Focused Exam: Abdominal Pain Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-April-2018
Return to Assignment
Your Results L La ab b P Pa as ss s
Started: May 28, 2018 | Patient Exam Time: 153 min
...
Focused Exam: Abdominal Pain Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-April-2018
Return to Assignment
Your Results L La ab b P Pa as ss s
Started: May 28, 2018 | Patient Exam Time: 153 min
Transcript
Greet
05/28/18 1:18 PM
CDT
Question
05/28/18 1:18 PM
CDT
Question
05/28/18 1:19 PM
CDT
Question
05/28/18 1:20 PM
CDT
Question
05/28/18 1:21 PM
CDT
Exam Action
05/28/18 1:27 PM
CDT
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Self-Reflection
I In nt te er rv viie ew w Q Qu ue es st tiio on ns s ( (1 13 38 8) ) S St ta at te em me en nt ts s ( (2 21 1) ) E Ex xa am m A Ac ct tiio on ns s ( (9 91 1) )
Hello my name is Sara an FNP student who will be interviewing you
today
Hello.
Will you please state your name? (Clarified to what is your name and
birthday.)
My name is Esther Park, and I was born on January 7th . . . [Ms. Park
reports correct birth year.] [AUDIO COMING SOON]
Please State your age? (No matching questions found.)
How old are you?
Seventy-eight.
What brought you into the clinic today?
I have some pain in my belly. . . and I'm having difficulty going to the
bathroom. My daughter was worried about me.
Measured vitals
A Allll L Liin ne es s ( (2 25 50 0) )5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health
Question
05/28/18 1:29 PM
CDT
Question
05/28/18 1:31 PM
CDT
Empathize
05/28/18 1:31 PM
CDT
Question
05/28/18 1:31 PM
CDT
Question
05/28/18 1:32 PM
CDT
Question
05/28/18 1:33 PM
CDT
Question
05/28/18 1:33 PM
CDT
Question
05/28/18 1:34 PM
CDT
When did your pain start?
The pain started as a general discomfort, about five days ago, when I
started having the. . . difficulties going to the bathroom.
Was your pain sudden?
No, it was gradual. I had some pain and discomfort about. . . five
days ago. Then in the past few days it got much worse.
I'm sorry to hear you're feeling bad
Thank you.
How often are you having the pain?
Oh, it's with me all the time. The bloating, too. But certain things do
make it worse.
Where does it actually hurt? (Clarified to Which part of your abdomen
hurts?.)
The pain and discomfort is down low in my belly.
Point of location of pain
Well my whole belly is uncomfortable to some degree, but it's mostly
in the lower part, that's where the pain is. Down in my lower belly.
What makes your pain worse?
Moving around certainly doesn't help. Neither does eating.
Question
05/28/18 1:41 PM
CDT
Question
05/28/18 1:41 PM
CDT
Question
05/28/18 1:42 PM
CDT
Question
05/28/18 1:42 PM
CDT
Empathize
05/28/18 1:43 PM
CDT
Question
05/28/18 1:43 PM
CDT
Question
05/28/18 1:47 PM
CDT
The pain is there all the time, but it gets much worse at certain
points--when I move around a lot or eat something, especially.
What causes your pain?
I'm just not sure. I've been having trouble going to the bathroom, but
I don't know what is making all this happen.
What makes your pain worse?
Moving around certainly doesn't help. Neither does eating.
Is your pain sharp?
No. I'd say it's crampy and. . . a dull, crampy feeling.
Rate your pain on a scale of 0 to 10?
Right now. . . 6 out of 10.
I'm sorry to hear that you're feeling so bad
Thank you.
Does it affect your daily life? (Clarified to How has your illness
affected your daily life?.)
Well, I have been slowed down lately. This week I missed both of my
fitness classes. I never miss a class. . . and I like to help with the
cleaning at home, but my daughter--she worries too much--she
wants me to rest
[Show More]