Shadow Health- Danny Rivera- Focused Exam: Co. Upon what do expert nurses base their intuition? Medicine, 97(20), e10631. d) 8 . D. Sociocultural dimension importance of A. lost 10 pounds recently, feels safe at home Your answer is not automatically evaluated by the simulation, but may be reviewed by your Visit GOV.UK for more information on PTSD and driving, Page last reviewed: 13 May 2022 The PH was 6.5, and the specific gravity was 1.017. provide further Explicitly ask for Perform dehydration that was gathered also A. Clinical reasoning results in critical thinking. A. A.) "What are the most significant factors in the problem? Model Answer Explanation Points NY Times Paywall - Case Analysis with questions and their answers. a) 1 . Responses b, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. within an emergency health, should not be prioritized above Care Plan. We know there is no hepatomegaly, the spleen is WNL, UA is negative, etc. Children who do not respond to trauma-focused CBT may be offered EMDR. Esther vital signs on the exam were "blood pressure 110/70, heart rate 92, respiratory rate 16, temp 37 C, and a saturation of 99 % on room air". Referral criteria are a confirmed diagnosis by a specialist consultant and registered with a Westminster GP. ambulate the D. Conclusions may need to be substantiated; they are not based on valid proof. fluid and advise to A well-performed abdominal examination minimizes the need for detailed radiological investigations and plays a profound role in patient management. The only surgeries she has had is gallbladder removal and C-section, both in her 40s. Because this is a patient's subjective report, the examiner needs to inspect the underarm area to validate the report. (a)Why is the Wart unable to bring Sir Kay's sword back to him? Logic A patient must In this essay, the author explores a focused abdominal assessment of Esther Park, a 78-year-old woman visiting the shadow health clinic complaining of abdominal pains. The nurse observes a patient who recently had an indwelling urinary catheter removed with complaints of cloudy and foul-smelling urine and burning on urination. A GP can refer you to an NHS talking therapies service or, in some cases, a specialist clinic. When asked to describe her pain, Ms. Park says that she experiences dull cramping and bloating. Which assumptions about the patient, made by the nurse before assessment, would be considered erroneous. for Ms. Park and Ms. Park also reports annual health check-ups and believes that her health and activity levels are suitable for her age. If you have mild symptoms of PTSD, or you've had symptoms for less than 4 weeks, an approach called active monitoring may be recommended. reports use of a cane This is a Premium document. Often, constipation occurs due to diet changes, physical activity, and inadequate intake of fiber (Forootan et al., 2018). lives alone, but his daughter comes to help on the weekends e. el aterrizaje Mrs. P symptoms and health history suggest she has constipation. ambulating to the alternative options. Interventions such as education, while B. Cloudy urine containing shreds of mucus g. la inspeccin B. arrangement with Thieme Medical Publishers, Inc., a division of the Thieme Group. Detection (1/1 point) Not palpable Palpable: Palpated bladder: NURS 4520 Esther Park Shadow Health Abdominal Assessment . A. Holly works closely with neurologists from local hospitals and other neuro rehabilitation specialists such as physiotherapists, occupational therapists and speech and language therapists as well as many other community services to provide holistic, patient centred care. this will help Referral criteria are a confirmed diagnosis by a specialist consultant and registered with a Westminster GP. E. Need for foundational knowledge. Reviewing patients' records carefully and completely You should There are 3 main types of talking therapies used to treat people with PTSD. 2. to consider tenderness and discomfort, defecation Ms. Parks urinalysis was normal, which rules out a urinary tract infection. Devry University Esther_Park_shadow_health_interview.docx.docx. A A molecule that is recognized by the immune system as foreign. Which intellectual standard is compromised when bias is allowed to influence decisions? A combination of a talking therapy and medicine may be recommended if you have severe or persistent PTSD. of the agent of the copyright holder, NANDA-International. C. Logic Which critical thinking intellectual standard would the nurse illustrate by asking a patient to be more specific when complaining about "just not feeling right"? D Location: All Clear, Bowel Sounds-Normoactive We're available through e-mail, live chat and Facebook. Enquiries should be emailed to clcht.PDClinic@nhs.net. Decision-making D. Asking questions to clarify information, D. Asking questions to clarify information, Which common thinking error is most likely to hinder the development of a therapeutic nurse-patient relationship? The Parkinson's Day Unit at Edgware Community Hospital is a dedicated service, providing integrated and specialist care for people with Parkinson's and related disorders. Intuition, an