Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved
Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved
Shadow Health Assessment Assignment
 You will complete all assessment assignments using the Shadow Health  virtual reality simulation platform.
Introduction and Pre-brief
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Mrs. 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 her daughter was concerned and brought her in. It is very important to determine whether or not the situation is an emergency and the underlying cause of Esther’s discomfort. Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. During her physical examination, take particular note as to where Mrs. Park verbalizes pain during palpation so that you may synthesize verbal and non-verbal cues. Be sure to apply the supportive information learned in this week’s concept lab to your critical thinking process in this case study. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved.

 
Transcript

Started: Apr 02, 2020 | Total Time: 198 min

All Lines (231)Interview Questions (124)Statements (15)Exam Actions (92)

Hello. My name is Jones, and i will be interviewing you today, and later do a physical examination. Welcome to the clinic

Greet
04/02/xx 11:25 AM PDT

Hello.

What is your name?

Question
04/02/xx 11:25 AM PDT

Esther Park.

What brings to the clinic today?

Question
04/02/xx 11:26 AM PDT

I have some pain in my belly. . . and I’m having difficulty going to the bathroom. My daughter was worried about me.

i am sorry you are having pain in your belly.

Empathize
04/02/xx 11:27 AM PDT

Thank you.

Whxxx?
Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

Question
04/02/xx 11:27 AM PDT

It xxxx

I am sorry to hear this.

Empathize
04/02/xx 11:28 AM PDT

Thank you.

Are yoxxxx

Question
04/02/xx 11:28 AM PDT

I xxxx

How long xxxx

Question
04/02/xx 11:29 AM PDT

The xxxx

Has thexxxx

Question
04/02/xx 11:29 AM PDT

Well, the txxx

Where is thexxxx

Question
04/02/xx 11:30 AM PDT

The xxx

Have you xxxx

Question
04/02/xx 11:30 AM PDT

No, no. The xxxx

Is the pain inxxxx

Question
04/02/xx 11:31 AM PDT

Well my xxxx

How would xxx

Question
04/02/xx 11:32 AM PDT

Right now.xxx

can youxxx

Question
04/02/2x 11:32 AM PDT

I’d say it’sxxxx

is thexxx

Question
04/02/2x 11:32 AM PDT

Yes. Certain things can make it a tiny bit better or a tiny bit worse, I suppose. But it’s always there.

Does xxxx

Question
04/02/2x 11:33 AM PDT

Well, the type of pain never changes. And it’s always in the same place. But it did get worse two or three days ago.

What cccc

Question
04/02/2x 11:33 AM PDT

I’m not taking anything for it.

Sure, less movements can help relieve pain.

Educate
04/02/2x 11:34 AM PDT

Thank you for explaining that.

Have you xxxx
Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

Question
04/02/2x 11:35 AM PDT

I’m xxxxxfor it.

.
.
.
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Subjective Data Collection: 32 of 32 (100.0%)

Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

Found:
 Indicates an item that you found.

Available:
 Indicates an item that is available to be found. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

Category

Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Chief Complaint

Finding:
Established chief complaint

&nbspSubjective Action&nbspPro 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. Asking for details about the pain helps to determine the origin.&nbspExample Question: "Do you have any abdominal pain?"” data-html=”true” data-title=”Reports abdominal pain (Found)” data-original-title=””>
Finding:
Reports abdominal pain
(Found)
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. Asking for details about the pain helps to determine the origin. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved.
Example Question:
Do you have any abdominal pain?

&nbspSubjective Action&nbspPro Tip: Understanding all of a patient’s reason for visiting is an important foundation to establish. If there are multiple symptoms, follow up on each one during your interview.&nbspExample Question: "Are you able to make a bowel movement?"” data-html=”true” data-title=”Reports difficulty "going to the bathroom" (Found)” data-original-title=””>
Finding:
Reports difficulty “going to the bathroom”
(Found)
Pro Tip: Understanding all of a patient’s reason for visiting is an important foundation to establish. If there are multiple symptoms, follow up on each one during your interview.
Example Question:
Are you able to make a bowel movement?

