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Thank you for your participation! Document related concepts. However, we have found the biggest factor that affects the success of courses is you. Our goal is to set you up for success, particular at the pivotal moment of introducing your class to this new technology. Table of Contents I. Weekly Assignment Introductions a. Health History b. HEENT c. Respiratory d.

Cardiovascular e. Abdominal f. Musculoskeletal g. Neurological h. Skin, Hair, and Nails i. Focused Exam: Cough j. Focused Exam: Chest Pain k. Focused Exam: Abdominal Pain l.

Comprehensive Assessment First Day of Class Presentation — Introduction to Tina Jones The following resource is meant as a best practice for introducing your class to Tina Jones on the first day of class. Our best practice is to load an assignment with Tina Jones so that you can demonstrate the ease of interaction with her and our other virtual patients. We have supplementary materials to help give your students on overview of Shadow Health.

We will cover in-depth the following steps for conducting this presentation: 1 2 3 4 Sign into your Shadow Health instructor account Select an assignment to try as a student Download the Unity Web Player Model virtual patient communication strategies a Greeting your patient b Asking open ended questions — reason for visit c Providing clarification d Asking specific questions and providing context — ER medication e Asking additional open-ended questions — current status and medical history f Providing patient empathy g Asking specific questions — past medical history h Providing patient education Top of the Document 1.

Sign into your Shadow Health instructor account You will need to be signed into your Shadow Health instructor account in order to load an assignment in class. Your credentials are your institution email address and the password you set when you activated your account.

Top of the Document 2. Here, you can see the list of assignments in your course. Then, click the name of the assignment that you want to load in class. We recommend using the Health History assignment for this introduction. Top of the Document 3.Follow Us On Facebook.

Abstract: This article serves to assist the novice family nurse practitioner student in the examination of abdomen in a patient presenting with acute abdominal pain. Abdominal pain is pain felt in any location between the groin and chest. It is a very common and nonspecific complaint that can be difficult to diagnose, especially for the family nurse practitioner student.

shadow health esther park assessment

Chronic abdominal pain is pain that lasts longer than 12 weeks. Abdominal pain can be further broken down by anatomical location.

There are several methods used to describe the quadrants and regions of the abdomen. The following represents some of the more common descriptions:. WebMD, Pain can also be referred to the abdomen from other anatomical locations. Referred pain is pain that is felt at a site where the organ was located during fetal development Jarvis, Cholecystitis is biliary colic, which can cause sudden pain in the right upper quadrant of the abdomen. The pain can be referred to the right or left scapula.

The pain is often worse after ingesting alcohol, caffeine, or fatty foods Jarvis, Pancreatitis pain is typically seen in the right upper quadrant, but can be referred to the back, left scapula or flank Jarvis, A perforated duodenal ulcer can cause referred pain to the right shoulder Jarvis, Liver pain can be referred to the right shoulder as well Jarvis, It is important to remember the anatomy of the abdomen when assessing abdominal pain.

The right lower quadrant organs include the appendix, the cecum, the right ureter, and the right iliac artery. In females, the right ovary and the right fallopian tube are present in the right lower quadrant of the abdomen. In males, the right spermatic cord is located in the right lower quadrant of the abdomen Jarvis, The left lower quadrant organs include the sigmoid colon, part of the descending colon, the left iliac artery, and the left ureter.

In females, the left ovary and the left fallopian tube are present in the left lower quadrant of the abdomen. In males, the left spermatic cord is present in the left lower quadrant of the abdomen.

Jarvis, It is important for the provider to obtain a thorough and appropriate health history for a patient presenting with abdominal pain. S stands for subjective data, which is the information provider by the patient to the examiner. O is objective data, or what is observed by the provider. Objective data can also include vital signs and the results of laboratory tests and diagnostic tests. Assessment A represents the conclusions of the problem as determined by the provider.

Plan P is the interventions planned to resolve the problem.

shadow health esther park assessment

I represents the implementation of the plan. E is for the evaluation of how effective the plan was.You will need to complete either a debriefing session or the alternate writing assignment! Faculty will lead virtual debriefing sessions during Weeks The date, time, and duration of the weekly debriefing session will be posted by the course faculty.

Students must register to attend the debriefing session. During the debriefing process, students reflect upon their simulation experience and revisit their assessments, interventions, observations, and patient responses.

Faculty coach students to review patient data and reflect upon the interventions performed in response to the clinical situation presented during the simulation experience. This process facilitates students to analyze their own thought processes and supports transference of knowledge gained from simulation experiences to actual clinical practice. As a family nurse practitioner, you must possess excellent physical assessment skills.

This alternate writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role. The purposes of this assignment are to: a identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system CO 1b differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system CO 2and c adapt advanced assessment skills if necessary to suit the needs of specific patient populations CO 4.

Esther Park is a year-old woman who comes to the clinic complaining of abdominal pain. 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. This criterion is linked to a Learning Outcome Self-Reflection. She also notices burping after she eats. She denies cough, hoarseness, sore throat, dysphagia, and chest pain. Online Nursing Essays.

Learn about the elements of an abdominal exam with the Abdominal Concept Lab. This tool needs to be loaded in a new browser window. Reason for Visit: Patient presents complaining of abdominal pain. Shadow Health Physical Assessment Rubric.

Above Average- DCE Score greater than or equal to 93; Comprehensive introduction with expectations of exam verbalized; questions worded in a non-judgmental way; professional language exercised; questions well-organized; appropriate closing with summary of findings verbalized to patient. Average- DCE Score greater than or equal to ; Adequate introduction; some questions worded in a non-judgmental way; professional language mostly exercised; questions generally organized; somewhat complete closing.

Below Average- DCE Score greater than or equal to ; Incomplete introduction; many questions worded in a judgmental way; some professional language exercised; questions somewhat organized; incomplete closing.Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students.

With the study guides and notes written by fellow students, you are guaranteed to be properly prepared for your exams.

NR 509 Week 5 Shadow Health Focused Exam: Abdominal Pain Assignment

Overspecific notes are at your disposal. Your fellow students know exactly where the pitfalls lie and what the key elements will be to your success in that module.

With their assistance, you can become well prepared and can avoid having to retake exams. Thanks to the study guides written by fellow students specifically for your courses, you will never miss a trick when it comes to your exams.

No generic book summaries, but the specific content you need to ace your exams. Have you written lots of study guides or notes? Earn hundreds of dollars each month by selling your written material to your fellow students. Quickly navigate to.

shadow health esther park assessment

This preview shows page 1 - 2 out of 30 pages. Purchase the document to get full access instantly. Add to cart. Seller Follow. The best study guides Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students. Avoid resits With the study guides and notes written by fellow students, you are guaranteed to be properly prepared for your exams. Get better grades Thanks to the study guides written by fellow students specifically for your courses, you will never miss a trick when it comes to your exams.

Earn while you study Have you written lots of study guides or notes?Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Esther Park is a year-old woman who comes to the clinic complaining of abdominal pain. 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. Indicates an item that you 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.

A combination of open and closed questions will yield better patient data. Established chief complaint Finding: Reports abdominal pain. Asked about onset, frequency, and duration of pain Finding: Reports a feeling of discomfort for the past five days.

Asked about location of pain Finding: Reports pain in lower abdomen. Asked about character of pain Finding: Describes pain as dull and crampy. Asked about treatment and relieving factors Finding: Reports that resting helps.

Asked about aggravating factors Finding: Reports pain is aggravated by eating. Asked about activities of daily life Finding: Reports recent difficulty participating in usual activities. Asked about constipation Finding: Reports current constipation. Followed up about constipation Finding: Reports constipation for 5 days. Asked about diarrhea Finding: Reports recent diarrhea. Followed up about diarrhea Finding: Reports diarrhea 3 days ago.

Transcript

Asked about bowel movement patterns Finding: Reports last bowel movement 3 days ago. Asked about urination Finding: Reports recent, slight decrease in frequency of urination. Asked about medications Finding: Reports blood pressure medication.

Asked about allergies Finding: Reports latex allergy. Asked about general known health conditions Finding: Reports hypertension. Asked about relevant gastrointestinal history Finding: Reports no history of gastrointestinal disorders. Asked about relevant history of surgery Finding: Reports c-section. Asked about diet Finding: Reports last meal was toast at breakfast.

Asked about fiber intake Finding: Reports no fiber supplements. During the patient interview, there are a number of opportunities to provide patient education and empathy.

The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. Park describes the symptoms that have been bothering her.

I have some pain in my belly. My daughter was worried about me. It all started. When I started having trouble going to the bathroom.

shadow health esther park assessment

When I move around the house or try to garden, I feel more pain. And I did not go to my exercise classes. I was sure that would be too much.Find more study material on our Psychology overview page. Avoid resits and achieve higher grades with the best study notes written by your fellow students.

With summaries written by fellow students, you are guaranteed to be properly prepared for your exams. Overspecific summaries are at your disposal. Your fellow students know exactly where the pitfalls lie and what the key elements will be to your success in that module. With their assistance, you can become well prepared and can avoid having to retake exams.

Thanks to the summaries written by fellow students specifically for your course and its modules, you will never miss a trick when it comes to your exams. No generic book summaries, but the specific content you need to ace your exams. Have you written lots of lecture summaries or notes?

Earn hundreds of pounds each month by selling your written material to your fellow students. Last year students earned over R8. Quickly navigate to. This preview shows page 1 - 3 out of 28 pages. Purchase the document to get full access instantly. Add to cart. Seller Follow. Hieu lecture quiz 6: liberty university Nurs final exam : primary care of women: walden university Nurs walden university.

The best study notes Avoid resits and achieve higher grades with the best study notes written by your fellow students. Avoid resits With summaries written by fellow students, you are guaranteed to be properly prepared for your exams. Get better grades Thanks to the summaries written by fellow students specifically for your course and its modules, you will never miss a trick when it comes to your exams.

Earn while you study Have you written lots of lecture summaries or notes? Buy now.Esther Park is a year-old Korean woman presenting with abdominal pain in the ED. The pain worsens when she moves around a lot or eats something.

The only surgeries she has had is gallbladder removal and C-section, both in her 40s. She takes 10mg of Accupril daily. She has pain in her LLQ of her abdomen when percusses. Upon palpation of the LLQ a firm, oblong mass approximately 2X4cm was noted. 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. Asking for details about the pain helps to determine the origin. Example Question: Do you have any abdominal pain? Question Details Normal. Question posted by. Available Solution. Solution posted by. Reports a feeling of discomfort for the past five days Buy now to view full solution.

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Abdominal Pain: Signs, Examination & Diagnosis – Emergency Medicine - Lecturio

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