NR 509 FOCUSED EXAM SHADOW HEALTH Pain Results Transcript (NR509)

Exam (elaborations) NR 509 FOCUSED EXAM SHADOW HEALTH Pain Results Transcript (NR509) Focused Exam: Abdominal Pain Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results Lab Passss 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 IIntterrvviiew Quessttiionss (()) Sttattementtss ((2211)) Exxam Acttiionss ((9911)) Hellllo myy name iiss Sarra an FNP ssttudentt who wiillll be iintterrvviiewiing yyou ttodayy Hello. Wiillll yyou plleasse ssttatte yyourr name? ((Cllarriifified tto whatt iiss yyourr name and biirrtthdayy..)) My name is Esther Park, and I was born on January 7th . . . [Ms. Park reports correct birth year.] [AUDIO COMING SOON] Plleasse Sttatte yyourr age? ((No mattchiing quessttiionss ffound..)) How olld arre yyou? Seventy-eight. Whatt brroughtt yyou iintto tthe clliiniic ttodayy? I have some pain in my belly. . . and I'm having difficulty going to the bathroom. My daughter was worried about me. Meassurred vviittallss Allll Liiness (()) 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? (Clarifified 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. How long is your pain last? 5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health 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 caussess yyourr paiin? 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. Whatt makkess yyourr paiin worrsse? Moving around certainly doesn't help. Neither does eating. IIss yyourr paiin ssharrp? No. I'd say it's crampy and. . . a dull, crampy feeling. Ratte yyourr paiin on a sscalle off 0 tto 10? Right now. . . 6 out of 10. II''m ssorrrryy tto hearr tthatt yyou''rre ffeelliing sso bad Thank you. Doess iitt affffectt yyourr daiillyy lliiffe? ((Cllarriifified tto How hass yyourr iillllnessss affffectted yyourr daiillyy lliiffe?..)) 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. Whatt prrovviidess rrelliieff? ((No mattchiing quessttiionss ffound..)) 5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health Question 05/28/18 1:48 PM CDT Question 05/28/18 1:48 PM CDT Empathize 05/28/18 1:49 PM CDT Question 05/28/18 1:49 PM CDT Question 05/28/18 1:50 PM CDT Question 05/28/18 1:50 PM CDT Question 05/28/18 1:50 PM CDT Question 05/28/18 1:51 PM CDT What makes iitt ffeell betttterr? When I rest and try not to move much, I feel better. But the pain is still there. Whatt havve yyou done tto rrelliievve yyourr paiin? I've tried taking small sips of warm water, resting. The warm water does nothing. A friend suggested it, but it's nonsense. II''m ssorrrryy yyou ffeell tthatt wayy Thank you. IIss yyourr paiin iintterrmiittttentt? ((No mattchiing quessttiionss ffound..)) IIss yyourr paiin conssttantt? Yes. Certain things can make it a tiny bit better or a tiny bit worse, I suppose. But it's always there. Whatt makkess iitt betttterr? ((Cllarriifified tto Whatt makkess yyourr paiin ffeell betttterr?..)) When I rest and try not to move much, I feel better. But the pain is still there. Whatt makkess yyourr paiin worrsse? Moving around certainly doesn't help. Neither does eating. How iiss yyourr enerrgyy llevvell? Right now? I feel slow, sluggish. I just feel very uncomfortable. 5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health