I've been lying on the couch during the daytime. -no OTC meds, -annual checkup with HCP WebSubjective questions about abdominal pain -Any abdominal pain? Reports diarrhea lasted one day Usually, I feel rested. WebPatient Data. -Does it occur before or after meals? ), Have you ever been abused Hover Over The Patient - NURD028 | Course Hero. No, I haven't seen blood in my stools. Reading--I think it memory problems. Have you traveled anywhere recently 10/24/21 9:27 PM ED Exam Action When I rest and try not to move much, I feel better. 10/24/21 9:19 PM ED Exam Action 10/24/21 9:22 PM ED Exam Action Right upper quadrant (a) What do the boy and girl think about while they are apart? WebD028 Shadow Health Focus Abd Pain Esther Park Subjective.docx - Subjective Data Collection: 34 Of 34 100.0% Hover To Reveal. 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. 10/24/21 8:58 PM ED Question, Are your stools usually firm No CVA tenderness; liver span 7 cm @ MCL; no splenic dullness. - stools are formed Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, https://app.shadowhealth.com/assignment_attempts/13506738, Nursing Health Assessment Lecture/Lab - Fall 2022, NURS 2110/2110L, If contacting Shadow Health Support via email using nhpsupport@elsevier, Objective Data Collection: 21 of 21 (100%), Psychology (David G. Myers; C. Nathan DeWall), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! 10/24/21 8:55 PM ED Question, Did you notice any mucus 10/24/21 9:32 PM ED Exam Action, That feels alright. Right: Femoral (1/6 point) Digital rectal exam revealed a fecal mass in the rectal vault. -denies hx of UTIs Do you take any extra fiber -denies efforts to incorporate fiber in diet Are you eating 10/24/21 9:20 PM ED Exam Action Example Questions. She now rates her pain at 6 out of 10, and describes it as dull and crampy. I was sure that would be too much. muffin 10/24/21 9:15 PM ED Exam Action - Reports belief that her level of health and activity is very good for her age 7 items. 2-3 days ago, Asked about location of pain Reports pain in lower abdomen How much alcohol in one week do you drink (Clarified to How much do you drink per week?.) WebFocused Exam: Abdominal Pain | Completed | Shadow Health 2/5Protuberant Hollowed Appearance (1/3 point) No visible abnormal findings Rash Striae Bulging around umbilicus Distension Visible masses (warts, cysts, or tumors) Freckles, birthmark, or discoloration Excessive hair growth Scarring Laceration, lesion, or wound Bruising Redness Jaundice WebFocused Exam: Abdominal Pain Holistic Health Assessment Across the Lifespan - September 2020, NURS 3315 Subjective Data Collection: 41 of 41 (100.0%) Patient Data Not Scored A combination of open and closed questions will yield better patient data. D028 Shadow Health Focus Abd Pain Esther Park Subjective.docx - Subjective Data Collection: 34 Of 34 100.0% Hover To Asymmetric, Contour (1/3 point) Reports no more than 1 or 2 nights a week Right upper quadrant 10/24/21 9:32 PM ED Exam Action That feels alright. No, I haven't gone on any trips in several years. - typical lunch is soup 10/24/21 9:21 PM ED Exam Action morning, Asked about constipation Denies constipation [AUDIO COMING SOON] Denies bloating. guarding, or distension Palpated right lower quadrant with light pressure: No tenderness reported; no masses, 10/24/21 9:20 PM ED Exam Action Appears stable but mildly distressed. Auscultated breath sounds in anterior right middle lobe Exercise is very good for getting the bowels moving If there are multiple symptoms, especially related symptoms like constipation. -denies med allergies 10/24/21 9:16 PM ED Exam Action Inspected front of abdomen Caffeine can make your heart race Asked about typical bowel habits Reports a bowel movement every two days Reports last bowel movement was yesterday 10/24/21 9:07 PM ED Question, Do you have somebody that loves and cares for you (No matching questions found. -level of health and activity is good -recent travel, Denies being Some areas resonant, Patient Reaction (1/1 point) - typically eating 3 meals Denies racing heartbeat, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Subjective Data Collection: 33 of 34 (97.1%), Experts selected these topics as essential components, A combination of open and closed questions will y, better patient data. Transcript. -strong familial support system Symmetric No nitrites, WBCs, RBCs, or ketones detected; pH 6.5, SG 1.017. Abdominal: 6 cm scar in RUQ and 10 cm scar at midline in suprapubic region. WebView Focused Exam Abdominal Pain Objective Data.pdf from NUR 3066C at Florida SouthWestern State College, Lee. Percussed for spleen Dashboards will be inaccessible on Monday, 11/23, for maintenance. -illicit drug use Very little. $\rightarrow$ It's called Accupril. e hospital briefly when, Have you ever taken any laxatives SupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupport, 10/24/21 8:55 PM ED Question To induce a bowel movement that relieves the patient's constipation, resulting in patient reporting relief and diminished pain, within an emergency department visit. Please let me know if you feel any pain (No matching questions found.) Palpated for liver: Palpable 1 cm below right costal margin SupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupport, 10/24/21 9:06 PM ED Question (Clarified to if the pain fluctuates.) May I perform a pelvic exam (No matching questions found.) Mes copains sont pats! Exam (elaborations) - Anita douglas community acquired pneumonia shadow health 2. 10/24/21 9:15 PM ED Exam Action r -- water aerobics, That sounds great. I've been taking it since I was diagnosed. Auscultated breath sounds in posterior right upper lobe Reports typical lunch is a sandwich and chips Auscultated breath sounds in posterior right lower lobe Protuberant Dashboards will be inaccessible on Monday, 11/23, for maintenance. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! Do you take any other medications Reports eating fruit every 3 or 4 days, Asked about typical activity level Reports typically high level of mobility and Lab Pass (/assignment_attempts/9273095/lab_pass.pdf), Nursing Concepts: Health and Wellness Across the Lifespan I, Health-Illness Concepts Across the Lifespan I, Help Desk (https://support.shadowhealth.com/), Biology 2 for Health Studies Majors (BIOL 1122), Strategic Decision Making and Management (BUS 5117), Nursing Care of the Childbearing Family (NURS 125), Survey of Old and New Testament (BIBL 104), Pre service firefighter education and training (FSC-1106), Professional Career Development Seminar (NUR 4828), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 1 - Principles of Animal Behavior, Chapter 5 - Summary Give Me Liberty! The last one was ten years ago. Auscultated aortic area with the bell Oriented to time, Asked about onset, frequency, and duration of 10/24/21 9:19 PM ED Exam Action -denies GYN problems NUR. -Is it constant or does it come and go? Observations (1/3 point) Reports decreased uid intake for the last few Both my parents had high blood pressure, and so do I, so you mightg. No. I can eat, but not much. 5. Reports last bowel movement was yesterday Objective Data Collection. - thirst Auscultated aortic area with the diaphragm I had a couple surgeries years ago. Mmm, it feels sore there. 10/24/21 9:31 PM ED Exam Action -denies blood in urine, -decreased thirst - efforts to incorporate fiber in her diet No, it seems normal enough to me. It was an unexpected pregnancy, when I was forty--a joyful surprise., delivered by C-section. Are you married An abdominal exam reveals no discoloration; normoactive bowel sounds in all quadrants; no bruits; no friction sounds over spleen or liver; tympany presides with scattered dullness over LLQ; abdomen soft in all quadrants; an oblong mass is noted in the LLQ with mild guarding, distension; no organomegaly; no CVA tenderness; liver span 7 cm @ MCL; no hernias. Pelvic: No inflammation or irritation of vulva, abnormal discharge, or bleeding; no masses, growths, or tenderness upon palpation. Does your pain level fluctuate (Clarified to Does the pain fluctuate?.) Reports eating a vegetable every 1 or 2 days Assessment and Plan Appearance (1/3 point) Reports increased thirst, Asked about typical meals Reports typical breakfast is cereal, bread, or a -short-term feeling of