No. The pain started as a general discomfort, about five days ago, when I started having the. _____ Gerontology Focused Patient Cases. Asking Esther if she takes fiber supplements will help you to assess whether she gets enough fiber in her diet. How many bowel movements do you typically have per week? I am able to swallow without any problems. .I think that’s a myth, that that works. I was sure that would be too much. Pro Tip: Information about your patient’s pregnancy can provide you with insight into past medical conditions. S stands for subjective data, which is the information provider by … 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. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Pro Tip: It’s important to assess the nature of pain by asking about relief. 3/20/2019 Focused Exam: Cognition | Completed | Shadow Health 1/7 Indicates an item that you found. What relieves your pain besides medication? No, I haven’t gone on any trips in several years. But I take very good care of that. Description: Ms. Park describes being more fatigued and having less energy for her daily activities. Pro Tip: Assessing appetite guides understanding of patient health. If there are multiple symptoms, especially related symptoms like constipation and bowel pain, follow up on each one during your interview. It’s important to ask about incontinence, especially during physical strain, laughing, coughing, or sneezing. (Clarified to if my legs are swelling.). . Pro Tip: Sleep issues can be an indicator of health problems, and it is important to ask the patient about it in order to narrow your treatment plan. I have a gentleman friend and, yes. 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. Do you have difficulty getting in and out of chairs? Do you have UTI history? ), I have pain in my belly. But since I’ve been sick, my daughter has been helping me, doing things around the house–gardening, cleaning, making sure I eat a little something. Hi. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people are particularly susceptible to an array of abuses. I have been slightly more . Description: Ms. Park describes her dietary habits and reveals a lack of consistent fiber intake. No, I don’t take any extra fiber. I’ve never smoked a cigarette in my life. etc. Drape client at xiphoid process and symphysis pubis to expose abdomen 3. Pro Tip: It is important to ask about pain during urination to assess for infection or inflammation of the urinary tract. I’ve had two colonoscopies. That’s unusual for me. The pain and discomfort is down low in my belly. I mostly just drink water. Asking older patients about their ability to walk allows you to determine if greater caretaking is necessary. I drink once a week – on Sunday evening. What brings you to the clinic today? Hello and welcome to the clinic. . Try Now! 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. Asking Esther if she uses tobacco will allow you to assess whether the condition is caused, in part, by tobacco use. Model Statement: “It’s a really healthy practice to be drinking water every day, and it’s great that you are! Have you had any changes in the frequency of urination? Pro Tip: Palpitations might be an indicator of an underlying cardiovascular or mental health condition, such as anxiety. It is important to ask older patients if they are being verbally abused so you can follow up appropriately. (Clarified to Can you rate your current pain level on a scale of 0 to 10?. I’ve just been resting, but it barely helps. 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. My heart rate has always been normal. . Pro Tip: For many people, it is difficult to clearly describe pain. 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. Am happy to hear that you value exercising , it good for you. Interview. Yes, it seems like my energy got low when I did simple things around the house, like tidying up. .but outside of that, I just rest. It's a stupid video game I paid 100$ for. Pro Tip: You should ask geriatric patients to identify where they are so you can determine their cognitive functioning. Pro Tip: A healthy and balanced diet is crucial for maintaining good health. . d. increase lung development in the fetus. Indicates an item that is available to be found. How would you rate your pain at its lowest? Near the end of my pregnancy, I felt her stop moving. . When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria. Some toast. about five days ago. Do you take any over the counter medications? It is important to ask older patients if they are being physically abused so you can follow up appropriately. Reflect & Set Personal Goals. Oh, I certainly don’t drink alcohol every day. Pro Tip: You should ask geriatric patients to identify their reason for being here so you can determine their cognitive functioning. It’s important to ask whether your patient has noticed changes in her typical urinary patterns. I don’t get indigestion, heartburn, nothing like that. Do you have difficulty dressing yourself? Pro Tip: Racing heart might be an indicator of an underlying cardiovascular or mental health condition, such as anxiety. a dull, cramping feeling, yes. I go for a walk every day. Your patient is Esther Park, a 78-year-old Korean-American woman presenting with abdominal pain in Shadow General Hospital’s Emergency Department. Inadequate fluid intake or dehydration can be a common problem among aging adults. Pro Tip: Chest discomfort could be a symptom of gastrointestinal conditions such as GERD. 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. Yes. Do you have a family history of diabetes? Do you take medications for the high blood pressure? But I haven’t had one in… I’d say over ten years. Pro Tip: Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. can any one tell me some tips to how to pass the shadow health. 