History of Present Illness

Finding:
Asked about oxxx

&nbspSubjective Action&nbspPro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem.&nbspExample Question: "How long have you had stomach pain?"” data-html=”true” data-title=”Reports a feeling of discomfort for the past five days (Found)” data-original-title=””>
Finding:
Reports a feeling of xxxx
(Found)
Pro Tip: Wxxxx
Example Question:
How xxxx

&nbspSubjective Action&nbspPro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem.&nbspExample Question: "Has the stomach pain changed?"” data-html=”true” data-title=”Reports pain with gradual onset that worsened 2-3 days ago (Found)” data-original-title=””>
Finding:
Reports pain with xxxx
(Found)
Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about xxxx. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved.
Example Question:
Has thexxxx

Finding:
Asked about xxxxx

&nbspSubjective Action&nbspPro Tip: Identification of the location of your patient’s discomfort can provide important clues about its cause and how it should be best treated.&nbspExample Question: "Where is your discomfort located?"” data-html=”true” data-title=”Reports pain in lower abdomen (Found)” data-original-title=””>
Finding:
Reports xxxx
(Found)
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.
Example Question:
Where is your discomfort located?

&nbspSubjective Action&nbspPro Tip: Identifying the location of your patient’s pain provides important clues about its cause and how to treat it best.&nbspExample Question: "Is the pain in a specific spot?"” data-html=”true” data-title=”Reports pain is not localized (Found)” data-original-title=””>
Finding:
Reports pain is not localized
(Found)
Pro Tip: xxxx Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved
Example Question:
Is the xxxxx

&nbspSubjective Action&nbspPro Tip: Flank pain often occurs with disorders of the urinary tract. When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria.&nbspExample Question: "Do you have pain on your sides?"” data-html=”true” data-title=”Reports attempts to treat pain by drinking small sips of warm water (Found)” data-original-title=””>
Finding:
Reports attempts to treat pain by drinking small sips of warm water
(Found)
Pro Tip: Flank pain often occurs with disorders of the urinary tract. When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria.
Example Question:
Do you have pain on your sides?

Finding:
Confirmed pain rating on a scale

&nbspSubjective Action&nbspPro Tip: For many people, it is difficult to clearly describe pain. Asking your patient to rate her pain on a scale from 0 to 10 develops a consistent measure of pain severity.&nbspExample Question: "How would you rate your pain on a scale of one to ten?"” data-html=”true” data-title=”Reports pain rating of 6/10 (Found)” data-original-title=””>
Finding:
Reports painxxxx
(Found)
Pro Tip: For many people, it is difficult to clearly dxxxx.
Example Question:
How would you rate your pain on a scale of one to ten?

Finding:
Asked aboutxxxx

&nbspSubjective Action&nbspPro Tip: Asking your patient to describe her pain helps identify its cause and the severity. Patients may not know how to answer, so you may need to suggest words like sharp, dull, burning, throbbing, or shooting.&nbspExample Question: "Can you describe the pain?"” data-html=”true” data-title=”Describes pain as dull and crampy (Found)” data-original-title=””>
Finding:
Describes xxxx
(Found)
Pro Tip: Asking your patient toxhelps identify its xxxcause and the severity. Patients may not know how to answer, so you may need to suggest words like xxxx
Example Question:
Can you xxxxx

&nbspSubjective Action&nbspPro 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. Constant pain is often best managed with around-the-clock pain medications.&nbspExample Question: "Is your pain constant?"” data-html=”true” data-title=”Reports pain is intermittent with aggravating factors (Found)” data-original-title=””>
Finding:
Reports pain is ixxx
(Found)
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. xxxx pain is often best managed with around-the-clock pain medications. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved
Example Question:
Is your painxxxx

Finding:
Asked about xxxxx

&nbspSubjective Action&nbspPro Tip: It’s important to assess the nature of pain by asking about relief. If you know your patient is taking pain medication, asking about the medication’s effectiveness can help you adjust treatment as needed.&nbspExample Question: "What relieves your pain?"” data-html=”true” data-title=”Reports that resting helps (Available)” data-original-title=””>
Finding:
Reports that resting helps
(Available)
Pro Tip: It’s important to assess the nature of pain by asking about xxx. If you know your patient is taking xxxx, asking about the medication’s xxxx can help you xxxx.
Example Question:
What xxx?

&nbspSubjective Action&nbspPro Tip: