My name is xxxxx. I’ve never had problems with. I don’t have problems with that area. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. it was twenty years or more ago. It is important to ask older patients if they are being verbally abused so you can follow up appropriately. Asking older patients about their ability to walk allows you to determine if greater caretaking is necessary. Pro Tip: Asking your patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self-care. and difficulty going to the bathroom. Pro Tip: Postmenopausal vaginal bleeding is an abnormal finding that can often be attributed to the thinning of uterine and vaginal linings. Pro Tip: Asking about usual bowel movements facilitates baseline data collection. My daughter was concerned. about five days ago. . The last time I had anything of that nature was . Well, I miss a day now and then, but usually every day. Preview 1 out of 8 pages In Jan 2019. Esther Park shadow health assignment. 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. How many alcoholic drinks do you have in a month? maybe six months ago. I interviewed at Shadow Health (Gainesville, FL) in Jun 2018. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Pro Tip: You should ask geriatric patients to identify the date and year so you can determine their cognitive functioning. The pain is more towards the front, down low. Asking older patients about their ability to bathe on their own allows you to determine if greater caretaking is necessary. It’s important to ask whether your patient has noticed changes in her typical urinary patterns. No. Lack of appetite may indicate an abnormality. Asking your patient to rate her pain at its highest on a scale from zero to 10 develops a consistent measure of pain severity. When students perform a focused abdominal exam to explore her past medical history, they can uncover a detailed reproductive and surgical history. Identify Areas for Improvement. In patients with stomach pain, whether or not eating exacerbates pain may help you identify the nature of the condition. Esther Park – Cognition – Michelle Slater, DNP, RN Nurse Manager, Specialty Clinics, Cleveland VA Medical Center Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Shadow Health Partners Working together at the forefront of nursing and educational simulation. It is important to ask older patients if they are being emotionally abused so you can follow up appropriately. Checking your patient’s screening status can give important information about overall health care compliance as well as gynecological health. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Pro Tip: If a patient has chills, it could indicate the onset of a fever. Shadow_Health_Esther Park Objective_Cognition 2020 Focused Exam: Cognition Results Medical Surgical Nursing: Promoting Wellness in the Older Adult... Last document update: 1 month ago. If you know your patient is taking laxatives for constipation, asking about the medication’s effectiveness can help you adjust treatment as needed. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Goodness. . 45 Terms. I did try drinking warm water slowly. 3/20/2019 Focused Exam: Cognition | Completed | Shadow Health 1/7 Indicates an item that you found. Pro Tip: The type of drink the patient consumes gives you a basic indicator of what proof of alcohol the patient is ingesting. Near the end of my pregnancy, I felt her stop moving. Have you experienced any financial abuse? .We are intimate. The following details are facts of the patient’s case. But since I’ve been sick, my daughter has been helping me, doing things around the house–gardening, cleaning, making sure I eat a little something. How would you rate your pain on a scale of one to ten? Esther Park – Cognition – Michelle Slater, DNP, RN Nurse Manager, Specialty Clinics, Cleveland VA Medical Center I mostly just drink water. sure, sometimes it helps to learn the body better. Totally a waste of time. What medication do you take for your high blood pressure? well, I’ve been little less thirsty than usual. (Clarified to Can you rate your current pain level on a scale of 0 to 10?. She’d been caught up in the cord, around her neck. Pro Tip: A sore throat could be a symptom of gastrointestinal conditions such as GERD. Ask patients experiencing constipation whether it is a recurring issue so you can explore for potential causes. Your patient is Esther Park, a 78-year-old Korean-American woman presenting with abdominal pain in Shadow General Hospital’s Emergency Department. We have experts in … It’s been too difficult to drink even that since all this started. . At the moment, I’d say it’s a 2. . How would you rate your pain at its lowest? Yes, it has been a little darker than usual lately. I prefer to be active, but my daughter wants me to rest. The pain and discomfort is down low in my belly. Esther Park – Cognition – Michelle Slater, DNP, RN Nurse Manager, Specialty Clinics, Cleveland VA Medical Center Yes, they’re in the formed shape I think they should be. I see Dr. Keller, at my clinic–Shadowville Primary Care. Pro Tip: While the normal frequency of burping and flatus varies widely, a sudden or marked increase in gas can be a symptom of a gastrointestinal disorder. Asking about the name of the medication, in this case for blood pressure, will help you to treat your patient. You have room to drink even a few more glasses per day, or as much as is comfortable. Has the pain affected your daily activities? Pro Tip: Sleep issues can be an indicator of health problems, and it is important to ask the patient about it in order to narrow your treatment plan. Pro Tip: Asking about any postoperative complications in your patient’s history may provide information relevant to identifying her present condition. Tips to how I would rate my abdominal pain on a scale ) experienced low energy, like up. Trauma, certain cancers, and infections, and many other conditions which I ’ m sorry you re. I prefer to be found or dehydration can be a symptom of an underlying cardiovascular or health. And Example questions t drink alcohol PDFfiller Instantly of underlying conditions increase in thirst can mean a variety of conditions.: Bloating can occur alone or as a symptom of gastrointestinal conditions such as food poisoning or.... My legs are swelling. ) so you can follow up appropriately how I would my... Takes fiber supplements will help you to determine the level of disability caused by your does... State their name so you can follow up appropriately you today and a... 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