NRS 434 Subjective Week 5 Focused Exam Abdominal Pain Completed Shadow Health Week 5: Focused Exam: Abdominal Pain Results | Completed Health Assessment, NRS-434VN

NRS 434 Subjective Week 5 Focused Exam Abdominal Pain Completed Shadow Health Week 5: Focused Exam: Abdominal Pain Results | Completed Health Assessment, NRS-434VN Return to Assignment (/assignments/210196/) Your Results Lab Pass (/assignment_attempts/5116773/lab_pass.p Overview Transcript Subjective Data Collection: 41 of 41 (100.0%) Subjective Data Collection Objective Data Collection Documentation SBAR Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. 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 will yiel better patient data. The following details are facts of t patient's case. Chief Complaint Established chief complaint Reports abdominal pain Reports difficulty with bowel movements Orientation Asked about orientation Oriented to own person Oriented to place Oriented to situation Oriented to time History of Presenting Illness Asked about onset of the pain Reports discomfort for the past five days Reports pain worsened intensely 2-3 days ago Asked about location of the pain Reports pain in lower abdomen Reports pain is not localized This study source was downloaded by from CourseH on :52:01 GMT -06:00 Denies flank pain Asked about pain rating on a scale Reports current pain rating of 2/10 Reports pain at its lowest is 2/10 Reports pain at its worst is 8/10 Asked about characteristics of the pain Describes pain as dull Describes pain as cramping Describes pain as constant Describes pain as fluctuating in severity Asked about non-pharmacological relieving factors Reports that resting helps relieve pain Reports drinking warm water to relieve pain was ineffective Asked about pharmacological relieving factors Denies taking pain medication Denies taking laxatives Asked about aggravating factors Reports pain is aggravated by eating Reports pain is aggravated by physical activity Asked about impact of pain on daily life Reports recent difficulty participating in usual activities Reports low energy Followed up on constipation Reports current constipation Reports constipation all of last 5 days Asked about diarrhea Reports recent diarrhea Followed up on diarrhea Reports diarrhea about six months ago Reports diarrhea had a sudden onset Reports diarrhea lasted one day Asked about substances in stool Denies mucus in stool Denies blood in stool Asked about urination Reports slight decrease in frequency of urination Reports darker urine recently Denies blood in urine Asked about fluid intake Reports decreased thirst Reports decreased fluid intake for the last few days Typical fluid intake is 1-2 glasses of water a day Denies drinking caffeinated drinks such as coffee or soda Past Medical History Asked about history of constipation Denies history of constipation