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: 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. . No. No. I just have so little energy, and moving too much hurts. Patient Data Not Scored A combination of open and closed questions will yield better patient data. Pro Tip: A high fiber diet helps to reduce constipation. I’m Preceptor Diana. Pro Tip: For many people, it is difficult to clearly describe pain. Shadow Health - QSEN. . But since I’ve been sick, I’ve needed to rest. Pro Tip: Blood in the urine can be an important clue to many underlying conditions like cancer or kidney problems. . Pro Tip: Flank pain often occurs with disorders of the urinary tract. This Teaching Template is fully modifiable to meet your students’ needs. Asking Esther if she’s traveled recently might reveal a new experience that’s affected her health. . (Clarified to what brings me to the hospital. Sign, fax and printable from PC, iPad, tablet or mobile with PDFfiller Instantly. I did try drinking warm water slowly. (Clarified to How would you rate your abdominal pain on a scale of zero to ten?. Do you take fibre supplements? I suppose I’ve been drinking a little less water than usual, just in these last few days. ), how would you rate that pain on a scale of 1 to 10? She’s very busy with her job, and it’s very sweet of her to help me. Pro Tip: Many drugs affect the central nervous system or can cause cardiovascular complications. I haven’t been hungry. . . Pro Tip: When a patient presents with abdominal pain, the presence or absence of fever may help identify the patient’s condition. Model Statement: “I’m sorry you’ve been more tired and haven’t been able to live your daily life with your normal vigor. At what age did you have your gallbladder removed? Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. Enough fiber can help regulate your digestive system and prevent gastrointestinal upsets, so let’s talk about ways you might increase your fiber intake.”. How does this assignment prepare me for the real world? Shadow Health has you percuss third, then palpate last. How has your illness affected your daily life? Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Exercise is good for you, keep exercising, Model Statement: “Thanks for telling me about your diet. Asking about the dose of the medication, in this case for blood pressure, will help you to treat your patient. My daughter was concerned. Pro Tip: Due to their potentially impaired physical and cognitive functioning, geriatric people may have greater difficulty with activities of daily living. . Lack of signs and symptoms- Older adults with serious abdominal pathology often present with subtle signs and symptoms.. 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. This seems like a minor thing, and in lab and lecture we were told either order is correct. ANS: D. When preterm delivery cannot be prevented, injecting the pregnant patient with glucocorticoids can accelerate fetal lung maturation. Ask patients experiencing constipation whether it is a recurring issue so you can explore for potential causes. Have you had any changes in the frequency of your urination? I avoid caffeinated drinks altogether. Asking about relevant, in this case for the patient’s high blood pressure, medication will help you to treat your patient. . Fill Esther Park Shadow Health Quizlet, Edit online. 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. 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 _____ Gerontology Focused Patient Cases. (Clarified to: What brings you to the hospital? If you know your patient is taking pain medication, asking about the medication’s effectiveness can help you adjust treatment as needed. Constant pain is often best managed with around-the-clock pain medications. What is the dosage of you blood pressure medication? Yes, they’re in the formed shape I think they should be. Pro Tip: If a patient has a past experience with food poisoning, she may be able to compare and contrast her present symptoms with previous illnesses. This morning, my daughter made sure I had a little something. Have you experienced any financial abuse? I haven’t vomited or had any nausea. What a sad habit. Pro Tip: A sore throat could be a symptom of gastrointestinal conditions such as GERD. Pro Tip: You should ask geriatric patients to identify the date and year so you can determine their cognitive functioning. I’ve never had problems with. What is your name? gassy. 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. No. Tylenol–they say it’s very bad for the stomach. My name is xxxxx. Before this? It’s good that you came in today so we can discuss how to alleviate your discomfort and improve your gastrointestinal health.”. . No. I can still take care of myself and get around, but the pain makes it difficult. Pro Tip: Asking about any postoperative complications in your patient’s history may provide information relevant to identifying her present condition. Pro Tip: A regular Pap smear is indicated for female patients between 21 and 65. Pro Tip: Access to healthcare and resources heavily influences one’s health condition. Pro Tip: Postmenopausal vaginal bleeding is an abnormal finding that can often be attributed to the thinning of uterine and vaginal linings. Pro Tip: Sexual activity can increase your patient’s risk factor for sexually transmitted infections, so it’s important to ask specifically about current sexual activity. Esther Park is a 78-year-old woman who usually enjoys good health but is currently having abdominal pain and reports having trouble going to the bathroom. Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Your patient’s relationships with others can be assessed by your asking about social support. I haven’t been as thirsty. . Nursing tasks and Documentation, while they provide valuable practice for their real-world counterparts, are not automatically evaluated by the simulation. 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