Focused Exam: Abdominal Pain Esther Park shadow health assignment answers 100% correct, Exams of Nursing

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Focused Exam: Abdominal Pain Esther Park shadow health

assignment answers 100% correct

Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. 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. 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

DataNot

scored

a combination of open and closed questions will yield better patient data. The following details are facts of the patient's case.

History of Presenting Illness

Finding:

Established chief complaint

Finding:

Reports abdominal pain (Found)

Pro Tip: Abdominal pain can be caused by problems in the underlying organs, peritoneum, muscles, or blood vessels, changes

Reports a feeling of discomfort for the past five days (Found)

Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem.

Example Question:

How long have you had stomach pain?

Finding:

Reports pain with gradual onset that worsened 2-3 days ago (Available)

Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem.

Example Question:

Has the stomach pain changed?

Finding:

Asked about location of the pain

finding:

Reports pain in lower abdomen (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?

Finding:

Reports pain is not localized (Found)

Do you have pain on your sides?

Finding:

Confirmed pain rating on a scale

finding:

Reports pain rating of 6/ (Found)

Pro Tip: For many people, it is difficult to clearly describe pain. Asking your patient to rate her pain on a scale from zero to 10 develops a consistent measure of pain severity.

Example Question:

How would you rate your pain on a scale of one to ten?

Finding:

Asked about character of the pain

finding:

Describes pain as dull and crampy (Found)

Pro 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.

Example Question:

Can you describe the pain?

Finding:

Reports pain is intermittent with aggravating factors (Found)

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. Constant pain is often best managed with around-the-clock pain medications.

about the medication's effectiveness can help you adjust treatment as needed.

Example Question:

What relieves your pain?

Finding:

Reports attempts to treat pain by drinking small sips of warm water (Available)

Pro Tip: Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. 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. Example Question:

How have you been treating the pain?

Finding:

Reports no pain medication for stomach (Available)

Pro Tip: Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. 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. Example Question:

Have you taken medication for the stomach pain?

Finding:

Asked about aggravating factors

Finding:

Reports pain is aggravated by eating (Found)

Pro Tip: Asking you patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self-care.

Example Question:

Does eating aggravate the pain?

Finding:

Reports pain is aggravated by physical activity (Found)

Pro Tip: Asking you patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your

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 deliberate retention of stool.

Example Question:

Are you constipated?

Finding:

Reports no history of constipation (Available)

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.

Example Question:

Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem.

Example Question:

Have you had diarrhea recently?

Finding:

Asked follow-up about diarrhea

finding:

Reports diarrhea 3 days ago (Available)

Pro Tip: It's important to ask about changes in stool characteristics

Pro Tip: Asking a patient who has diarrhea to describe her stool helps identify its cause and the severity. Patients may not know how to answer, so you may need to suggest words like frothy, greasy,

floating, or watery. It is also important to inquire about the presence of blood or mucus.

Example Question:

How would you describe the diarrhea?

Finding:

Asked about bowel movement patterns

Finding: