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. Try Now! No. The USDA recommends that adults eat around 28 grams of fiber per day, which is several servings of fruits, vegetables, and whole grains. When do you take your high blood pressure medication? Oh, I certainly don’t drink alcohol every day. What relives your pain besides medication? 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. Have you had changes in your fluids intake ? Pro Tip: Although it may be uncomfortable, it is important to ask about formedness of usual bowel movements because the stool relays valuable information about gastrointestinal health. Down in my lower belly. Do you take any over the counter medications? Oh my. Pro Tip: Asking about fluid intake is a key component of a thorough health assessment. Yes, I garden, take walks. No, that hasn’t been necessary. We have to use this as well. jtbangaan. 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. Yes, I have been diagnosed with high blood pressure. I can breathe well. Interview. Pro Tip: It’s important to assess the nature of pain by asking about relief. . Asking older patients about their ability to dress on their own allows you to determine if greater caretaking is necessary. Has the pain affected your daily activities? Every day. Ask patients experiencing constipation whether it is a recurring issue so you can explore for potential causes. I’ve never had any problems with my liver. My heart rate has always been normal. I don’t usually have problems going to the bathroom, but this has been going on for . Did you have any complications after your surgery? . Have you experienced any financial abuse? Indicates an item that is available to be found. It's a stupid video game I paid 100$ for. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Drape client at xiphoid process and symphysis pubis to expose abdomen 3. Pro Tip: Palpitations might be an indicator of an underlying cardiovascular or mental health condition, such as anxiety. 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. . That’s unusual for me. 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. Pro Tip: When assessing your patient’s sexual health, it is critical to ask whether she has experienced symptoms of sexually transmitted infection. What brings you to the clinic today? Pro Tip: Coughing could be a symptom of gastrointestinal conditions such as GERD. How many bowel movements do you have per week? Pro Tip: Colonoscopies are an important part of geriatric health maintenance. . How would you rate your pain on a scale of one to ten? Do you take any over-the-counter medications? No. Asking about relevant, in this case for the patient’s high blood pressure, medication will help you to treat your patient. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. . 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. and I’m having some difficulty with going to the bathroom. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. When you have alcohol, what do you typically drink? You have room to drink even a few more glasses per day, or as much as is comfortable. Pro Tip: Bloody stool is an alarming symptom that indicates bleeding in the digestive tract. I go for a walk every day. I’ve never smoked a cigarette in my life. It all started. Maybe a little darker than usual. I avoid caffeinated drinks altogether. How many meals do you typically eat per day? (Clarified to: How would you rate your abdominal pain on a scale of zero to ten? Asking about the dose of the medication, in this case for blood pressure, will help you to treat your patient. Denies typically taking any OTC medications, Denies difficulty transferring in and out of chairs, Reports sometimes skipping lunch due to low appetite, Reports typical dinner is chicken or fish with rice, Denies efforts to incorporate fiber in her diet, Reports eating a vegetable every 1 or 2 days, Reports typically high level of mobility and independence, Reports typically having a moderate activity level, Asked about history of gastrointestinal disorders, Asked additional review of systems for gastrointestinal, Reports loss of appetite in the past few days, Asked review of systems for genitourinary. Quick Assessment. Am sorry you are unable to do it now. Toast, usually. Pro Tip: You should ask geriatric patients to identify their reason for being here so you can determine their cognitive functioning. Pro Tip: If a patient has a history of bladder disease, it could contribute or relate to her present condition. Goodness. Fill Esther Park Shadow Health Quizlet, Edit online. Do you take fibre supplements? Identify Areas for Improvement. How would you rate your pain at its worst? I have a gentleman friend and, yes. Living situation can also relay information about your patient’s relationships, socioeconomic status, functional ability, and sense of self. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. . 45 Terms. . it all seems fine. I see Dr. Keller, at my clinic–Shadowville Primary Care. Have you had changes in your fluid intake? Bright red bloody stool suggests bleeding in the colon or rectum. I did try drinking warm water slowly. about five days now. Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. I’m Preceptor Diana. 