inner sense of knowing frequently used by expert nurses, is believed to be based on experiential knowledge. Durir her physical examination, take particular note as to where Mrs. Park verbalizes pain during palpation so that you may synthesize verbal and non-verbal cues. effects, dehydration, or lingering pain florida gulf coast university dorms obituaries hollidaysburg pa esther park shadow health quizlet care plan. Focused Health Assessment- Esther Park, Forootan, M., Bagheri, N., & Darvishi, M. (2018). Do I have your consent to leave any outputs you for dehydration and side Diana Shadow Your patient is Esther Park, a 78-year-old Korean woman presenting with abdominal pain in Shadow General Hospital's Emergency Department. A Application of data that leads to a patient care decision i. el vuelo sure that you're safe and Although constipation is a likely diagnosis for Ms. Park, further tests are required to rule out diverticulitis and internal obstruction. A. The waiting time for the first appointment will be approximately four to six weeks. B. Esther Park Abdominal Pain Shadow Health (Transcript, Subjective, Objective, Education & Empathy, Care plan, Documentation, Gastrointestinal) $ 119.43 $ 50.49 6x sold 7 items 1. https://doi.org/10.1080/08998280.2017.11929552, Get excellent nursing speech-writing services, Custom written, plagiarism free papers written from scratch, Free revisions provided you stick to the original instructions, Our writers have high academic qualifications, We have expert writers in all areas of medical, nursing and pharmacy fields. Patient education is a vital component of her care plan, and the client should be directed to return to the clinic after a few weeks for follow-up care. Relieving Ms. Park's "How can I determine whether this information is correct? Which critical thinking intellectual standard is demonstrated by a nurse who says to a patient, "This is what I heard you say. collections allow you to assess the Validation is "the process of gathering information to determine whether the information or data collected are factual and true." A. hallway with drink over the C Resistance of a an organism to infection or disease. collection) and constipation. Referrals outside these areas will need local level approval, and we ask that you contact us before making the referral. 53 terms. benefit on her acute health When a nurse asks for more specific information, he or she is seeking precision. Read our cookie policy for more information, Ehlers-Danlos Syndrome National Diagnostic Service, Northwick Park and St. Mark's Hospitals, Level 8V, Watford Road, Harrow HA1 3UJ, Information for people who are transgender, intersex, or non-binary, Patient Advice and Liaison service (PALS), Parking if you have frequent outpatient appointments, Help and support during your stay or visit, Support for people with learning disabilities and autism spectrum disorder, Workforce race and disability equality standard findings 2022, Workforce disability equality standard report 2021, Workforce race equality standard report 2021, Northwick Park Hospital League of Friends, Pain relief during the early stages of labour, Ehlers-Danlos syndrome UK Charity and Support Group (EDS-UK), Hypermobility Syndromes Association (HMSA), send you a letter asking for more information about you. abdominal discomfort, it Cognitive behavioural therapy (CBT) is a type of talking therapy that aims to help you manage problems by changing how you think and act. Based on the descriptions, figure out with a partner what these people probably prefer to do during their vacation. will review and discuss your medical history and family history with you. B. The intellectual standard of breadth refers to considering a topic, problem, or issue from every relevant viewpoint. no history of alcohol use D. Scar on the right side of the upper abdomen. Does your health prevent you from doing daily activities? d. el despegue releive the pain. dry mouth, urine hat B. underline the predicate noun or predicate pronoun. B. NURS 4520 Esther Park Shadow Health Abdominal Assessment. B. elimination in Ms. Park. Critical thinking requires a persistent point of view. Abdominal examination revealed no discoloration, and normoactive bowel sounds in all quadrants, no bruits, no friction sounds over the spleen and liver, and tympany presides with scattered dullness over LLQ; abdomen soft in all quadrants. appears that you are Back to patient, allowing Am I correct about your meaning?" E. Failure to accept mistakes, Which stages of patient care are included in the nursing process? Clinical reasoning is the process of using critical thinking, knowledge, and experience to develop solutions to problems and make decisions in a clinical setting. There are a number of charitiesthat providepeer support and advice for PTSD. Should the referralnot meet our criteria we will recommend other NHS services who can help to manage your condition. After a focused abdominal examination of Ms. Park, the physician can formulate a list of differential diagnoses. Student Response Model Answer Explanation Points E. Interventions taught by the nurse are followed, A nurse attempting to