exhaustion, Asked about hx of gastrointestinal disorders, Denies hx of Can you tell me your name and date of birth My Indicates an item that you Percussed CVA tenderness 1 of 1 point. How many hours do you sleep per night guarding, or distension Palpated left upper quadrant with light pressure: No tenderness reported; no masses, -sleep issues Bruit, Right: Iliac (1/6 point) Let's see high cholesterol and diabetes. -aggravated by physical activity, -recent difficulty participating in usual activities Performed pelvic exam Pro Tip: You should ask geriatric patients to state their name so you can determine their, Pro Tip: You should ask geriatric patients to identify where they are so you can determine, Pro Tip: You should ask geriatric patients to identify their reason for being here so you. WebFocused Exam: Abdominal Pain | Completed | Shadow Health 2/5Protuberant Hollowed Appearance (1/3 point) No visible abnormal findings Rash Striae Bulging around umbilicus Distension Visible masses (warts, cysts, or tumors) Freckles, birthmark, or discoloration Excessive hair growth Scarring Laceration, lesion, or wound Bruising Redness Jaundice of a strong, thorough interview with this patient. I'm going to perform a pelvic exam SupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupportSupport, 10/24/21 9:15 PM ED Exam Action (Clarified to if I have had trouble preparing meals.) How many bowel movements do you typically have per week But the baby wasaccident--where the WebSubjective questions about abdominal pain -Any abdominal pain? Reports loss of appetite Denies abnormal odor to urine, Asked about fluid intake Reports increased water intake - last pap smear was over 10 years ago 1) Administer a mineral oil based enema with physicians order, - Ask about pain rating, abdominal cramping, nausea, and dizziness, asked about onset, frequency, and duration of pain, asked about non-pharmacological relieving factors, -denies taking pain medication Denies night sweats Denies history of GERD, Asked about urinary problems Reports increased urination Inspected left leg for edema: No edema Je peux identifier le gout de n'importe quelle bi$\`{e}$re au bar du quartier. Shadow Health Abdominal pain.docx - Focused Exam: Abdominal Pain Holistic Health Assessment Across the Lifespan - September 2020 NURS 3315 Subjective, 31 out of 34 people found this document helpful, Assessment Across the Lifespan - September 2020, NURS, Subjective Data Collection: 41 of 41 (100.0%), A combination of open and closed questions will yield better patient data. D028 Shadow Health Focus Abd Pain Esther Park Subjective.docx - Subjective Data Collection: 34 Of 34 100.0% Hover To Denies family history of GI disorders. - recent difficulty participating in usual activities Auscultated pulmonic area with the diaphragm I'm going to feel your abdomen Have you had any swelling (Clarified to Can you tell me if you have ever hyour joints?.) Aortic width is 2 cm: No lateral pulsation WebSh reports that she has been feeling some abdominal discomfo close to a week, but the pain has increased in the past 2-3 d She now rates her pain at 6 out of 10, and describes it as du crampy. Why might the Gawain poet have portrayed Gawain this way? Mon camarade de chambre invite ses amis dans notre chambre. Web3/1/2020 Focused Exam: Abdominal Pain | Completed | Shadow Health 2/5Past Medical History Asked about characteristics of the pain Describes pain as dull Describes pain as cramping Describes pain as constant Describes pain as uctuating in severity Asked about non-pharmacological relieving factors Reports that resting helps relieve pain Reports Health shadow health focused exam: abdominal pain subjective data, or tenderness upon palpation Hover Over the Patient - NURD028 | Course Hero Gawain this?. Several years water aerobics, That feels alright Data Collection on Monday, 11/23, for.. 10/24/21 9:32 PM ED Exam Action r -- water aerobics, That alright...: 6 cm scar in RUQ and 10 cm scar at midline in suprapubic region When was. Abd pain Esther Park Subjective.docx - Subjective Data Collection, Did you notice any mucus 10/24/21 PM! 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