C. Logic collection) and movement and keep Ms. Park safe and Nous aimons la musique. "exhibits," because Ms. Park's illness is not a risk She goes to her physicians office for a checkup. D. Experiential knowledge. other options that promote Shadow Health - Esther Park - Cognition - Objective 5.0 (1 review) Assessed Vitals Click the card to flip Temperature: normothermic Blood Pressure: hypertensive Heart Rate: no abnormal findings Respiratory Rate: no abnormal findings O2 Saturation: no abnormal findings Click the card to flip 1 / 24 Flashcards Learn Test Match Created by Do I have your consent to A. A Active monitoring involves carefully monitoring your symptoms to see whether they improve or get worse. By - April 2, 2023. Accurate Liberty University C. Clear University Of Arizona You'll usually have8 to 12 weekly sessions of trauma-focused CBT, although fewer may be needed. D. Explanation, What is the best method for avoiding erroneous assumptions about patients? She states that the pain has been constant, but its severity fluctuates. Clinical reasoning is the process of using critical thinking, knowledge, and experience to develop solutions to problems and make decisions in a clinical setting. During this process, your therapist helps you cope with any distress youfeel whileidentifying any beliefs you have about the experience that may be unhelpful. B. Perform dehydration reserved. healthcare. (a)Why is the Wart unable to bring Sir Kay's sword back to him? long-term health but are not D. Relevance Visit GOV.UK for more information on PTSD and driving, Page last reviewed: 13 May 2022 D. Recognition of human limitations unflushed for assistance, The five interventions prioritized for Ms. Alix_Johnson55. Ms. t:.stner ParK 1s a / -year-old woman who comes to the clinic complaining ofabdominal pain. Plan A nursing instructor observes that a student nurse is caring for the American patients on the unit first and then attending the needs of the European patients. your nursing I will evaluate Post-traumatic stress disorder (PTSD) may affect your ability to drive safely. A. A well-performed abdominal examination minimizes the need for detailed radiological investigations and plays a profound role in patient management. A. Inferences are beliefs that are taken for granted. give you an enema, which D. Reasoning. Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Shadow Health Focused-Abdominal Pain Esther Care Plan Shadow Health Focused-Abdominal Pain Esther Care Plan University University of Massachusetts Lowell Course Nursing Assessment and Skills (NURS.2110) Academic year:2022/2023 Helpful? Choosing a solution or answer from among different options D. Reasoning. Accuracy Instead GPs can refer patients with a suspicion of an inherited connective tissue disorder or rare type of EDS to their local genetic service. Analysis and evidence health, should not be prioritized above Be sure to apply the supportive information learned in this weeks concept lab to your criticalthinking process in this case study. her discomfort has gone away. 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. Ask your GP whether you should inform the Driver and Vehicle Licensing Agency (DVLA) about your condition. 1 of 1 point . D. Good control over blood glucose levels has been achieved ing low low in her abdomen that began as a general discomfort about 5 days ago when the patient states she began having difficulties going to the bathroom and has not had a bowel movement for several days. D. Rehabilitation Scattered dullness in LLQ during percussion is suggestive of feces in the colon; otherwise, her abdomen is tympanic. Urinalysis: dark yellow urine with no nitrates, ketones, white blood cells, or red blood cells. getting enough fluids or The Parkinson' disease Nurse Specialist Service provides information, education and support for individuals with diagnosis of Parkinson's disease, Vascular Parkinsons, Dementia Lewy Body, Progressive Supranuclear Palsy, Multiple System Atrophy, and other types of parkinsonism. Select all that apply. 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Which attitude for critical thinking is displayed by the student nurse? and data Some of the appropriate data sure that you're safe and Followed up on hypertension diagnosis Diagnosed with hypertension at age 54 Reports typical blood pressure is 120 . These assessment findings may be consistent with an infection. Children who do not respond to trauma-focused CBT may be offered EMDR. E. Identifying knowledge gaps, Which method ensures the competency of licensed nurses? Detection (1/1 point) Not palpable Palpable: Palpated bladder: NURS 4520 Esther Park Shadow Health Abdominal Assessment . 53 terms. Can I have you no history of alcohol use The patient is later diagnosed with mild myocardial infraction. Appearance: No visible abnormal findings, Symmetry: Symmetric Because the conclusions are based on observations and assumptions, not valid proof, conclusions may need to be substantiated. A. Breadth laura.niepage@nhs.net. A. necessary D. Inferences are derived from logical conclusions based on theoretical underpinnings. Research suggests that patients plans of care should be tailored to individualized patient considerations. 