No. Pro Tip: Postmenopausal vaginal bleeding is an abnormal finding that can often be attributed to the thinning of uterine and vaginal linings. I miss my walks. When students perform a focused abdominal exam to explore her past medical history, they can uncover a detailed reproductive and surgical history. (Clarified to: how I would rate my pain on a scale). Teaching Template: Progress Analysis – Esther Park, Advanced Health Assessment. Pro Tip: Difficulty swallowing could be a symptom of gastrointestinal conditions such as GERD. Over-the-counter medications can cause medical complications of their own or can indicate medical problems that your patient has been attempting to self-treat. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. How many glasses of water do you drink daily? Asking Esther about what she typically has for dinner will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. No. This information can be helpful when educating your patient and developing a discharge plan. Asking Esther about what she typically has for breakfast will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Esther Park shadow health assignment. Enough fiber can help regulate your digestive system and prevent gastrointestinal upsets, so let’s talk about ways you might increase your fiber intake.”. Pro Tip: Asking your patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self-care. Pro Tip: Information about your patient’s gallbladder and when it was removed can provide you with potential insight into her current gastrointestinal pain. Have you had any changes in the frequency of your urination? What is the dosage of you blood pressure medication? Pro Tip: Chest discomfort could be a symptom of gastrointestinal conditions such as GERD. Yes. Pro Tip: Swelling can indicate allergic reaction or edema, both of which could be caused by medication. She states the pain is an uncomfortable pressure that hurts worse when lying flat. (Clarified to how I would rate my abdominal pain on a scale. I don’t know about my extended family–cousins and so forth. . Pro Tip: Asking about any postoperative complications in your patient’s history may provide information relevant to identifying her present condition. Pro Tip: A history of frequent or severe UTIs could lead to scar tissue in the urinary tract, bladder, or kidneys. It’s important to ask about incontinence, especially during physical strain, laughing, coughing, or sneezing. I was sure that would be too much. Did you have any complications after your surgery? ), Nothing is swelling that I know of. I have been slightly more . I interviewed at Shadow Health (Gainesville, FL) in Jun 2018. Tylenol–they say it’s very bad for the stomach. At the moment, I’d say it’s a 2. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. Yes, it seems like my energy got low when I did simple things around the house, like tidying up. NURSING 225 Shadow_Health_Esther Park Objective_Cognition 2020 Shadow_Health_Objective_Cognition 2020 Focused Exam: Cognition Results | Turned In Medical Surgical Nursing: Promoting Wellness in the Older Adult - 2020 Pro Tip: Asking about fluid intake is a key component of a thorough health assessment, especially for patients experiencing symptoms often affected by hydration, like stomach pain and constipation. Pro Tip: A high fiber diet helps to reduce constipation. Asking Esther what sources of fiber she eats will help you to assess whether she gets enough fiber in her diet. _____ Gerontology Focused Patient Cases. Have you experienced any emotional abuse? (Clarified to Can you rate your current pain level on a scale of 0 to 10?. Pro Tip: Difficulty breathing could be an indicator that the patient’s condition is serious. Hope that helps. Patients may not know how to answer, so you may need to suggest words like sharp, dull, burning, throbbing, or shooting. (No matching questions found.). (Clarified to: What brings you to the hospital? Shadow_Health_Esther Park Objective_Cognition 2020. ), How would you rate on a scale of one to ten? We have experts in … . Asking for details about the pain helps to determine the origin. Pro Tip: Asking about fatigue as a symptom is an important gauge for the seriousness of a patient’s condition, and as an indicator of the impact on the patient’s daily life. Pro Tip: You should ask geriatric patients to state their name so you can determine their cognitive functioning. Pro Tip: Darker urination can be an important clue to many underlying conditions like cirrhosis or hepatitis. Toast, usually. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Pro Tip: Stress incontinence is common in geriatric women, particularly those who have had multiple vaginal deliveries. I can feed myself, but I just haven’t been hungry. .I think that’s a myth, that that works. Do you take high blood pressure medication? The pain is more towards the front, down low. Totally a waste of time. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. . This is a list of the MPs who have voted against England’s third coronavirus lockdown. Shadow Health will grade you on what you ask and will deduct points for what you omitted. