shadow health Shadow Health. A student nurse is assigned to care for a patient admitted with severe abdominal pain. The following intellectual standards are essential to critical thinking: Clarity Accurate Our team of healthcare professionals includes: Our specialist Parkinsons team provide care, support and treatment for people living with a confirmed diagnosis of Parkinsons disease and movement disorders in Kensington & Chelsea and Westminster. elimination in Ms. Park. Nursing Diagnosis Patient exhibits constipation related to deficient fiber and fluid intake, as evidenced by abdominal discomfort and tenderness, defecation fewer than two times per week, a distended abdomen, generalized fatigue, and a palpable abdominal mass Short term goal B. B. in the case of pregnancy. "This is what I heard you say; am I correct about your meaning? Which dimensions are included in the NLNAC's definition of clinical judgment? Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. We know there is no hepatomegaly, the spleen is WNL, UA is negative, etc. For health care professional please refer via Single point of access (SPA email), self-referrals are also accepted. Ms. Park could speak in full sentences, and her breathing sounds were clear to auscultation. Does your family suffer from any medical conditions? B. A. C. Nursing diagnosis collections allow you to assess the and abdominal discomfort Upon palpation of the LLQ a firm, oblong mass approximately 2X4cm was noted. Next review due: 13 May 2025, selective serotonin reuptake inhibitors (SSRIs), Overview - Post-traumatic stress disorder, Symptoms - Post-traumatic stress disorder, Complex PTSD - Post-traumatic stress disorder, you choose not to have trauma-focused psychological treatment, psychological treatment would not be effective because there's an ongoing threat of further trauma (such as domestic violence), you have gained little or no benefit from a course of trauma-focused psychological treatment, you have an underlying medical condition, such as severe depression, that significantly affects your ability to benefit from psychological treatment, Treatment - Post-traumatic stress disorder. Have you ever been to the hospital before? B. Clinical judgment If a medicineis not effective at reducing your symptoms,your dosage may be increased. reports thin skin, but no breakdown to increase their sense. C. There is a relaxed body postured while sitting (no refills). Study guide - Nr 509pediatric shadow health_ dr_subjective. the characteristics of the stool tenderness and discomfort, defecation Abdominal examinations provide physicians with diagnostic cues on gastrointestinal and genitourinary pathologies while giving insight on abnormalities of nearby organ systems (Jaberi & Momennasab, 2019). and we mayoffer youa test, such as a genetic blood test. A. It will allow the physician to provide care tailored to the patients individual needs and establish therapeutic communication to improve patient care.Focused Health Assessment- Esther Park. She is telling the physicians assistant, Nichole, all about her year at school and states: I cant wait to get to the beach and soak up the sun. Meghan tells Nichole: I hear so much about the sun and the danger of skin cancer but the sun on my body makes me feel so relaxed. Meghan asks Nichole a question: What causes sunburn? Shadow Health - Esther Park - Cognition - Subjective 5.0 (1 review) Established chief complaint Click the card to flip -reports headache -reports recent memory loss -reports changes in concentration- difficulty concentrating Click the card to flip 1 / 56 Flashcards Learn Test Match Created by sarah_wesner3 Terms in this set (56) She reports that the pain isnt severe, but that her daughter was concerned and brought her in. D. Conclusions may need to be substantiated; they are not based on valid proof. 1 of 1 point . NURS 4520 Esther Park Shadow Health Abdominal Assessment, It seems as though the primary cause for the abdominal pain is the fecal impaction. Which assumptions about the patient, made by the nurse before assessment, would be considered erroneous. Your therapist can help you gain control of your fear and distress by reviewing with you any conclusions you have drawn about your experience (for example, feeling you're to blame for what happened, or fear that it may happen again). Focused Exam: Abdominal Pain Esther Park shadow health ass - If active monitoring is recommended, you should have a follow-up appointment within 1 month. D. A systematic, analytic approach to finding a solution to a problem, D Alix_Johnson55. 70 Comments Esther Park should be encouraged to increase her fluid intake to prevent dehydration associated with most of her symptoms. This is a Premium document. Anna Maria. next 2 hours, Provide patient ", Using a mutually supportive and sensible combination of thoughts and facts to form a conclusion. Return to Assignment (/assignments/373043/) Shadow Health will be performing planned maintenance this Friday, July 02th, 2021 from 7:00 am until 7:30 am Eastern. 1x sold. length of the NURS 4520 Esther Park Shadow Health Abdominal Assessment, Objective Data Collection: 21 of 21 (100%), Inspected head and face 1 of 1 point, No visible abnormal findings Flushed appearance, Skin growths (freckles, moles, or birth mark) Excessive hair growth, Evidence of skin trauma (scar, laceration, or bruising), Inspected nasal mucosa 1 of 1 point, Inspected mouth 1 of 1 point, Inspected abdomen 1 of 1 point, https://www.coursehero.com/file/54630935B/Euslgthinegr-aPraoruknsd-Aubmdboilmicuinsal-Pain-ObjectiveData-Shadow-Healthpdf/, Distension NURS 4520 Esther Park Shadow Health Abdominal Assessment, Visible masses (warts, cysts, or tumors) Freckles, birthmark, or discoloration, Inspected for edema in lower extremities 1 of 1 point, 2+ Deeper pit, disappears in 10 to 15 seconds, 3+ Noticeably deep pit that lasts more than a minute 4+ Very deep pit that lasts 2 to 5 minutes, Auscultated heart sounds 1 of 1 point, S1, S2, and S3 audible S1, S2, and S4 audible, Auscultated breath sounds NURS 4520 Esther Park Shadow Health Abdominal Assessment 1 of 1 point, Diminished in some areas Absent in some areas, Adventitious sounds in anterior right upper lobe Adventitious sounds in anterior right middle lobe Adventitious sounds in anterior right lower lobe Adventitious sounds in anterior left upper lobe, Adventitious sounds in anterior left lower lobe, Adventitious sounds in posterior right upper lobe Adventitious sounds in posterior right lower lobe Adventitious sounds in posterior left upper lobe Adventitious sounds in posterior left lower lob NURS 4520 Esther Park Shadow Health Abdominal Assessment, Auscultated abdominal aorta 1 of 1 point, https://www.coursehero.com/file/54630935/Esther-Parks-Abdominal-Pain-ObjectiveData-Shadow-Healthpdf/, Auscultated bowel sounds 1 of 1 point, All quadrants normoactive Right upper quadrant NURS 4520 Esther Park Shadow Health Abdominal Assessment, Right lower quadrant Left upper quadrant Left lower quadrant, Auscultated abdominal arteries 1 of 1 point, Percussed abdomen 1 of 1 point, Some areas dull, some tympanic Some areas resonant, Percussed CVA tenderness 1 of 1 point, Percussed spleen 1 of 1 point, Percussed liver 1 of 1 point, Palpated abdomen light NURS 4520 Esther Park Shadow Health Abdominal Assessment 1 of 1 point, https://www.coursehero.com/file/54630935N/Eosnteherer-pPoarrtekds-Abdominal-Pain-ObjectiveData-Shadow-Healthpdf/, Observations (1/3 point) No additional observations Masses, No palpable mass Right upper quadrant Right lower quadrant Left upper quadrant Left lower quadrant Around umbilicus, Detection (1/1 point) Not palpable Palpable, Right (1/2 point) Palpable Not palpable, Left (1/2 point) Palpable Not palpable, (800) 860-3241 | H elp Desk (https://support.shadowhealth.com/) | T erms of Service (/static/terms_of_service) | P rivacy Policy (/static/privacy_policy) | P atents (https://www.shadowhealth.com/patents) NURS 4520- Esther Park Shadow Health Abdominal Assessment. Trauma-focused CBT uses a range of psychological techniques to help you come to terms with the traumatic event. B. No abnormalities were noted during the pelvic exam, so pelvic inflammatory disease is not suspected. Clinical reasoning is the process of using critical thinking, knowledge, and experience to develop solutions to problems and make decisions in a clinical setting. long-term health but are not 2 hours, Tell patient to Reviewing patients' records carefully and completely It is very important to determine whether or not the situation is an emergency and the underlying cause of Esther's discomfort. health, should not be prioritized above The patient is later diagnosed with mild myocardial infraction. D. Employment history, EAQ : Chapter 04 : Critical Thinking in Nursi, Chapter 23: Care of Patients with Infection, Julie S Snyder, Linda Lilley, Shelly Collins, Exam 2 Practice Questions and Flashcards (Cri. ing 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. (a)Why is the Wart unable to bring Sir Kay's sword back to him? Meghan is a 22-year-old blond female home from college on summer break. A. Fairness is the intellectual standard for critical thinking that refers to thinking or acting in accordance with reason and without bias. Exam (elaborations) - Esther parks focused exam abdominal pain objective data 3. you walk around to help get Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Esther Park Focused Exam: Abdominal Pain and Care Plan: Shadow Health Physical Assessment NUR 3010, Esther Parks Focused Exam Abdominal Pain Care Plan, Esther Parks Focused Exam Abdominal Pain Care Plan NUR3010. Nursing process refers to the multiple-step process used by nurses when caring for patients. NY Times Paywall - Case Analysis with questions and their answers. your bowels moving. Referrals can be made by email, phone or letter: Referrals can be made by any health care professional by telephoning the Merton Single Point of Access (SPA) team who will guide them through the referral process. International Journal of Qualitative Studies on Health and Well-being, 11(1), 32090. https://doi.org/10.3402/qhw.v11.32090, [contact-form-7 id="141" title="Appointment Form"]. Exam (elaborations) - Anita douglas community acquired pneumonia shadow health 2. A. Ethical dimension During this process, your therapist helps you cope with any distress youfeel whileidentifying any beliefs you have about the experience that may be unhelpful. Effectiveness of standardized patient in abdominal physical examination education: A randomized, controlled trial. Lack of knowledge understand their I would also say this is emergent, because there is mild guarding on physical examination. Research suggests that patients plans of care should be tailored to individualized patient considerations. Biased views 07795 637126 Ms. Park also reports annual health check-ups and believes that her health and activity levels are suitable for her age. involvement and Other data Digital rectal exam revealed a fecal mass in the rectal vault. However, the intensity of the pain has worsened in the past three days. Care Plan to the constipation, the goal is for D. Sociocultural dimension this will help Which intellectual trait is characterized by staying determined until achieving a goal? Relevance Most importantly, A. A. Extra Heart Sounds: No extra sounds, Breath Sounds: Present in all area All rights B. Casual SO we will be Exam (elaborations) - Esther parks abdominal pain - subjective data collection. A. Inferences are beliefs that are taken for granted. 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