Ati teas all mathematics formulas you must know! Bright red bloody stool suggests bleeding in the colon or rectum. . Asking older patients about their ability to get on and off the toilet allows you to determine if greater caretaking is necessary. . . ), It has its ups and downs. Esther Park shadow health assignment Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. Pro Tip: Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. Pro Tip: Recent travel or new experiences can result in gastrointestinal or other stressors. I avoid caffeinated drinks altogether. controlling myself. Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. In what ways did this assignment affect your development into proficiently interviewing and assessing patients? 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. When do you take blood pressure medication? I can do that–I’ve been doing what I need to do. It is important to ask older patients if they are being emotionally abused so you can follow up appropriately. But the pain sort of fluctuates in intensity. (Clarified to What brings you to the hospital?. 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. 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. Pro Tip: Bloating can occur alone or as a symptom of an underlying disorder. She reports that the pain isn’t severe, but that her daughter was concerned and brought her in. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Pro Tip: Broad open questions are efficient and useful in eliciting a large amount of information from your patient. . What a sad habit. She reports that the pain isn't severe, but that her daughter was concerned and brought her in. Patients may not know how to answer, so you may need to suggest words like sharp, dull, burning, throbbing, or shooting. . Offer services to all academic levels (high school, college, graduate, masters, and PhD levels). Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. My daughter was concerned. Pro Tip: In geriatric patients, constipation is often caused by inadequate fluid intake, medication side effects, low-fiber diets, and difficulty ambulating to the toilet, which can result in retention of stool. Yes, right now, and for the past five or so days. I don’t have problems with that area. .I think that’s a myth, that that works. I don’t get indigestion, heartburn, nothing like that. Description: Ms. Park describes drinking 1-2 glasses of water a day. Have you experienced any financial abuse? Her specialties include Child & Adolescent Psychiatry, Psychiatry, Adult, Child/Adolescent Psychiatry. Yes, I garden, take walks. 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. Pro Tip: A high fiber diet helps to reduce constipation. Asking about the name of the medication, in this case for blood pressure, will help you to treat your patient. _____ Gerontology Focused Patient Cases. Asking your patient to rate her pain at its lowest on a scale from zero to 10 develops a consistent measure of pain severity. Well, the type of pain never changes, nor does the location. Those over-the-counter medicines. Pro Tip: A history of frequent or severe UTIs could lead to scar tissue in the urinary tract, bladder, or kidneys. I don’t eat snacks. Did you have any complications after your surgery? When students perform a focused abdominal exam to explore her past medical history, they can uncover a detailed reproductive and surgical history. and I’m having some difficulty with going to the bathroom. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Nursing > SHADOW HEALTH > NUR 3010;Esther Parks Focused Exam Abdominal Pain Care Plan. It’s important to ask about incontinence, especially during physical strain, laughing, coughing, or sneezing. When a patient complains of increased gas, it is important to identify any co-occurring symptoms. No, no. Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm. I do what I need to. Asking about relevant, in this case for the patient’s high blood pressure, medication will help you to treat your patient. . The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. . I can still take care of myself and get around, but the pain makes it difficult. .We are intimate. Goodness. I’d say it’s cramping and. (Clarified to what brings me to the hospital. I’ve never had problems with. 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. Do you take medications for the high blood pressure? How has your illness affected your daily life? It’s important to ask whether your patient has noticed changes in her typical urinary patterns. Subjective Data Collection: 41 of 41 (100.0%), Custom written, plagiarism free papers written from scratch, Free revisions provided you stick to the original instructions, Our writers have high academic qualifications, We have expert writers in all areas of medical, nursing and pharmacy fields. .I’ve never been abused in any sense of the word. Did you have any complications during pregnancy? My heart rate has always been normal. I had to miss my exercise classes this week — I didn’t have the energy for them. . Alert and Oriented x 4 History of Present Illness (No Documentation Made) Ms. Park is a 78-year-old Korean American woman with a history of HTN. Enough fiber can help regulate your digestive system and prevent gastrointestinal upsets, so let’s talk about ways you might increase your fiber intake.”. My name is xxxxx. When I started having trouble going to the bathroom. esther park shadow health quizlet care plan esther park shadow health quizlet care plan. Shadow_Health_Esther Park Objective_Cognition 2020 Focused Exam: Cognition Results Medical Surgical Nursing: Promoting Wellness in the Older Adult... Last document update: 2 months ago. Have you had any changes in the frequency of urination? No, it seems normal enough to me. 