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Pro Tip: Information about your patient’s pregnancy complications can provide you with insight into past medical conditions. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Rest assured that we will work to improve your energy levels and get you able to participate in your regular activities.”. The doctors did the C-section, but it was too late. Focused Exam: Abdominal Pain. ), I have pain in my belly. As a leader in educational simulation technology, Shadow Health has developed an extensive network of partner experts and institutions to support our mission of nursing excellence and patient health. Oh, I certainly don’t drink alcohol every day. Asking older patients about their ability to get in and out of chairs allows you to determine if greater caretaking is necessary. I had to miss my exercise classes this week — I didn’t have the energy for them. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. it was twenty years or more ago. Pro Tip: While the normal frequency of burping and flatus varies widely, a sudden or marked increase in gas can be a symptom of a gastrointestinal disorder. Indicates an item that is available to be found. How does this assignment prepare me for the real world? Yes. Pro Tip: Blood in the urine can be an important clue to many underlying conditions like cancer or kidney problems. .I’ve never been abused in any sense of the word. Pro Tip: Asking generally about a patient’s pre-existing health conditions allows you to ascertain how well they are controlled and whether they may be affecting the patient’s present illness. A suggested framework to consider using is the SOAPIER format (Haider, 2009). Asking Esther about what she typically has for lunch will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. how would you rate that pain on a scale of 1 to 10? No. I’ve never had problems with. 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. Pro Tip: Although it may be uncomfortable, it is important to ask about the color of usual bowel movements because the stool relays valuable information about gastrointestinal health. No. Pro Tip: Information about your patient’s pregnancy can provide you with insight into past medical conditions. Pro Tip: Asking about changes in energy level will help determine the level of disability caused by your patient’s condition. Esther Park Shadow Health: Focused Exam: Cognition. Pro Tip: Frequency of urination can be an important clue to many underlying conditions. That’s unusual for me. Description: Ms. Park describes her dietary habits and reveals a lack of consistent fiber intake. Pro Tip: Presence of vomiting would indicate a complaint such as food poisoning or infection. Pro Tip: Understanding all of a patient’s reason for visiting is an important foundation to establish. Have you had past urinary tract infections? Pro Tip: If a patient has a history of stomach cancer, abdominal pain could be a sign of recurrence. I’ll have it instead of my breakfast toast. . Pro Tip: Information about your patient’s gallbladder and whether it has been removed can provide you with potential insight into her current gastrointestinal pain. Always asking specifically about allergies can help ensure that your patient does not receive medication or treatment that will do her harm. Pro Tip: Asking about usual bowel movements facilitates baseline data collection. What a sad habit. Pro Tip: A high fiber diet helps to reduce constipation. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Ask client to urinate before exam 2. Pro Tip: A sore throat could be a symptom of gastrointestinal conditions such as GERD. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. Living situation can also relay information about your patient’s relationships, socioeconomic status, functional ability, and sense of self. Pro Tip: Identifying the location of your patient’s pain provides important clues about its cause and how to treat it best. Pro Tip: Although it may be uncomfortable, it is important to ask about formedness of usual bowel movements because the stool relays valuable information about gastrointestinal health. I’ve had two colonoscopies. Docmerit is the online marketplace for buying and selling study documents, such as lecture notes, summaries, practice exams and more. Bloody stool that appears black or tarry suggests bleeding in upper digestive tract, such as the small intestine or stomach. Pro Tip: An increase in thirst can mean a variety of underlying conditions. . Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm. Her specialties include Child & Adolescent Psychiatry, Psychiatry, Adult, Child/Adolescent Psychiatry. (Clarified to if my legs are swelling.). Asking your patient to rate her pain at its lowest on a scale from zero to 10 develops a consistent measure of pain severity. I don’t know how much fiber is in what . What brings you to the clinic today? In Jan 2019. My name is xxxxx. . The midterm, however, wanted palpation before percussion. Usually I love to walk. Drape client at xiphoid process and symphysis pubis to expose abdomen 3. Asking Esther if she’s traveled recently might reveal a new experience that’s affected her health. It’s been too difficult to drink even that since all this started. Pro Tip: Colonoscopies are an important part of geriatric health maintenance. Ask your instructor before using any site if you are unsure. Asking about the dose of the medication, in this case for blood pressure, will help you to treat your patient. How many alcoholic drinks do you have in a month? I haven’t had any symptoms. Did you have any complications during pregnancy? Applied on LinkedIn, got a call, spoke with HR and Web Dev Lead, the call went fine and they sent me out a little UI/UX test on hacker-rank, I spent 2 hours completing the test and I did well. Asking Esther about her last meal will indicate her typical eating habits and allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. When I started having trouble going to the bathroom. . Pro Tip: A healthy and balanced diet is crucial for maintaining good health. She’d been caught up in the cord, around her neck. In patients with stomach pain, whether or not eating exacerbates pain may help you identify the nature of the condition. Lack of signs and symptoms- Older adults with serious abdominal pathology often present with subtle signs and symptoms.. It’s mostly in the lower part. It all started. . . I did try drinking warm water slowly. It’s important to ask about changes in weight during your assessment. I don’t have problems with that area. As many sexually transmitted infections are asymptomatic in women, your patient may not recognize if she has been infected. She’s very busy with her job, and it’s very sweet of her to help me. The USDA recommends that adults eat around 28 grams of fiber per day, which is several servings of fruits, vegetables, and whole grains. Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the ED. c. increase fetal weight and length. . Pro Tip: Assessing appetite guides understanding of patient health. Do you have difficulty dressing yourself? Identify Areas for Improvement. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Dr. Esther Park, DO is a doctor primarily located in Laguna Hills, CA, with other offices in Granada Hills, CA and Laguna Hills, CA.She has 21 years of experience. Pro Tip: When assessing your patient’s sexual health, it is critical to ask whether she has been tested for sexually transmitted infections, especially patients with gastrointestinal conditions, as these are sometimes caused by STIs. Fruit, maybe once or twice a week. My daughter was concerned. Yes, it has been a little darker than usual lately. Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Does physical activity aggravate the pain? Pro Tip: Asking the patient how many drinks she has per month is a way to gauge her understanding of her own level of drinking. 3/20/2019 Focused Exam: Cognition | Completed | Shadow Health 1/7 Indicates an item that you found. I haven’t gone to the bathroom in almost a week. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. But since I’ve been sick, I’ve needed to rest. Do you have difficulty getting in and out of chairs? Denies typically taking any OTC medications, Denies difficulty transferring in and out of chairs, Reports sometimes skipping lunch due to low appetite, Reports typical dinner is chicken or fish with rice, Denies efforts to incorporate fiber in her diet, Reports eating a vegetable every 1 or 2 days, Reports typically high level of mobility and independence, Reports typically having a moderate activity level, Asked about history of gastrointestinal disorders, Asked additional review of systems for gastrointestinal, Reports loss of appetite in the past few days, Asked review of systems for genitourinary. The pain has its ups and downs, but it’s always there. Qsen.org The QSEN Institute advises and lends expertise to the Shadow Health team as they build virtual patient simulations for all courses across the Graduate and Undergraduate curriculum. If you know your patient is taking pain medication, asking about the medication’s effectiveness can help you adjust treatment as needed. It’s important to ask whether your patient has noticed changes in her typical habits. . . Pro Tip: Asking about the last dose of the patient’s high blood pressure medication will help you to treat your patient, especially in considering whether there are contraindications for any new medications the patient may receive in care. At the moment, I’d say it’s a 2. (Clarified to Are your legs swelling?. Exercise is good for you, keep exercising, Model Statement: “Thanks for telling me about your diet. . Your role in this simulation is that of a healthcare provider who will, The activities evaluated by the simulation are Subjective and Objective Data Collection and Education and Empathy. It’s important to ask whether your patient has noticed changes in her typical urinary patterns. Pro Tip: Asking your patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self-care. It is important to ask older patients if they are being emotionally abused so you can follow up appropriately. I haven’t vomited or had any nausea. Have you had changes in your fluids intake ? Pro Tip: Chronic alcohol use can result in a range of health problems. It fluctuates in how severe it is. Asking about the name of the medication, in this case for blood