PHYSICAL ASSESSMENT NURS 190Shadow Health Abdominal Pain Transcript.

PHYSICAL ASSESSMENT NURS 190Shadow Health Abdominal Pain Transcript. Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attent ...

PHYSICAL ASSESSMENT NURS 190Shadow Health Abdominal Pain Transcript. Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. What is the situation? Question 05/27/20 10:36 AM PDT Your patient is Esther Park, a 78-year-old Korean-American woman presenting with abdominal pain in Shadow General Hospital's Emergency Department. Your role in this simulation is that of a healthcare provider who will conduct a focused history and physical examination of Ms. Park in order to assess her condition and transfer her care. What are my objectives in this assessment? Question 05/27/20 10:38 AM PDTIn your interview with Ms. Park, you will ask about the history of her presenting illness and the functioning of relevant systems in order to obtain subjective data related to her abdominal pain. If you discover any disease states, ask about symptoms and the patient's experiences of them. Your questioning should cover a broad array of the symptoms' characteristics. In addition to collecting subjective data, you will perform a physical exam on Ms. Park to gather objective data about her health and physiology. Throughout the conversation, you should educate and empathize with Ms. Park when appropriate to increase her health literacy and sense of wellbeing. While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. You may complete the exam activities in any order and move between them as needed. What else will this exam involve? Question 05/27/20 10:38 AM PDT You will complete nursing tasks to protect the patient's safety, privacy, and health. You can document your findings, including vital signs, in the Electronic Health Record. This record provides necessary information for healthcare professionals who will continue patient care. You will then move onto the Care Plan activity, in which you will synthesize your subjective and objective data to complete the nursing process. You will develop a nursing diagnosis for Ms. Park's condition, identify a treatment goal, plan your interventions and evaluations, and finally assess if your goal was achieved. The Care Plan is just as important as your assessment, and the patient's well-being will be greatly affected by your diagnosis and interventions.How will I be evaluated? Question 05/27/20 10:40 AM PDT The activities evaluated by the simulation are Subjective and Objective Data Collection, Education and Empathy, and the Care Plan activity. Nursing tasks and Documentation, while they provide valuable practice for their real-world counterparts, are not automatically evaluated by the simulation. The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. The evaluation of your physical exam is based on how successfully you report on your physical findings by selecting among clinical terms in the Electronic Health Record. Your success in Education and Empathy is based on whether you promptly respond after identifying a moment worthy of therapeutic communication. Your success in the Care Plan activity is based on whether you accurately identify Ms. Park's nursing diagnosis, select a goal most immediately beneficial to her, select and prioritize the most effective treatments, and accurately evaluate your results. The Care Plan will make up a signficant part of your grade, so be sure to carefully choose your answers based on evidence. This assignment takes on average between 60 and 90 minutes. You can pause and resume the assignment at any time; your work is always saved automatically. How does this assignment prepare me for the real world? Question 05/27/20 10:40 AM PDTIn this assessment, you will become familiarized with the structure and content of an abdominal focused exam so that with real-life patients, you can: º ask effective and comprehensive questions º obtain and assess objective data º educate and empathize with the patient º develop a nursing diagnosis º create an effective and expedient care plan º and evaluate your results to determine your goal's achievement. In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: In a geriatric patient, what are some common considerations regarding abdominal pain? In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: In a geriatric patient, what are some common considerations regarding abdominal pain?Time to begin. Hello, dear. how are you feeling Question 05/27/20 10:42 AM PDT I am not feeling very good at the moment. My stomach hurts. [AUDIO COMING SOON]Well, thank you. can you tell me what brought you here Question 05/27/20 10:42 AM PDT I have pain in my belly. . . and I'm having some difficulty with going to the bathroom. My daughter was concerned. I appreciate your saying that. can you tell me your name and birthday Question 05/27/20 10:43 AM PDTMy name is Esther Park, and I was born on January 7th . . . [Ms. Park reports correct birth year.] can you rate your pain for me Question 05/27/20 10:44 AM PDT When it started it was only . . . a 1, maybe a 2. It's gone up to an 8. Then it goes down again, it goes up and down. how would you rate your pain now Question 05/27/20 10:44 AM PD ********************************** CONTINUED IN THE ATTACHMENT ***********************************