*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. 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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