Your patient’s relationships with others can be assessed by your asking about social support. . . I don’t know about my extended family–cousins and so forth. This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. 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. Pro Tip: You should ask geriatric patients to identify where they are so you can determine their cognitive functioning. Professional Development. Focused Exam: Cough j. Abdominal pain can arise from your reproductive organs, originating from your ovaries, uterus. well, I’ve been little less thirsty than usual. What brings you to the clinic today? Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Asking Esther if she’s traveled recently might reveal a new experience that’s affected her health. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. It’s important to ask whether your patient has noticed changes in her typical habits. . Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. I see Dr. Keller, at my clinic–Shadowville Primary Care. Has the pain affected your daily activities? (Clarified to if my legs are swelling.). Several disorders in abdomen may cause abdominal tightness. .We are intimate. How would you rate your pain on a scale of one to ten? I’ve been going slightly less often because. (Clarified to: Can you rate your current pain level on a scale of 0 to 10? Pro Tip: Understanding all of a patient’s reason for visiting is an important foundation to establish. Be sure to apply the supportive information learned in this week’s concept lab to your critical thinking process in this case study. Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. Please note, this is an average time. Pro Tip: Palpitations might be an indicator of an underlying cardiovascular or mental health condition, such as anxiety. I’ve never had problems with. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Upgrade to remove ads. Pro Tip: It’s important to ask about changes in stool characteristics because it may be a sign of a new onset of a gastrointestinal disease or disorder. I suppose I’ve been drinking a little less water than usual, just in these last few days. Asking Esther about what she typically eats for dinner will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Test. Pro Tip: Medication allergies can cause severe and even life-threatening consequences. Asking about relevant medication will help you to treat your patient. (Clarified to Are your legs swelling?. Focused Exam Abdominal Pain Shadow Health.pdf; West Coast University; NURS 190 - Spring 2019. The pain has its ups and downs, but it’s always there. Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. How many meals do you typically eat in a day? . **Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. It is important to assess other symptoms in order to determine the cause of bloating. My daughter was concerned. Pro Tip: Learning the diagnosis date of your patient’s illness is an essential element of the illness’s history. Asking your patient to rate her pain at its lowest on a scale from zero to 10 develops a consistent measure of pain severity. The following sources should not be used: Wikipedia, Wikis, or blogs. The following explains those portions of the rubric: * Digital Clinical Experience (DCE) Score is automatically translated by Shadow Health based on individual student performance and reflects how student work compares to their peer learners across the country for a particular assignment. 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. Some students may need longer. Pro Tip: It’s important to assess the nature of pain by asking about relief. Well, the type of pain never changes, nor does the location. ), It has its ups and downs. As a clinician, you must develop an index of suspicion which is defined as awareness and concern for potentially serious underlying and unseen injuries or illness. Asking Esther whether she drinks alcohol will allow you to assess whether she has any indicators of alcoholism or other health conditions. ****Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. Pro Tip: Presence of vomiting would indicate a complaint such as food poisoning or infection. Patients may not know how to answer, so you may need to suggest words like xxxx, Pro Tip: It’s important to ask your patient if her pain is xxx in order to determine her level of discomfort and identify the cause of the pain. I can breathe well. I hadn’t quite considered it . Digital Clinical Experiences are used to strengthen your understanding of different body systems and to help refine your assessment skills. I don’t eat snacks. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. (Clarified to: how I would rate my abdominal pain on a scale). Create. Nursing tasks and Documentation, while they provide valuable practice for their real-world counterparts, are not automatically evaluated by the simulation. Well, my mother had diabetes, but that’s it. Log in Sign up. Maybe a little darker than usual. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. No. difficulties going to the bathroom. Hello. It is very important to determine whether or not the … This category is evaluated on the quality of student’s ability to: Identify pertinent normal and abnormal findings for the assignment, utilize professional terminology, provide comprehensive and detailed subjective and objective findings, identify differential diagnoses, and create a comprehensive treatment plan. 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. 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. 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. 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