decrease the patient's adverse reactions to prescribed medications is unable to find information about the medication in any of the hospital databases or electronic health records. University Of Arizona As we know, the LLQ is where the descending and sigmoid colon are located. The following intellectual standards are essential to critical thinking: Clarity Skull: Symmetric How are critical thinking and clinical judgment related? Northwestern University Abdominal examinations provide physicians with diagnostic cues on gastrointestinal and genitourinary pathologies while giving insight on abnormalities of nearby organ systems (Jaberi & Momennasab, 2019). Jumping to conclusions how did jesus preach and teach the kingdom h. el reclamo It is a gastrointestinal condition where digested materials are prevented from passing through the bowel due to blockage. Breadth Earned. Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. B. Illogical thinking move forward with these including on her abdominal discomfort. C. Closed-mindedness and we mayoffer youa test, such as a genetic blood test. Study guide - Nr 509pediatric shadow health_ dr_subjective. C. Accuracy She was grimacing at times, looking stable but mildly distressed. If you are livingwith EDS, you may find the following organisations helpful: We accept referrals from NHS specialists in secondary or tertiary care for both adults and children. What happens to food when people devour it? I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Which action should the nurse take in this situation? Our Day Unit can assist anyone with Parkinson's from across the South East of England and includes: integrated multidisciplinary assessment and treatment; regular medical reviews; full Day Assessment to optimise treatment regime; a falls strength and balance group; and the development of a self-management programme. patient education and Liberty University The objective data Patients referred to the Parkinsons Disease Nurse Specialist must have a confirmed diagnosis from a consultant and be registered with a Westminster GP. enema with Oriented to person, place, time, situation, patient presents recent feeling of dizziness upon standing up No signs of dehydration. A. Am I correct about your meaning?" Esther Park Focused Exam: Abdominal Pain and Care Plan: Shadow Health Physical Assessment NUR 3010 - Abdominal Pain Results (NUR3010) - Stuvia US US New York City College Of Technology Abdominal Pain Results (NUR3010) Case Esther Park Focused Exam: Abdominal Pain and Care Plan: Shadow Health Physical Assessment NUR 3010 Course Community Health Nursing (NR-442) College Algebra (MATH 1201 ) Nursing Nclex review (Nur003) . hlinton97. Deductive or Inductive? D. Relevance. C. Critical thinking and clinical reasoning are synonymous. diminished pain? A. We see people with a suspected or confirmed diagnosis of rare type of EDS. Judgment Problem-solving is a systematic, analytic approach to finding a solution to a problem. is able to perform ADLs alone Clarity A general survey revealed that Ms. Park was uncomfortable and flush, appearing elderly woman seated at the examination table. C. Thinking begins with a hypothesis or theory, followed by deductions. Her daughter insisted that her primary care clinic was closed as it was on the weekend, prompting her to visit the shadow health clinic. and abdominal discomfort esther park shadow health abdominal assessment, pelvic exam, so pelvic inflammatory disease, Nursing Assignment Help for Busy Students, Right upper quadrant Right lower quadrant Left upper quadrant Left lower quadrant. Logic C. Post-lecture debriefing Market-Research - A market research for Lemon Juice and Shake. Body language conveys an energized nature C. Complaint of red pin point underarm rash D. Nursing process. When was the last time you took your medications? D. Overconfidence Shadow Health - HEENT Tina Jones. constipation, resulting in 1 of 1 point . B. At the shadow health clinic, Ms. Park reported that she has been experiencing abdominal pain for the past five days and a lack of bowel movements. effective. The intellectual standard of accuracy refers to representing something in a true and correct way. Post-traumatic stress disorder (PTSD) may affect your ability to drive safely. Prompt Student Response Model Answer Explanation, Given the time constraints, rjster052410. Intervention graded a. Instructor Test Bank, Chapter 4 - Summary Give Me Liberty! Which behaviors are obstacles to the development of critical thinking? past injury of broken ribs, Mother had cardiovascular history retired, trouble seeing and use of glasses On a scale of 0-10. how would you rate your pain? Home visits are available for patients who have difficulty getting to either of the clinic locations. Park is a retired nurse, widower, and a mother of two adult children (timothy-age forty-eight and Jennifer-age forty-six). (objective). Functional Status of Geriatric Syndrome +1. Critical thinking is a product of clinical judgment. It's not clear exactly how EMDR works,but it may help you change the negative way you think about a traumatic experience. 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