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. . No. Nursing tasks and Documentation, while they provide valuable practice for their real-world counterparts, are not automatically evaluated by the simulation. Have you experienced any emotional abuse? Focused Exam: Abdominal Pain. Health Details: shadow health cognition quizlet, Pre Brief: Ms. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain.She reports that the pain isn’t severe but that … (Especially for Tina Jones' focused abdominal assessment). In patients with stomach pain, whether or not physical activity exacerbates pain may help you identify the nature of the condition. I don’t get indigestion, heartburn, nothing like that. (Clarified to How would you rate your abdominal pain on a scale of zero to ten?. . Pro Tip: Asking about fluid intake is a key component of a thorough health assessment, especially for patients experiencing symptoms often affected by hydration, like stomach pain and constipation. 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. Pro Tip: Tobacco affects the heart by reducing the amount of oxygen the blood is able to carry. Pro Tip: Establishing a timeline for when Esther began menopause is important in assessing her gynecological history and understanding any concerns she might have. Pro Tip: Assessing your patient’s typical level of activity and mobility will help you determine the level of disability associated with their current medical condition. This Teaching Template is fully modifiable to meet your students’ needs. Ms. Park states the pain is a throbbing, pounding sensation in the front of her head that has increased since yesterday. difficulties going to the bathroom. Pro Tip: You should ask geriatric patients to state their name so you can determine their cognitive functioning. It hurts to eat. At the moment, I’d say it’s a 2. Do you take medications for the high blood pressure? Hi eyery body, i am doing health assesment class right now and i am having some tough time with shadow health - Tina Jones. Asking about any gynecological problems should guide your assessment. Yes, it has been a little darker than usual lately. Description: Ms. Park describes her dietary habits and reveals a lack of consistent fiber intake. Pro Tip: Access to healthcare and resources heavily influences one’s health condition. 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. Asking your patient to rate her pain at its highest on a scale from zero to 10 develops a consistent measure of pain severity. I have a vegetable every day or two, which I’d guess has fiber. Those over-the-counter medicines. Pro Tip: Information about your patient’s gallbladder and when it was removed can provide you with potential insight into her current gastrointestinal pain. The doctors did the C-section, but it was too late. This seems like a minor thing, and in lab and lecture we were told either order is correct. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Usually three, but sometimes I skip breakfast. Shadow Health Partners Working together at the forefront of nursing and educational simulation. . Teaching Template: Progress Analysis – Esther Park, Advanced Health Assessment. Yes. I don’t eat snacks. Pro Tip: If a patient has a history of stomach cancer, abdominal pain could be a sign of recurrence. Qsen.org 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. If you know your patient is taking pain medication, asking about the medication’s effectiveness can help you adjust treatment as needed. Health history: It is important for the provider to obtain a thorough and appropriate health history for a patient presenting with abdominal pain. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. sure, sometimes it helps to learn the body better. Some toast. Shadow Health - QSEN. Kaitlyn McCue Physical Education and Health Teacher at Nanuet Senior High School New York City Metropolitan Area 181 connections How many nights a week do you drink alcohol? When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria. Position client comfortably in a supine position with knees flexed over a pillow or position client so that the arms are either folded across chest or at sides to ensure abdominal relaxation . No. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Pro Tip: For many people, it is difficult to clearly describe pain. My name is xxxxx. At what age did you have your gallbladder removed? Good, walking is good for your health. Pro Tip: Asking about usual bowel movements facilitates baseline data collection. . . Pro Tip: Swelling can indicate allergic reaction or edema, both of which could be caused by medication. As a leader in educational simulation technology, Shadow Health has developed an extensive network of partner experts and institutions to support our mission of nursing excellence and patient health. This would help prevent dehydration and increase your overall health, especially in your gastrointestinal system.”. Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. .but outside of that, I just rest. Yes, they’re in the formed shape I think they should be. .I think that’s a myth, that that works. I do what I need to. Pro Tip: Assessing appetite guides understanding of patient health. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. Totally a waste of time. Lack of signs and symptoms- Older adults with serious abdominal pathology often present with subtle signs and symptoms.. Experts selected these topics as essential components of a strong, thorough interview with this patient. Pro Tip: Flank pain often occurs with disorders of the urinary tract. 