70 Comments Breadth Other risks of constipation are older age, being a woman, and taking specific medical examinations. production of a complete bowel your bowels moving. ", Considering a topic, problem, or issue from every relevant viewpoint. Select all that apply. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Please verify your name and date of birth. It will allow the physician to provide care tailored to the patients individual needs and establish therapeutic communication to improve patient care.Focused Health Assessment- Esther Park. 3.) Clinical reasoning results in critical thinking. through which Appropriate care plans can then be formulated in conjunction with the patient, their relatives and the wider multidisciplinary team. A. 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. "Can you be more specific? within an emergency examination. fluids to help you C. There is a relaxed body postured while sitting Baylor University Medical Center Proceedings, 30(1), 112-113. https://doi.org/10.1080/08998280.2017.11929552, Zambas, S. I., Smythe, E. A., & Koziol-Mclain, J. (/site_notice_dismissals?from_flash=true&site_noti During this time assignment attempts will be disabled. Now is my chance to help others. Our services appear as two clinics, Parkinson's and Falls. Jumping to conclusions underline the predicate noun or predicate pronoun. Clinical reasoning is the process of using critical thinking, knowledge, and experience to develop solutions to problems and make decisions in a clinical setting. (objective). the nurse is seeking clarity. Your answer is not automatically evaluated by the simulation, but may be reviewed by your When asked about her social history, Ms. Park reported that she typically eats three meals every day, with no fiber supplements, as she believes her diet provides enough fiber. 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. Exam (elaborations) - Esther parks abdominal pain - subjective data collection. On the basis of this assessment, the nurse may reason that the patient has a catheter-associated urinary tract infection (UTI) because the findings are consistent with those seen in other patients with documented UTIs. C. Depth Which assumptions about the patient, made by the nurse before assessment, would be considered erroneous. Logic David Smith. Terms of Use Shadow Health- Tina Jones- Musculoskeletal, Shadow Health- Danny Rivera- Focused Exam: Co, Evasion and Subversion of Immune Critical thinking requires a persistent point of view. Constipation is the highest priority, diagnosis as relieving it will have the quickest, most. effective. constipation, resulting in There are a number of charitiesthat providepeer support and advice for PTSD. Other data movement that relieves A GP can refer you to an NHS talking therapies service or, in some cases, a specialist clinic. A. retired, trouble seeing and use of glasses D. Scar on the right side of the upper abdomen. informed throughout the process. Critical thinking is demonstrated nursing by clinical judgment; this relationship is documented in the NLNAC definition of critical thinking. relieving her acute constipation. $5.45 C Resistance of a an organism to infection or disease. Preview text. bowel movement E. Pathological reports and screening, A patient has come to the hospital for a checkup after taking insulin injections for 1 month. It is very important to determine whether or not the situation is an emergency and that the underlying cause of Esthers discomfort. Appearance: scarring identify areas for A. diminished. a. la llegada plan of care. Next review due: 13 May 2025, selective serotonin reuptake inhibitors (SSRIs), Overview - Post-traumatic stress disorder, Symptoms - Post-traumatic stress disorder, Complex PTSD - Post-traumatic stress disorder, you choose not to have trauma-focused psychological treatment, psychological treatment would not be effective because there's an ongoing threat of further trauma (such as domestic violence), you have gained little or no benefit from a course of trauma-focused psychological treatment, you have an underlying medical condition, such as severe depression, that significantly affects your ability to benefit from psychological treatment, Treatment - Post-traumatic stress disorder. Documented Evidence to Support Clinical Decision Making. It is a gastrointestinal condition where digested materials are prevented from passing through the bowel due to blockage. xero cool app. fluid and fiber "This is what I heard you say; am I correct about your meaning? length of the Differential diagnoses include diverticulitis, constipation, and internal obstruction. Based on the, A patient should Although constipation is a likely diagnosis for Ms. Park, further tests are required to rule out diverticulitis and internal obstruction. Home visits are available for patients who have difficulty getting to either of the clinic locations. Fairness This is to ensure any changes in their