pressure, will help you to treat your patient. _____ Gerontology Focused Patient Cases. it all seems fine. It is important to ask older patients if they are being sexually abused so you can follow up appropriately. Pro Tip: Broad open questions are efficient and useful in eliciting a large amount of information from your patient. . Pro Tip: Patients should always be asked specifically about over-the-counter medications, as many patients will overlook talking about them. . about five days now. Yes. I don’t usually have problems going to the bathroom, but this has been going on for . Pro Tip: Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. Do you have difficulty getting on and off the toilet? Pro Tip: When a patient presents with abdominal pain, the presence or absence of fever may help identify the patient’s condition. Pro Tip: Medication allergies can cause severe and even life-threatening consequences. Well, my mother had diabetes, but that’s it. How many nights a week do you drink alcohol? Pro Tip: Changes in weight can be a symptom of many medical conditions or may simply be a result of a change in lifestyle. pixierose, BSN, RN. It’s taken quite a toll. I avoid caffeinated drinks altogether. I suppose I’ve been drinking a little less water than usual, just in these last few days. Oh my. My lungs feel very healthy. . Have you experienced any financial abuse? ), I have pain in my belly. Pro Tip: Recent travel or new experiences can result in gastrointestinal or other stressors. It is important to ask older patients if they are being physically abused so you can follow up appropriately. Pro Tip: When assessing your patient’s sexual health, it is critical to ask whether she has experienced symptoms of sexually transmitted infection. Do you have a history of bladder disease? I haven’t been hungry. What relives your pain besides medication? (Clarified to: how I would rate my abdominal pain on a scale). Pro Tip: Your patient’s perception of health provides insight into her self-awareness, her health goals, and her approach to self-care. A combination of open and closed questions will yield better patient data. Asking older patients about their ability to walk allows you to determine if greater caretaking is necessary. (Clarified to: what brings me to the hospital), I am sorry to hear that you are having a pain. My heart rate has always been normal. [AUDIO COMING SOON]. Well, I miss a day now and then, but usually every day. People raised hell, etc. Pro Tip: Assessing your patient’s typical level of activity and mobility will help you determine the level of disability associated with their current medical condition. No, that hasn’t been necessary. Pro Tip: It’s important to ask about the suddenness of diarrhea because it may be a sign of a new onset of a gastrointestinal disease or disorder. Am happy to hear that you value exercising , it good for you. I take exercise classes at the community center — water aerobics, and I started enjoying Pilates as well. She tried ginseng and cold compresses at home with no relief. Asking about relevant, in this case for the patient’s high blood pressure, medication will help you to treat your patient. Do you have problems getting into and out of chairs? Pro Tip: Night sweats can be a symptom of conditions such as perimenopause, or diseases or serious physical ailments. I think sometimes it’s better to let your body do what it needs to do. No, no. Those over-the-counter medicines. Have you taken medication for the stomach pain? ANS: D. When preterm delivery cannot be prevented, injecting the pregnant patient with glucocorticoids can accelerate fetal lung maturation. Experts selected these topics as essential components of a strong, thorough interview with this patient. Pro Tip: The type of drink the patient consumes gives you a basic indicator of what proof of alcohol the patient is ingesting. Using data from the Education Longitudinal Study, this study assessed the relevance of shadow education to the high academic performance of East Asian American students by … Hi eyery body, i am doing health assesment class right now and i am having some tough time with shadow health - Tina Jones. Shadow health cognition quizlet - ebios.donoraticovolley.it. How many meals do you typically take in a day? Pro Tip: If a patient has a history of bladder disease, it could contribute or relate to her present condition. Fill Esther Park Shadow Health Quizlet, Edit online. When I move around the house or try to garden, I feel more pain. Description: Ms. Park describes drinking 1-2 glasses of water a day. Description: Ms. Park describes being more fatigued and having less energy for her daily activities. maybe six months ago. (Clarified to what brings me to the hospital. . Cate gory Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Esther Park – Cognition – Michelle Slater, DNP, RN Nurse Manager, Specialty Clinics, Cleveland VA Medical Center Are you legs swollen? Your patient’s relationships with others can be assessed by your asking about social support. ), It has its ups and downs. . I haven’t been as thirsty. Pro Tip: Bloody stool is an alarming symptom that indicates bleeding in the digestive tract. Position