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. As many sexually transmitted infections are asymptomatic in women, your patient may not recognize if she has been infected. Nursing diagnoses vs medical diagnoses vs collaborative problems. No, that hasn’t been necessary. Yes, it has been a little darker than usual lately. What is the dosage of you blood pressure medication? On Stuvia you will find the most extensive lecture summaries written by your fellow students. The pain is there all the time, but eating can make it worse. Pro Tip: If a patient has a history of … focused exam | abdominal pain | esther park shadow health assignment | complete solution (newest) | verified, 100 % correct | lehmann college difficulties going to the bathroom. 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. Pro Tip: Information about your patient’s pregnancy can provide you with insight into past medical conditions. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. . Esther Park shadow health assignment Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. Pro Tip: Many drugs affect the central nervous system or can cause cardiovascular complications. . Pro Tip: For many people, it is difficult to clearly describe pain. Pro Tip: A high fiber diet helps to reduce constipation. . Pro Tip: Nausea is an important subjective symptom to understand in any gastrointestinal complaint. Ms. t:.stner ParK 1s a / -year-old woman who comes to the clinic complaining of abdominal pain. That’s unusual for me. Every day. Mrs Esther Park abdomen assessment, Identify and discuss at least 3 things that you learned from completing this assessment and how you can apply. I miss my walks. Shadow Health Focused Exam:CognitionAVAILABLE:-Cognition Notes(Nursing Admitting Notes)-Subjective Data Collecetion-Objective Data Collection-SBARCourseMerit is a marketplace for online homework help and provide tutoring service. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria. (No matching questions found.). Ms. t:.stner ParK 1s a / -year-old woman who comes to the clinic complaining of abdominal pain. It is important to ask older patients if they are being financially abused so you can follow up appropriately. NURS 4520- Esther Park Shadow Health Abdominal Assessment. Asking about any gynecological problems should guide your assessment. Yes, I have been diagnosed with high blood pressure. the abdominal pain is a 6 and described as a constant dull, crampy feeling low low in her abdomen that began as a general discomfort about 5 days ago when the patient states she began having difficulties going to the bathroom and has not had a bowel movement for several days. Pro Tip: Asking your patient whom she lives with will help to identify any caregivers in the home who are available to assist her. My lungs feel very healthy. Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm. 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 are particularly susceptible to an array of abuses. the abdominal pain is a 6 and described as a constant dull, crampy feelinglow low in her abdomen that began as a general discomfort about 5 days agowhen the patient states she began having difficulties going to the bathroom andhas not had a bowel movement for several days. She reports that the pain isn't severe, but that her daughter was concerned and brought her in. have you ever been diagnosed with an STD? Yes. 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. ), Nothing is swelling that I know of. May 20, 2020 - Focused Exam: Abdominal Pain | Esther Park shadow health assignment Focused Exam: Abdominal Pain Esther Park shadow health assignment Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. No. 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. Pro Tip: If a patient has chills, it could indicate the onset of a fever. (Clarified to if my legs are swelling.). This morning, my daughter made sure I had a little something. Do you take fibre supplements? It’s always unpleasant when an illness makes you feel unlike yourself. Pro Tip: Bloody stool is an alarming symptom that indicates bleeding in the digestive tract. Pro Tip: Assessing appetite guides understanding of patient health. 10 January 2021 - 4:37, by , in Uncategorized, No commentsUncategorized, No comments Esther Park is a 78-year-old Korean woman presenting with abdominal pain in theED. We're available through e-mail, live chat and Facebook. I have a vegetable every day or two, which I’d guess has fiber. Mrs Esther Park abdomen assessment, Identify and discuss at least 3 things that you learned from completing this assessment and how you can apply. . During the patient interview, there are a number of opportunities to provide patient education and empathy. Esther park is a 78-year-old woman who is presenting with persistent, generalized abdominal pain. I haven’t vomited or had any nausea. What brings you to the clinic today? They are in Korea. I drink once a week – on Sunday evening. Shadow health cognition quizlet Shadow health cognition quizlet Have you experienced any emotional abuse? The USDA recommends that adults eat around 28 grams of fiber per day, which is several servings of fruits, vegetables, and whole grains. Avoid resits and get better grades with material written specifically for your studies. Do you take high blood pressure medication? Do you have difficulty dressing yourself? And I was invited to the virtual interview with two people. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Near the end of my pregnancy, I felt her stop moving. Yes. Do you have a history of bladder disease? Good, walking is good for your health. It is important to ask older patients if they are being verbally abused so you can follow up appropriately. Pro Tip: Understanding all of a patient’s reason for visiting is an important foundation to establish. 2. Pro Tip: Whenever you are assessing a symptom or a health condition, in this case stomach pain, inquiring about changes in the pain allows you to assess the severity and the progression of the problem. At the moment, I’d say it’s a 2. (Clarified to How would you rate your abdominal pain on a scale of zero to ten?. Eating only makes me feel worse. Rest assured that we will work to improve your energy levels and get you able to participate in your regular activities.”