*NURSING > SHADOW HEALTH > ESTHER PARK SHADOW ASSESSMENT: CHIEF COMPLAINT, COMPLETE PHYSICAL EXAMINATIONS, INTERVIEW AND ASSESS (All)

ESTHER PARK SHADOW ASSESSMENT: CHIEF COMPLAINT, COMPLETE PHYSICAL EXAMINATIONS, INTERVIEW AND ASSESSMENT ANSWERS.

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ESTHER PARK SHADOW ASSESSMENT: CHIEF COMPLAINT, COMPLETE PHYSICAL EXAMINATIONS, INTERVIEW AND ASSESSMENT ANSWERS.  Chief complaint: Reports abdominal pain and difficulty with bowel movement  ... Orientation/Mental status Oriented to own person Oriented to place Oriented to situation Oriented to time  Onset, frequency and duration of pain Discomfort for the past 5 days Pain with gradual onset that worsened 2-3 days ago  Location of pain Pain in left lower abdomen Reports pain is not localized  Pain score 6/10 pain  Characteristic of pain Describes pain a dull and cramping Pain fluctuates in severity  Non-pharmacological relieving factors Denies intake of pain medication Denies intake of laxatives  Aggravating factors Reports pain is aggravated by eating Aggravated by physical activity  Impact on daily life Recent difficulty participating in usual activities Reports low energy  Followed up on constipation Constipation most of last 5 days Denies any attempt to treat constipation  Asked about diarrhea Recent diarrhea  Followed up about diarrhea About 6 months ago Sudden onset Lasted one day -loose and water Asked about substances in stool Denies mucus and blood in stool  Asked about urination Recent, slight decrease in frequency of urination Darker urine recently Denies blood in urine  Asked about fluid intake Decreased thirst Decreased fluid intake for last few days Typical fluid intake is 1-2 glasses water/day Denies drinking caffeine  Asked about contact with illnesses Denies recent travel and exposure to food poisoning  Asked about history of constipation Denies history  Asked about typical bowel movements Typically has BM almost every day [Show More]

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