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NRSE 4520 Abdominal Pain Assessment

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Shadow Health Focused Exam-Abdominal Pain- Objective Data Subjective Data Patient Education and Empathy Data and Plan of Care

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  • November 24, 2024
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Focused Exam: Abdominal Pain Results | Turned In
Health Assessment - NRSE 4520 - March 2024




Your Results


Overview
Education & Empathy : 3 of 4 (75.0%)
Transcript

Subjective Data Collection 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. A Model
Objective Data Collection
Statement is provided as an example of an appropriate response to each opportunity.
Education & Empathy Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no
Documentation statements were made

Care Plan Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and
patient
Video Tutorial



1 Pain and Constipation Followed Up



Description: Ms. Park describes the symptoms that have been bothering her.

Question
any nausea
05:02 PM EDT

No. I haven't vomited or had any nausea. It's more of a problem with pain. . . and difficulty
going to the bathroom.

Question
any vomiting
05:02 PM EDT

Very rarely. The last time I vomited. . . I had a stomach virus a few years ago. One of those
nasty, 24-hour bugs.

Question
how often do you exercise?
05:03 PM EDT

I take classes at the community center--water aerobics, and now Pilates. And I love to walk.
My friend and I walk to the botanical gardens, once a week. My daughter has a garden but
she works too much. So, since I've moved in, that's kept me busy too.

It sounds like you stay physically and socially active. That's great to keeping a healthy Educate
lifestyle. 05:04 PM EDT

, Alright, that's helpful to know.



Model Statement: "I’m sorry you’re having these symptoms; it sounds like you’re under
great discomfort. It’s good that you came in today so we can discuss how to alleviate your
discomfort and improve your gastrointestinal health."



2 Fatigue and Activity Level Not Followed Up



Description: Ms. Park describes being more fatigued and having less energy for her daily
activities.

Question
How has the pain impacted your life
04:56 PM EDT


I can do all of my daily activities. . .it just takes me longer. I'm just tired and in pain.


Question
Do you get constipation frequently
04:57 PM EDT

Model Statement: "I’m sorry you’ve been more tired and haven’t been able to live your
daily life with your normal vigor. It’s always unpleasant when an illness makes you feel unlike
yourself. Rest assured that we will work to improve your energy levels and get you able to
participate in your regular activities."



3 Diet and Fiber Followed Up



Description: Ms. Park describes her dietary habits and reveals a lack of consistent fiber
intake.

Question
How much fiber intake do you eat
04:49 PM EDT

I don't know how much fiber is in what . . . I don't think about it, even. I have a vegetable
every day or two, which I'd guess has fiber.

Keeping an eye on your fiber intake is a great start. the USDA recommends that adults eat
Educate
around 28 g of fiber per day which is several servings of fruit, vegetables, and whole grains.
04:51 PM EDT
Let's talk about ways for you to get a little more fiber in your diet.


Thank you for the information.


Model Statement: "Thanks for telling me about your diet. The USDA recommends that
adults eat around 28 grams of fiber per day, which is several servings of fruits, vegetables,
and whole grains. Enough fiber can help regulate your digestive system and prevent
gastrointestinal upsets, so let’s talk about ways you might increase your fiber intake."



4 Fluid Intake Followed Up



Description: Ms. Park describes drinking 1-2 glasses of water a day.

Question
How much water do you drink a day
04:51 PM EDT

Normally I'll have a glass or two of water a day. It's been too difficult to drink even that since
all this started. [AUDIO COMING SOON]

It's important to drink about 12 cups of water per day because it helps flush the body of Educate
toxins and reduces constipation. 04:55 PM EDT

, Ah.



Model Statement: "It’s a really healthy practice to be drinking water every day, and it’s
great that you are! You have room to drink even a few more glasses per day, or as much as
is comfortable. This would help prevent dehydration and increase your overall health,
especially in your gastrointestinal system."




Comments

If your instructor provides individual feedback on this assignment, it will appear here.




(https://www.relx.


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