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Shadow Health Focused-Abdominal Pain Esther Care Plan

Shadow Health Focused-Abdominal Pain Esther Care Plan
Course

Nursing Assessment and Skills (NURS.2110)

17 Documents
Students shared 17 documents in this course
Academic year: 2022/2023
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University of Massachusetts Lowell

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HwMS SHADOW HEALTHHEAS

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Focused Exam: Abdominal Pain Results | Turned In

Nursing Health Assessment Lecture/Lab - Fall 2022, NURS 2110/2110L

Return to Assignment (/assignments/692571/)

If contacting Shadow Health Support via email using nhpsupport@elsevier, please put Shadow Health in the subject of the email or use the following link for a more timely re Click here for more information (service.elsevier/app/contact/supporthub/shadow-health/)

Care Plan : 14 of 15 (93%)

International classification for nursing practice (ICNP) nursing diagnoses (v2019_06_27) [Data set]. (2019). International Council of Nurs (ICN). icn/what-we-do/projects/ehealth-icnptm/icnp-download

Diagnosis

Student Response Model Answer Explanation Points Ear

risk for constipation constipation Ms. Park has not had a bowel movement in five days, and shows subjective and objective signs of constipation. Constipation is the highest priority diagnosis as relieving it will have the quickest, most widespread impact on the Ms. Park's condition, including on her abdominal discomfort.

0 out of 1

Signs & Symptoms

Student Response Model Answer Explanation Points Ear

abdominal discomfort abdominal discomfort Ms. Park presents with abdominal tenderness and discomfort, defecation fewer than two times per week, distended abdomen, generalized fatigue, and a palpable abdominal mass.

1 out of 1

abdominal tenderness abdominal tenderness Ms. Park presents with abdominal tenderness and discomfort, defecation fewer than two times per week, distended abdomen, generalized fatigue, and a palpable abdominal mass.

1 out of 1

Your Results Lab Pass (/assignment_attempts/13506738/lab_pass.

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Education & Empathy

Documentation

Care Plan

Program Competency Progress

Video Tutorial

Nursing Diagnosis 6 out of

defecation fewer than two times per week defecation fewer than two times per week Ms. Park presents with abdominal ten and discomfort, defecation fewer than per week, distended abdomen, genera fatigue, and a palpable abdominal ma

distended abdomen distended abdomen Ms. Park presents with abdominal ten and discomfort, defecation fewer than per week, distended abdomen, genera fatigue, and a palpable abdominal ma

generalized fatigue generalized fatigue Ms. Park presents with abdominal ten and discomfort, defecation fewer than per week, distended abdomen, genera fatigue, and a palpable abdominal ma

palpable abdominal mass palpable abdominal mass Ms. Park presents with abdominal ten and discomfort, defecation fewer than per week, distended abdomen, genera fatigue, and a palpable abdominal ma

Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.

Prompt Student Response Model Answer Explanation

Why should constipation be prioritized as the most important diagnosis for Esther Park?

it is affecting her ADLs Constipation is the highest priority nursing diagnosis because it is the root cause of Ms. Park's abdominal discomfort. Treating her constipation will lead to improvement of all of her signs and symptoms, resulting in the greatest improvement to her overall well- being.

When multiple aspects o patient's condition requ treatment, prioritize the that has the greatest im patient's well-being whe and is treatable within a timeframe.

Short-Term Goal

Student Response Model Answer Explanation

To induce a bowel movement that relieves the patient's constipation, resulting in patient reporting relief and diminished pain, within an emergency department visit.

To induce a bowel movement that relieves the patient's constipation, resulting in patient reporting relief and diminished pain, within an emergency department visit.

Relieving Ms. Park's constipation will quickest, most widespread benefit on health condition, more so than other o that promote long-term health but are immediate priority.

Interventions

Student Response Model Answer Explanation

Administer a mineral oil based enema per provider’s order (no refills)

Administer a mineral oil based enema per provider’s order (no refills)

The five interventions prioritized for Ms all directly lead to a bowel movement Ms. Park safe and informed throughou process. Interventions such as educat beneficial for the patient's long-term h should not be prioritized above relievin acute constipation.

Self Assessment
Planning

Evaluate any stool for amount and qualities (objective)

Evaluate any stool for amount and qualities (objective)

Some of the appropriate data collectio provide information on your short-term this case the production of a complete elimination in Ms. Park. Other data co allow you to assess the patient's curre and any side effects, dehydration, or l pain she may have and require treatme

Evaluate for physical signs of pain and/or cramping (objective)

Evaluate for physical signs of pain and/or cramping (objective)

Some of the appropriate data collectio provide information on your short-term this case the production of a complete elimination in Ms. Park. Other data co allow you to assess the patient's curre and any side effects, dehydration, or l pain she may have and require treatme

Perform dehydration tests (skin turgor, dry mouth, urine hat collection) and follow-up as necessary (objective)

Perform dehydration tests (skin turgor, dry mouth, urine hat collection) and follow-up as necessary (objective)

Some of the appropriate data collectio provide information on your short-term this case the production of a complete elimination in Ms. Park. Other data co allow you to assess the patient's curre and any side effects, dehydration, or l pain she may have and require treatme

Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.