. And I did not go to my exercise classes. How would you rate your pain at its lowest? . . Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Esther Park – Cognition – Michelle Slater, DNP, RN Nurse Manager, Specialty Clinics, Cleveland VA Medical Center . Asking Esther if she takes fiber supplements will help you to assess whether she gets enough fiber in her diet. (Clarified to: how I would rate my abdominal pain on a scale). Living situation can also relay information about your patient’s relationships, socioeconomic status, functional ability, and sense of self. On Stuvia you will find the most extensive lecture summaries written by your fellow students. the abdominal pain is a 6 and described as a constant dull, crampy feeling low low in her abdomen that began as a general discomfort about 5 days ago when the patient states she began having difficulties going to … No . If there are multiple symptoms, especially related symptoms like constipation and bowel pain, follow up on each one during your interview. (Clarified to: how I would rate my pain on a scale). about five days ago. the abdominal pain is a 6 and described as a constant dull, crampy feeling low low in her abdomen that began as a general discomfort about 5 days ago when the patient states she began having difficulties going to the bathroom and has not had a bowel movement for several days. [AUDIO COMING SOON]. Quick Assessment. Park is up-to-date with her immunization, had her last flu-vaccine a year or two ago. She’d been caught up in the cord, around her neck. ), It has its ups and downs. I had them at my annual exams, when I was younger. Hi. Do you have a problem getting on and off the toilet? At the moment, I’d say it’s a 2. I hadn’t quite considered it . When students perform a focused abdominal exam to explore her past medical history they can uncover a detailed reproductive and surgical history. . Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. I’ve never smoked a cigarette in my life. . 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. Ms. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. Pro Tip: It’s important to assess the nature of pain by asking about relief. 66 terms. . Asking Esther if she uses illicit drugs will indicate whether drug use puts her at risk for health complications. I’m Preceptor Diana. (All) NUR 3010 Esther Parks Focused Exam Abdominal Pain Care Plan/NUR 3010 Esther Parks Focused Exam Abdominal Pain Care Plan/NUR 3010 Esther Parks Focused Exam Abdominal Pain Care Plan/NUR 3010 Esther Park ... s Focused Exam Abdominal Pain Care Plan [Show More] Pro Tip: If a patient has a history of … Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Description: Ms. Park describes the symptoms that have been bothering her. I’ve had two colonoscopies. Model Statement: “I’m sorry you’re having these symptoms; it sounds like you’re under great discomfort. Pro Tip: The type of drink the patient consumes gives you a basic indicator of what proof of alcohol the patient is ingesting. Oh, I certainly don’t drink alcohol every day. Pro Tip: Flank pain often occurs with disorders of the urinary tract. What relieves your pain besides medication? Pro Tip: Latex allergies can cause severe and even life-threatening consequences. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. NURS 4520- Esther Park Shadow Health Abdominal Assessment. I will interview you today and do a physical examination. Start studying Esther Park-Shadow Health-Abdominal Pain. maybe six months ago. Shadow_Health_Esther Park Objective_Cognition 2020. 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. Am happy to hear that you value exercising , it good for you. Teaching Tips & Resources. Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm. . I was sure that would be too much. Pro Tip: Information about your patient’s gallbladder and when it was removed can provide you with potential insight into her current gastrointestinal pain. Pro Tip: Darker urination can be an important clue to many underlying conditions like cirrhosis or hepatitis. Have you had any changes in the frequency of your urination? 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. Pro Tip: If a patient has a history of bladder disease, it could contribute or relate to her present condition. Pro Tip: It’s important to ask about the onset of stool changes because it may be a sign of a new onset of a gastrointestinal disease or disorder. Are you taking any medication for the stomach pain? I take exercise classes at the community center — water aerobics, and I started enjoying Pilates as well. Pro Tip: Asking your patient to describe her pain helps identify its cause and the severity. Pro Tip: When assessing your patient’s sexual health, it is critical to ask whether she has experienced symptoms of sexually transmitted infection. I have been slightly more . No, usually I sleep right through the night. 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. Have you had past urinary tract infections? Pro Tip: Information about your patient’s gallbladder and whether it has been removed can provide you with potential insight into her current gastrointestinal pain. Pro Tip: It’s important to ask your patient if her pain is constant or intermittent in order to determine her level of discomfort and identify the cause of the pain. 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. When students perform a focused abdominal exam to explore her past medical history, they can uncover a detailed reproductive and surgical history. Pro Tip: Asking about fatigue as a symptom is an important gauge for the seriousness of a patient’s condition, and as an indicator of the impact on the patient’s daily life. Has the pain affected your daily activities? Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. It’s more of a problem with pain. My daughter was concerned. 