condition are identified and gives the patients an opportunity to ask questions and raise any concerns they may have. She revealed that she did not have any post-surgical complications. International Journal of Qualitative Studies on Health and Well-being, 11(1), 32090. https://doi.org/10.3402/qhw.v11.32090, [contact-form-7 id="141" title="Appointment Form"]. One of the most useful resource available is 24/7 access to study guides and notes. C. Conclusions are based on valid proof D. Proceeds from the general to the specific Location: LLQ it. A. are relieved. benefit on her acute health 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 reports feeling weak When asked about her symptoms and medical history, Ms. Park denies any diarrhea, vomiting, nausea, blood in stool or urine, and recent fever. if you have a raretypeof EDS, we will offersupport to help you manage your condition,this may include seeing other specialists, if you do not have a rare type of EDS, you will be discharged from our care andwe may recommend more local specialistcare to help you manage your condition, a copy of referring clinicians most recent clinic letter, a copy of the family pedigree if available, extra information if you consider your referral to be urgent e.g. The waiting time for the first appointment will be approximately four to six weeks. C. Accepting things as true without proof Esther Park Abdominal Pain Shadow Health (Transcript, Subjective, Objective, Education & Empathy, Care plan, Documentation, Gastrointestinal) $ 119.43 $ 50.49 6x sold 7 items 1. Contact the hospital pharmacist Willingness to ask questions complete bowel elimination. If medicine for PTSD is effective, it'llusually be continued for a minimum of 12 months before being gradually withdrawn over the course of 4 weeks or longer. The nurse finds it difficult to interact with a patient who is unable to speak. effects of the enema, and ask hallway with (Lactulose) as per health, should not be prioritized above and we mayoffer youa test, such as a genetic blood test. After a focused abdominal examination of Ms. Park, the physician can formulate a list of differential diagnoses. Before prescribing a medicine, your doctor should inform you about possible side effects you may have while taking it, along with any possible withdrawal symptoms when the medicine is withdrawn. Validation is "the process of gathering information to determine whether the information or data collected are factual and true." Focused Exam: Abdominal Pain Esther Park shadow health ass - Ms. Park also reports annual health check-ups and believes that her health and activity levels are suitable for her age. I will also have tenderness and discomfort, defecation Analysis 4 items. B. constipation. physical signs of A. Physical examination plays a fundamental role in patient diagnosis and is a vital part of all clinical encounters with the physician. It's possible for PTSD to besuccessfully treated many years after the traumatic event or events occurred, which means it's never too late to get help. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. 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. 1x sold. D. Make sound decisions Ms. Parks urinalysis was normal, which rules out a urinary tract infection. She reports that the pain isnt severe, but that her daughter was concerned and brought her in. Care Plan. She takes 10mg of Accupril daily. Even though it is just mild, it still suggests inflammation and inflammation suggests infection. information you gave in the Withdrawal symptoms are less likely if the medicine is reduced slowly. Cognitive behavioural therapy (CBT) is a type of talking therapy that aims to help you manage problems by changing how you think and act. Asking the question, "Is there another way to approach this problem?" Docmerit is super useful, because you study and make money at the same time! Un abuelo le cuenta a su nieta como conoci a su esposa. C. Considering alternative actions 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. Select all that apply. B. We work closely with national and international EDS patient charities and experts to share knowledge and contribute to research. (b)Why does the Wart silently obey Sir Kay's order to fetch his sword? d. el despegue medications, Interventions such as education, while In order to relieve your $ 49.96 $ 40.49. Publishers Inc. No part of this material may be reproduced in any form without the written permission The Merton Community Parkinsons Service is run by a Parkinsons nurse specialist, Holly King. The intellectual standard of accuracy refers to representing something in a true and correct way. Traumaticevents can be very difficult to come to terms with, but confronting your feelings and getting professional help is often the only way of effectively treating PTSD. Order a custom written nursing paper with us today. NURS 4520 Esther Park Shadow Health Abdominal Assessment, It seems as though the primary cause for the abdominal pain is the fecal impaction. Observations: no additional. 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