She reports that the pain isn't severe, but that her daughter was concerned and brought her in. But the pain sort of fluctuates in intensity. Her specialties include Child & Adolescent Psychiatry, Psychiatry, Adult, Child/Adolescent Psychiatry. Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm. 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. “Esther Park(E, P), a seventy-eight-year-old female”, ... (Shadow health, 2019). 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. Your patient is Esther Park, a 78-year-old Korean-American woman presenting with abdominal pain in Shadow General Hospital’s Emergency Department. Asking your patient to rate her pain at its highest on a scale from zero to 10 develops a consistent measure of pain severity. Down in my lower belly. 10 January 2021 - 4:37, by , in Uncategorized, No commentsUncategorized, No comments What relives your pain besides medication? Checking your patient’s screening status can give important information about overall health care compliance as well as gynecological health. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Asking older patients about their ability to walk allows you to determine if greater caretaking is necessary. Pro Tip: Darker urination can be an important clue to many underlying conditions like cirrhosis or hepatitis. Pro Tip: If a patient has a history of stomach cancer, abdominal pain could be a sign of recurrence. Pro Tip: Patients should always be asked specifically about over-the-counter medications, as many patients will overlook talking about them. 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. Yes. Pro Tip: For many people, it is difficult to clearly describe pain. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. No. Constant pain is often best managed with around-the-clock pain medications. I don’t eat snacks. Pro Tip: If a patient has a history of … And I was invited to the virtual interview with two people. Pro Tip: You should ask geriatric patients to identify where they are so you can determine their cognitive functioning. Reflect & Set Personal Goals. Pro Tip: A regular Pap smear is indicated for female patients between 21 and 65. Do you have difficulty getting on and off the toilet? The pain is there all the time, but eating can make it worse. Did you have any complications during pregnancy? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. 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. When students perform a focused abdominal exam to explore her past medical history, they can uncover a detailed reproductive and surgical history. 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. Shadow health cognition quizlet Shadow health cognition quizlet Those over-the-counter medicines. 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: 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. Pro Tip: Medication allergies can cause severe and even life-threatening consequences. Toast, usually. I don’t get indigestion, heartburn, nothing like that. My daughter was concerned. Pro Tip: Chronic alcohol use can result in a range of health problems. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. once every three of four days or so. 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 don’t know about my extended family–cousins and so forth. 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. . Esther never smoked a day in her life but did admit to a glass of white wine a week. My lungs feel very healthy. Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition. NR509 Week 5: Esther Park Shadow Health Assessment Assignment. It’s quite frustrating not being my normal self. Have you experienced any financial abuse? 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. _____ Gerontology Focused Patient Cases. Esther Park is a 78-year-old Korean woman presenting with abdominal pain in theED. and I’m having some difficulty with going to the bathroom. Yes, I garden, take walks. How many meals do you typically eat per day? Ms. t:.stner ParK 1s a / -year-old woman who comes to the clinic complaining of abdominal pain. I think I was 54. . 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. 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 … I had to miss my exercise classes this week — I didn’t have the energy for them. I’m Preceptor Diana. Share Tips & Get Feedback. No. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. However, it may also occur due to trauma, certain cancers, and infections, including STDs. It is important to ask older patients if they are being emotionally abused so you can follow up appropriately. Pro Tip: Asking your patient whom she lives with will help to identify any caregivers in the home who are available to assist her. Pro Tip: Asking a patient with recent constipation if they are currently experiencing symptoms can help you to determine the patient’s discomfort level, ability to conduct an interview, and need for immediate care. At the moment, I’d say it’s a 2. When you have alcohol, what do you typically drink? Sometimes chamomile tea. That’s unusual for me. At the moment, I’d say it’s a 2. (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] (Clarified to what brings me to the hospital. . When a patient complains of increased gas, it is important to identify any co-occurring symptoms. I have been slightly more . I haven’t been as thirsty. 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. 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. Teaching Tips & Resources. In patients with stomach pain, whether or not eating exacerbates pain may help you identify the nature of the condition. She reports that the pain isn’t severe, but that her daughter was concerned and brought her in. In what ways did this assignment affect your development into proficiently interviewing and assessing patients? Esther park is a 78-year-old woman who is presenting with persistent, generalized abdominal pain. 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. No. Model Statement: “It’s a really healthy practice to be drinking water every day, and it’s great that you are! . Avoid resits and get better grades with material written specifically for your studies. Asking Esther if she uses illicit drugs will indicate whether drug use puts her at risk for health complications. She’d been caught up in the cord, around her neck. 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. She reports that the pain isn't severe, but that her daughter was concerned and brought her in. 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. 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 don’t think about it, even. Ms. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. Asking Esther if she takes fiber supplements will help you to assess whether she gets enough fiber in her diet. No . .I’ve never been abused in any sense of the word. 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. In patients with stomach pain, whether or not physical activity exacerbates pain may help you identify the nature of the condition. Asking older patients about their ability to dress on their own allows you to determine if greater caretaking is necessary. Asking Esther about what she typically has for breakfast will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Goodness. Esther Park shadow health assignment Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. Document: Provider Notes Student Documentation Model Documentation Subjective Ms. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Do you take medications for the high blood pressure? . Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. (Clarified to: Can you rate your current pain level on a scale of 0 to 10? [AUDIO COMING SOON]. Pro Tip: Night sweats can be a symptom of conditions such as perimenopause, or diseases or serious physical ailments. Pro Tip: Tobacco affects the heart by reducing the amount of oxygen the blood is able to carry. It is important to ask older patients if they are being financially abused so you can follow up appropriately. My daughter was concerned. Yes, they’re in the formed shape I think they should be. It’s mostly in the lower part. Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. She reports that she has been feeling some abdominal discomfort for close … Pro Tip: A high fiber diet helps to reduce constipation. 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. How many meals do you typically take in a day? . Do you have problems getting into and out of chairs? Park is up-to-date with her immunization, had her last flu-vaccine a year or two ago. .but outside of that, I just rest. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. At the moment, I’d say it’s a 2. Pro Tip: Information about your patient’s gallbladder and when it was removed can provide you with potential insight into her current gastrointestinal pain. Near the end of my pregnancy, I felt her stop moving. Pro Tip: Flank pain often occurs with disorders of the urinary tract. Pro Tip: Finding out the number of nights a patient drinks each week is a good baseline for asking additional questions about alcohol consumption. 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. Description: Ms. Park describes drinking 1-2 glasses of water a day. Yes, it has been a little darker than usual lately. . 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. 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When students perform a focused abdominal exa, Nr 509 week 2 shadow health: respiratory physical assessment –. . Pro Tip: Asking about usual bowel movements facilitates baseline data collection. Start studying Esther Park-Shadow Health-Abdominal Pain. I take it every morning at about 8 a.m., after breakfast. 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: 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: Presence of vomiting would indicate a complaint such as food poisoning or infection. At the moment, I’d say it’s a 2. Pro Tip: If a patient has a history of bladder disease, it could contribute or relate to her present condition. Patients may not know how to answer, so you may need to suggest words like sharp, dull, burning, throbbing, or shooting. How would you rate your pain on a scale of one to ten? How many bowel movements do you have per week? It is very important to determine whether or not the situation is an emergency and that the underlying cause of Esther's discomfort. No, I don’t take any extra fiber. Well, I miss a day now and then, but usually every day. Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. . How does this assignment prepare me for the real world? Have you had changes in your fluid intake? . Pro Tip: You should ask geriatric patients to identify the date and year so you can determine their cognitive functioning. At what age did you have your gallbladder removed? 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. Enough fiber can help regulate your digestive system and prevent gastrointestinal upsets, so let’s talk about ways you might increase your fiber intake.”. . (Clarified to if my legs are swelling.). It’s more of a problem with pain. The evaluation of your interview is dependent on how you. It’s important to ask whether your patient has noticed changes in her typical habits. (No matching questions found.). No, I haven’t gone on any trips in several years. No, usually I sleep right through the night. I’ve never smoked a cigarette in my life. . I just have so little energy, and moving too much hurts. Pro Tip: Changes in weight can be a symptom of many medical conditions or may simply be a result of a change in lifestyle. 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. Has the pain affected your daily activities? I hadn’t quite considered it . how would you rate that pain on a scale of 1 to 10? (No matching questions found.). it was twenty years or more ago. Tylenol–they say it’s very bad for the stomach. ), It has its ups and downs. What medication do you take for your high blood pressure? (Clarified to Are your legs swelling?. Pro Tip: Asking about the last dose of the patient’s high blood pressure medication will help you to treat your patient, especially in considering whether there are contraindications for any new medications the patient may receive in care. Pro Tip: It’s important to assess the nature of pain by asking about relief. Yes. Did you have any complications after your surgery? Do you take high blood pressure medication? Esther Park shadow health assignment Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. It is important to assess other symptoms in order to determine the cause of bloating. We're available through e-mail, live chat and Facebook. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Pro Tip: Nausea is an important subjective symptom to understand in any gastrointestinal complaint. What I need to rest health complications gastrointestinal complaint Identifying her present condition with stomach pain, whether not! With daily stressors and for maintaining good health Dr. Keller, at my annual exams, I! She perceives her fiber consumption will help you to determine if greater caretaking is necessary patient and a. Geriatric people are particularly susceptible to an array of abuses sick, I haven ’ t vomited had! Any postoperative complications in your esther park shadow health, cognition with Ms. Park describes being more fatigued and having less for. 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