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Shadow Health GI TIna Jones
Subjective Shadow Health assignement
Course
Diagnostic assessment (MSN610)
31 Documents
Students shared 31 documents in this course
University
Northern Kentucky University
Academic year: 2024/2025
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Gastrointestinal Results | Completed
MSN 610 Spring 2024 Session 1 Shadow Health, NUR
Return to Assignment (/assignments/920740/)
Subjective Data Collection: 31 of 31 (100%)
Chief Complaint
History of Present Illness
Your Results Turn In (/assignment_attempts/16071140/choose)
Lab Pass (/assignment_attempts/16071140/lab_pass
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Video Tutorial
Student Survey
Indicates an item that
you found.
Indicates an item that
is available to be found.
Category Scored Items
Experts selected these topics as essential
components of a strong, thorough interview with
this patient.
Patient Data
Not Scored
A combination of open and closed questions
yield better patient data. The following details
are facts of the patient's case.
Established chief complaint Reports frequently occurring stomach pain
Asked about onset of pain Reports noticing pain for "at least a month"
Reports that pain increased gradually
Asked about frequency of pain Reports pain occurs every day
Reports 3 to 4 episodes a week that are
more severe
Asked about duration of pain Pain begins right after finishing a meal
Hover To Reveal...
Hover over the Patient Data items
below to reveal important
information, including Pro Tips and
Example Questions.
Medical History
Each episode lasts "a few hours"
Asked about severity of pain on a scale Rates present pain as 1 or 2
Rates worst pain after eating
Rates pain when supine as a
Asked about character of the pain Describes the pain as similar
Denies crushing pain
Denies gnawing pain
Denies cramping pain
Denies that abdomen is tende
Asked location of the pain Pain is in center of upper stom
Pain does not radiate
Denies shoulder pain
Denies back pain
Denies arm pain
Denies flank pain
Denies pain on right side of a
Asked about aggravating factors Pain occurs after eating
Pain worsens with larger mea
Reports that spicy foods incre
Denies high-fat foods as an a
Pain worsens when supine
Pain worsens when bending o
Asked about relieving factors Pain improves between meal
Pain improves when upright
Asked about effects of pain on diet and appetite Reports decreased appetite
Describes not wanting to eat
Reports eating smaller meals
Reports avoiding spicy foods
Asked about increased burping Reports burping
Burping occurs after eating
Asked about changes in weight Denies recent weight loss
Confirmed use of medications Confirms medications (no new
Reports occasional antacid u
Denies frequent Advil (ibupro
Followed up on use of antacids and relieving factors Antacid brand is Tums
Social Determinants of Health
Review of Systems
Reports fast food intake 3 times a week
Typical snack is pretzels, French fries, crackers or chips
Asked about typical beverages Last alcoholic drink was 2 we
Typical alcohol frequency is 2
Typical alcohol intake is 2 - 3
Reports that alcohol intake bo
Reports drinking soda
Reports drinking 3 - 4 diet cok
Reports that she hasn't notice
soda intake and pain
Reports drinking 6 - 8 glasses
Asked about recent dietary and life experiences Denies recent travel
Denies food poisoning
Asked about substance use Denies illicit drug use
Denies cigarette smoking
Asked about food access Reports living near grocery st
Reports access to fresh foods
Asked about general symptoms Denies fever
Denies chills
Denies fatigue
Denies night sweats
Asked about review of systems for mental health Reports occasional feelings o
Reports feelings of stress
Asked about review of systems for gastrointestinal Denies nausea
Denies vomiting
Denies diarrhea
Denies constipation
Denies flatus
Denies bloating
Asked about review of systems for respiratory Denies sore throat
Denies coughing
Denies dysphagia
Denies difficulty breathing
Denies chest pain
Denies palpitations
Denies change in sense of ta
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Family History
Asked about relevant family history Reports family history of colo
Denies family history of GER
Denies family history of IBS
Denies family history of chole
Denies family history of liver d
Denies family history of kidne
Denies family history of bladd
Comments
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Shadow Health GI TIna Jones
Course: Diagnostic assessment (MSN610)
31 Documents
Students shared 31 documents in this course
University: Northern Kentucky University
Was this document helpful?
Gastrointestinal Results | Completed
MSN 610 Spring 2024 Session 1 Shadow Health, NUR
Return to Assignment (/assignments/920740/)
Subjective Data Collection: 31 of 31 (100.0%)
Chief Complaint
History of Present Illness
Your Results
Turn In (/assignment_attempts/16071140/choose)
Lab Pass (/assignment_attempts/16071140/lab_pass.pd
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Video Tutorial
Student Survey
Indicates an item that
you found.
Indicates an item that
is available to be found.
Category Scored Items
Experts selected these topics as essential
components of a strong, thorough interview with
this patient.
Patient Data
Not Scored
A combination of open and closed questions
yield better patient data. The following details
are facts of the patient's case.
Established chief complaint Reports frequently occurring stomach pain
Asked about onset of pain Reports noticing pain for "at least a month"
Reports that pain increased gradually
Asked about frequency of pain Reports pain occurs every day
Reports 3 to 4 episodes a week that are
more severe
Asked about duration of pain Pain begins right after finishing a meal
Hover To Reveal...
Hover over the
Patient Data
items
below to reveal important
information, including
Pro Tips
and
Example Questions
.