client comfortably in a supine position with knees flexed over a pillow or position client so that the arms are either folded across chest or at sides to ensure abdominal relaxation Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. I am able to swallow without any problems. Delayed Presentation- Delay in seeking medical care is common due to cognitive impairment, blunted inflammatory response, transportation or financial issues, anxiety, depression, or the fear of losing independence. It’s important to ask whether your patient has noticed changes in her typical urinary patterns. They are in Korea. Ms. Park states the pain is a throbbing, pounding sensation in the front of her head that has increased since yesterday. Patient Data Not Scored A combination of open and closed questions will yield better patient data. Shadow Health has you percuss third, then palpate last. When do you take blood pressure medication? Share Tips & Get Feedback. Pro Tip: Flank pain often occurs with disorders of the urinary tract. Model Statement: “I’m sorry you’re having these symptoms; it sounds like you’re under great discomfort. Kaitlyn McCue Physical Education and Health Teacher at Nanuet Senior High School New York City Metropolitan Area 181 connections . In your interview with Ms. Park, you will. This seems like a minor thing, and in lab and lecture we were told either order is correct. Please edit for your own use. . . a. improve cognitive function in the fetus. No. gassy. Asking your patient to rate her pain at its highest on a scale from zero to 10 develops a consistent measure of pain severity. How would you rate your pain on a scale of one to ten? Pro Tip: Tobacco affects the heart by reducing the amount of oxygen the blood is able to carry. Reflect & Set Personal Goals. b. improve fetal neuromotor development. . about five days ago. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions. Well, I have experienced low energy, like I need to rest more often. (Clarified to How would you rate your abdominal pain on a scale of zero to ten?. No, I haven’t noticed anything like that. Nursing tasks and Documentation, while they provide valuable practice for their real-world counterparts, are not automatically evaluated by the simulation. Pro Tip: Asking a patient with recent constipation if they are currently experiencing symptoms can help you to determine the patient’s discomfort level, ability to conduct an interview, and need for immediate care. Am sorry you are unable to do it now. Reports discomfort for the past five days, Reports pain worsened intensely 2-3 days ago, Describes pain as fluctuating in severity, Asked about non-pharmacological relieving factors, Reports drinking warm water to relieve pain was ineffective, Asked about pharmacological relieving factors, Reports pain is aggravated by physical activity, Reports recent difficulty participating in usual activities, Reports slight decrease in frequency of urination, Reports decreased fluid intake for the last few days, Typical fluid intake is 1-2 glasses of water a day, Denies drinking caffeinated drinks such as coffee or soda, Reports typically having a bowel movement almost every day, Reports last Pap smear was over 10 years ago, Reports belief that her level of health and activity is very good for her age, Asked about sexually transmitted infections, Asked about pre-existing health conditions, Followed up on high blood pressure medication, Reports medication for high blood pressure is quinapril (Accupril), Reports high blood pressure medication is 10 mg. Reports taking high blood pressure medication daily at 8 a.m. It’s always unpleasant when an illness makes you feel unlike yourself. Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient. Pro Tip: It is important to ask about pain during urination to assess for infection or inflammation of the urinary tract. . Yes, they’re in the formed shape I think they should be. Subjective Data Collection: 41 of 41 (100.0%), Custom written, plagiarism free papers written from scratch, Free revisions provided you stick to the original instructions, Our writers have high academic qualifications, We have expert writers in all areas of medical, nursing and pharmacy fields. Usually I don’t need much help. I think I have the normal amount of vaginal discharge. It is important to ask older patients if they are being financially abused so you can follow up appropriately. 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. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Pro Tip: It’s important to ask about the duration of diarrhea because it may be a sign of a new onset of a gastrointestinal disease or disorder. Try to think of all the questions you can related to the presenting problem and what kind of problems they might experience in each system. A regular Pap smear is indicated for female patients between 21 and 65 inflammation of the.. Than usual can indicate allergic reaction or edema, both of which be... I sleep right through the night the community center — water aerobics, and many other.... A stupid video game I paid 100 $ for dehydration can be assessed by your asking about in. 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