Prompt Student Response Model Answer Explanation

A patient should understand their nursing diagnosis and the rationale behind it to increase their sense of involvement and to identify areas for future improvement.

it is important to ensure you are having proper bowel movements

Given your lack of recent bowel movements and your abdominal discomfort, it appears that you are constipated. Based on the information you gave in the interview, it sounds like the cause of this problem is not getting enough fluids or enough fiber in your diet.

Explain the rationale beh nursing diagnosis.

You should communicate the Care Plan to the patient, allowing them to exercise involvement and agency in their own healthcare.

the goal is to help you have a bowel movement by drinking fluids

In order to relieve your constipation, the goal is for you to have a bowel movement, so that your pain and abdominal discomfort are relieved. I'm going to give you an enema, which should be quick and effective. I will also have you walk around to help get your bowels moving. Throughout the process, I'll keep you hydrated and make sure that you're safe and comfortable. I will evaluate you for dehydration and side effects of the enema, and ask about your outputs. We're going to do everything we can to get your bowels moving so you can feel some relief!

Explain your goal for Ms the interventions and da collections through whic achieve it.

A patient must consent to all interventions in their Care Plan. Disagreements are opportunities to provide further patient education and to consider alternative options.

do you consent to the plan Do I have your consent to move forward with these interventions?

Explicitly ask for Ms. Pa to the Care Plan.

Communicate potential side effects to a patient, so she is aware of the risks and feels comfortable expressing any health changes.

the enema may cause cramping, dizziness, or diarrhea

As a result of the enema, it's possible that you could feel cramping, nausea, dizziness, and diarrhea. If you notice anything like this, don't hesitate to let me know.

Inform Ms. Park that an cause side effects, such abdominal cramping, na dizziness, and diarrhea.

Discussion Of Care

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Student Response Model Answer Explanation

Fully Fully Ms. Park's goal has been fully achieve because she has had a bowel movem reporting a 0/10 pain rating and feeling "completely relieved of constipation." statements are supported by the size consistency of her stool.

Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.

Prompt Student Response Model Answer Explanation

Did you achieve your goal of inducing a bowel movement that relieved the patient's constipation, resulting in the patient reporting relief and diminished pain?

ms. park had a full bowel movement that was healthy looking and had no abnormal contents

The goal of relieving Ms. Park's constipation has been fully achieved because the enema, along with the other interventions, induced a bowel movement. She stated that she feels relieved and empty, which shows that the patient's experience of signs and symptoms has greatly diminished. Most importantly, her discomfort has gone away. She rated her current pain as a 0 out of 10. The objective data that was gathered also supports this evaluation, as the characteristics of the stool show that she has had a complete bowel elimination.

Multiple pieces of data, subjective and objective required to make a cred careful assessment.

Intervention & Evaluation
Intervention & Evaluation Rationale

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Shadow Health Focused-Abdominal Pain Esther Care Plan

Course: Nursing Assessment and Skills (NURS.2110)

17 Documents
Students shared 17 documents in this course

University: University of Massachusetts Lowell

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12/4/22, 10:20 PM
| Shadow Health® │ Digital Clinical Experiences™ from Elsevier
https://app.shadowhealth.com/assignment_attempts/13506738
1/5
Focused Exam: Abdominal Pain Results | Turned In
Nursing Health Assessment Lecture/Lab - Fall 2022, NURS 2110/2110L
Return to Assignment (/assignments/692571/)
If contacting Shadow Health Support via email using nhpsupport@elsevier.com, please put Shadow Health in the subject of the email or use the following link for a more timely re
Click here for more information (https://service.elsevier.com/app/contact/supporthub/shadow-health/)
Care Plan : 14 of 15 (93.3%)
International classification for nursing practice (ICNP) nursing diagnoses (v2019_06_27) [Data set]. (2019). International Council of Nurs
(ICN). https://www.icn.ch/what-we-do/projects/ehealth-icnptm/icnp-download
Diagnosis
Student Response Model Answer Explanation Points Ear
risk for constipation constipation Ms. Park has not had a bowel
movement in five days, and shows
subjective and objective signs of
constipation. Constipation is the
highest priority diagnosis as relieving
it will have the quickest, most
widespread impact on the Ms. Park's
condition, including on her
abdominal discomfort.
0 out of 1
Signs & Symptoms
Student Response Model Answer Explanation Points Ear
abdominal discomfort abdominal discomfort Ms. Park presents with abdominal
tenderness and discomfort,
defecation fewer than two times per
week, distended abdomen,
generalized fatigue, and a palpable
abdominal mass.
1 out of 1
abdominal tenderness abdominal tenderness Ms. Park presents with abdominal
tenderness and discomfort,
defecation fewer than two times per
week, distended abdomen,
generalized fatigue, and a palpable
abdominal mass.
1 out of 1
Your Results Lab Pass (/assignment_attempts/13506738/lab_pass.
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Care Plan
Program Competency Progress
Video Tutorial
Nursing Diagnosis 6 out of

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