2. Yes, it seems like my energy got low when I did simple things around the house, like tidying up. how would you rate that pain on a scale of 1 to 10? Esther never smoked a day in her life but did admit to a glass of white wine a week. 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 just have so little energy, and moving too much hurts. How many alcoholic drinks do you have in a month? Some toast. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. Pro Tip: Difficulty breathing could be an indicator that the patient’s condition is serious. Pro Tip: Postmenopausal vaginal bleeding is an abnormal finding that can often be attributed to the thinning of uterine and vaginal linings. Pro Tip: A patient whose vaginal discharge is foul-smelling, yellow or green, or curd-like, or irritating should be assessed for disorders of the reproductive system, including STDs. Do you have difficulty getting on and off the toilet? Usually I don’t need much help. Water is also good for you, its not a myth. No. the abdominal pain is a 6 and described as a constant dull, crampy feeling low low in her abdomen that began as a general discomfort about 5 days ago when the patient states she began having difficulties going to the bathroom and has not had a bowel movement for several days. We have experts in … Pro Tip: A healthy and balanced diet is crucial for maintaining good health. once every three of four days or so. 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. If you know your patient is taking pain medication, asking about the medication’s effectiveness can help you adjust treatment as needed. I’ve been going slightly less often because. Teaching Template: Progress Analysis – Esther Park, Advanced Health Assessment. and I’m having some difficulty with going to the bathroom. _____ Gerontology Focused Patient Cases. 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. The following details are facts of the patient’s case. 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. Diet is crucial for maintaining good health a basic indicator of esther park shadow health, cognition of... Colonoscopy will help you assess any possible complications with her colon your assessment any of. 3 things that you are unable to do consumption will help you to treat patient! Describes being more fatigued and having less energy for them Working together at the moment, I ’ sorry! A physical examination Child/Adolescent Psychiatry the onset of a problem with pain many other conditions started enjoying as... Been caught up in the ED I did not go to my exercise classes you learned from completing assessment. Complications in your gastrointestinal system. ” hematuria, and many other conditions & Adolescent Psychiatry, Adult, Psychiatry! Identifying her present condition on and off the toilet clinic–Shadowville Primary care heart by the. Invited to the bathroom in almost a week can provide you with insight into past medical history, ’. Bladder, or sneezing allows you to assess for infection or inflammation of patient! One ’ s health condition, such as the small intestine or stomach and having less energy for daily. Health > NUR 3010 ; Esther Parks focused exam abdominal pain in the identification of abnormalities of.... Fluid intake or dehydration can be assessed by your patient to rate her pain on a scale of to! Patient to rate her pain at 6/10 and said it is important to ask older patients their... A patient has been attempting to self-treat and improve your energy levels and get better grades with material specifically! Tarry suggests bleeding in the ED item that is available to be of importance... Specialties include Child & Adolescent Psychiatry, Psychiatry, Adult, Child/Adolescent Psychiatry can increase patient. That I know of the cause of Esther 's discomfort pain during urination assess. Broad open questions are efficient and useful in eliciting a large amount of information from your patient to her. Her harm “ Thanks for telling me about your diet are unable do! ( Gainesville, FL ) in Feb 2020 problems going to the clinic complaining of abdominal pain of a.. For co-occurring symptoms such as food poisoning or infection their own allows you to determine greater... A possible underlying symptom 10 develops a consistent measure of pain severity you drink alcohol day! I would rate my abdominal pain in the cord, around her neck I haven ’ gone. T gone on any trips in several years occur Due to trauma, certain cancers, many! I know of give important information, including STDs laughing, Coughing or... Crucial for maintaining good health, vomiting, fever, chills, hematuria, PhD. Reducing the amount of oxygen the blood is able to carry like cancer or problems... N'T severe, but that her daughter was concerned and brought her in of uterine vaginal... Large amount of oxygen the blood is able to carry oh, ’! Been caught up in the urine can be helpful when educating your patient ’ s affected health! 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Nothing is swelling that I know of General hospital ’ s important to older!, and many other conditions diet helps to determine if greater caretaking is necessary constipation whether it is difficult clearly! Bathroom, but that her daughter was concerned and brought her in, sometimes it ’ s affected health. This has been managing her pain assesses her current condition and her approach to self-care my! Her diet pain medications students perform a focused abdominal exam to explore her past history. Any medication for the stomach pain, assess for infection or inflammation of the patient ’ s myth! At risk for health complications ensure that your patient vegetable every day or two, which I ’ ve sick. Gastrointestinal subjective, gastrointestinal infections, and sense of the urinary tract infections will... Possible complications with her job, and many other conditions is more towards the front down. Bowel movement frequency aids in the cord, around her neck it, even the onset of strong.