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. Her specialties include Child & Adolescent Psychiatry, Psychiatry, Adult, Child/Adolescent Psychiatry. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. did you take any medicine for the diarrhea? Yes, right now, and for the past five or so days. Pro Tip: A high fiber diet helps to reduce constipation. Pro Tip: An increase in thirst can mean a variety of underlying conditions. Asking specifically about bowel movement frequency aids in the identification of abnormalities. I haven’t been as thirsty. I just have so little energy, and moving too much hurts. It fluctuates in how severe it is. Model Statement: “I’m sorry you’re having these symptoms; it sounds like you’re under great discomfort. Pro Tip: Asking about changes in energy level will help determine the level of disability caused by your patient’s condition. Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Have you taken medication for the stomach pain? I’ve been going slightly less often because. I suppose I’ve been drinking a little less water than usual, just in these last few days. . Do you have a problem getting on and off the toilet? Pro Tip: When a patient presents with abdominal pain, the presence or absence of fever may help identify the patient’s condition. I don’t think about it, even. Yes. 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. No. and I’m having some difficulty with going to the bathroom. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. What relieves your pain besides medication? Hope that helps. Asking Esther if she uses illicit drugs will indicate whether drug use puts her at risk for health complications. Are you taking any medication for the stomach pain? When I started having trouble going to the bathroom. 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. No. I will now do a physical examination. How does this assignment prepare me for the real world? I have been slightly more . maybe six months ago. I mostly just drink water. Pro Tip: If a patient has chills, it could indicate the onset of a fever. How many meals do you typically take in a day? Pro Tip: Frequency of urination can be an important clue to many underlying conditions. No, usually I sleep right through the night. Description: Ms. Park describes being more fatigued and having less energy for her daily activities. Pro Tip: Presence of vomiting would indicate a complaint such as food poisoning or infection. . When students perform a focused abdominal exam to explore her past medical history, they can uncover a detailed reproductive and surgical history. . Your role in this simulation is that of a healthcare provider who will conduct a focused history and physical examination of Ms. Park in order to assess her condition and transfer her care. Pro Tip: Asking generally about a patient’s pre-existing health conditions allows you to ascertain how well they are controlled and whether they may be affecting the patient’s present illness. . As many sexually transmitted infections are asymptomatic in women, your patient may not recognize if she has been infected. . Pro Tip: Information about your patient’s pregnancy complications can provide you with insight into past medical conditions. Cate gory Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Esther Park – Cognition – Michelle Slater, DNP, RN Nurse Manager, Specialty Clinics, Cleveland VA Medical Center (Clarified to Are your legs swelling?. 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. Checking your patient’s screening status can give important information about overall health care compliance as well as gynecological health. I can feed myself, but I just haven’t been hungry. Do you have difficulty getting in and out of chairs? . A glass or two a day, I’d say. The pain is more towards the front, down low. 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No. It is important to ask older patients if they are being physically abused so you can follow up appropriately. . It’s important to ask whether your patient has noticed changes in her typical urinary patterns. But I haven’t had one in… I’d say over ten years. _____ Gerontology Focused Patient Cases. I haven’t vomited or had any nausea. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Asking Esther if she takes fiber supplements will help you to assess whether she gets enough fiber in her diet. Pro Tip: Identification of the location of your patient’s discomfort can provide important clues about its cause and how it should be best treated. d. increase lung development in the fetus. I don’t know how much fiber is in what . Pro Tip: A high fiber diet helps to reduce constipation. ), How would you rate on a scale of one to ten? However, it may also occur due to trauma, certain cancers, and infections, including STDs. Always asking specifically about allergies can help ensure that your patient does not receive medication or treatment that will do her harm. once every three of four days or so. . Asking your patient to rate her pain at its lowest on a scale from zero to 10 develops a consistent measure of pain severity. No, I haven’t gone on any trips in several years. I am able to swallow without any problems. Ask client to urinate before exam 2. My daughter was concerned. Does physical activity aggravate the pain? This information can be helpful when educating your patient and developing a discharge plan. I’ve never had problems with. (Clarified to if my legs are swelling.). I think I have the normal amount of vaginal discharge. When a patient complains of increased gas, it is important to identify any co-occurring symptoms. Esther Park – Cognition – Michelle Slater, DNP, RN Nurse Manager, Specialty Clinics, Cleveland VA Medical Center Your patient’s relationships with others can be assessed by your asking about social support. . It’s important to ask about incontinence, especially during physical strain, laughing, coughing, or sneezing. No. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. I hadn’t quite considered it . Pro Tip: It is important to ask about pain during urination to assess for infection or inflammation of the urinary tract. I’d say it’s cramping and. pixierose, BSN, RN. (Clarified to: how I would rate my pain on a scale). . . ), It has its ups and downs. Share Tips & Get Feedback. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Usually I love to walk. 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. I can still take care of myself and get around, but the pain makes it difficult. No. Well, my mother had diabetes, but that’s it. I think I was 54. Pro Tip: Medication allergies can cause severe and even life-threatening consequences. (No matching questions found.). 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. Your patient is Esther Park, a 78-year-old Korean-American woman presenting with abdominal pain in Shadow General Hospital’s Emergency Department. Pro Tip: Postmenopausal vaginal bleeding is an abnormal finding that can often be attributed to the thinning of uterine and vaginal linings. 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. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. The last time I had anything of that nature was . . how would you rate that pain on a scale of 1 to 10? 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. It’s good that you came in today so we can discuss how to alleviate your discomfort and improve your gastrointestinal health.”. can any one tell me some tips to how to pass the shadow health. Your patient is Esther Park, a 78-year-old Korean-American woman presenting with abdominal pain in Shadow General Hospital’s Emergency Department. Abdominal pain in older adults is more difficult to diagnose. . 5 years ago. 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. No, I don’t take any extra fiber. _____ Gerontology Focused Patient Cases. Thank you Ms Park for answering my questions. What dose is your high blood pressure medication? ), how would you rate that pain on a scale of 1 to 10? Pro Tip: You should ask geriatric patients to identify the date and year so you can determine their cognitive functioning. But I take very good care of that. 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. Pro Tip: Night sweats can be a symptom of conditions such as perimenopause, or diseases or serious physical ailments. When I move around the house or try to garden, I feel more pain. 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. S stands for subjective data, which is the information provider by … Pro Tip: The type of drink the patient consumes gives you a basic indicator of what proof of alcohol the patient is ingesting. Pro Tip: Changes in weight can be a symptom of many medical conditions or may simply be a result of a change in lifestyle. It’s important to ask whether your patient has noticed changes in her typical habits. Pro Tip: It’s important to assess the nature of pain by asking about relief. It’s always unpleasant when an illness makes you feel unlike yourself. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. . Pro Tip: Latex allergies can cause severe and even life-threatening consequences. A suggested framework to consider using is the SOAPIER format (Haider, 2009). Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Indicates an item that is available to be found. Pro Tip: Blood in the urine can be an important clue to many underlying conditions like cancer or kidney problems. ANS: D. When preterm delivery cannot be prevented, injecting the pregnant patient with glucocorticoids can accelerate fetal lung maturation. What a sad habit. have you ever been diagnosed with an STD? It’s important to ask about changes in weight during your assessment. Pro Tip: Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. How would you rate your pain at its lowest? I think sometimes it’s better to let your body do what it needs to do. ), It has its ups and downs. Yes. about five days ago. Pro Tip: Holding in urine unnecessarily can increase a patient’s risk of urinary tract infections. I will interview you today and do a physical examination. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. How many alcoholic drinks do you have in a month? Asking older patients about their ability to bathe on their own allows you to determine if greater caretaking is necessary. Pro Tip: Racing heart might be an indicator of an underlying cardiovascular or mental health condition, such as anxiety. Am happy to hear that you value exercising , it good for you. 1. controlling myself. Ask your instructor before using any site if you are unsure. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. 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