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Exam (elaborations)

NR-509 Week 5 Shadow Health Gastrointestinal Assessment (Tina Jones)

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12/10/2018 Gastrointestinal Physical Assessment Assignment | Completed | Shadow Health Gastrointestinal Physical Assessment Assignment Results | Turned In Advanced Health Assessment - Chamberlain, NR509-October-2018 Return to Assignment Your Results Lab Pass 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 yield better patient data. The following details are facts of the patient's case. Chief Complaint Established chief complaint Reports frequently occurring stomach pain History of Present Illness 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 Each episode lasts "a few hours" Subjective Data Collection: 30 of 30 (100.0%) Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Lifespan Review Questions Self-Reflection Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. This study resource was shared via CourseH 1 / 2 12/10/2018 Gastrointestinal Physical Assessment Assignment | Completed | Shadow Health Asked about severity of pain on a scale Rates present pain as 1 or 2 out of 10 Rates worst pain after eating as 5 out of 10 Rates pain when supine as a 6 or 7 out of 10 Asked about character of the pain Describes the pain as similar to heartburn Denies crushing pain Denies gnawing pain Denies cramping pain Denies that abdomen is tender to the touch Asked location of the pain Pain is in center of upper stomach, below breastbone Pain does not radiate Denies shoulder pain Denies back pain Denies arm pain Denies flank pain Denies pain on right side of abdomen Asked about aggravating factors Pain occurs after eating Pain worsens with larger meals Reports that spicy foods increase the pain Denies high-fat foods as an aggravating factor Pain worsens when supine Pain worsens when bending over Asked about relieving factors Pain improves between meals Pain improves when upright Asked about effects of pain on diet and appetite Reports decreased appetite Describes not wanting to eat out of anticipation of pain 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 This study resource was shared via

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12/10/2018 Gastrointestinal Physical Assessment Assignment | Completed | Shadow Health


Gastrointestinal Physical Assessment Assignment Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-October-2018
Return to Assignment




Your text here 1



Your Results Lab Pass




Overview
Subjective Data Collection: 30 of 30 (100.0%)
Transcript

Subjective Data Collection Hover To Reveal... Indicates an item that you found.
Hover over the Patient Data items Indicates an item that is available to be
Objective Data Collection
below to reveal important information, found.
including Pro Tips and Example
Education & Empathy
Questions.
Documentation

Lifespan Category Scored Items Patient Data
Not Scored
Review Questions
Experts selected these topics as essential A combination of open and closed questions
Self-Reflection
components of a strong, thorough interview will yield better patient data. The following
with this patient. details are facts of the patient's case.



Chief Complaint


Established chief complaint Reports frequently occurring stomach pain




History of Present Illness


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
This study source was downloaded by 100000844708667 from CourseHero.com on 09-08-2022 05:10:15 GMT -05:00 Each episode lasts "a few hours"

https://chamberlain.shadowhealth.com/assignment_attempts/4249614 1/5
https://www.coursehero.com/file/36352185/NR-509-Gastrointestinal-Subjective-Shadowpdf/

, 12/10/2018 Gastrointestinal Physical Assessment Assignment | Completed | Shadow Health




Asked about severity of pain on a scale Rates present pain as 1 or 2 out of 10
Rates worst pain after eating as 5 out of
10
Rates pain when supine as a 6 or 7 out of
10




Asked about character of the pain Describes the pain as similar to heartburn
Denies crushing pain
Denies gnawing pain
Denies cramping pain
Denies that abdomen is tender to the
touch




Asked location of the pain Pain is in center of upper stomach, below
breastbone
Pain does not radiate
Denies shoulder pain
Denies back pain
Denies arm pain
Denies flank pain
Denies pain on right side of abdomen




Asked about aggravating factors Pain occurs after eating
Pain worsens with larger meals
Reports that spicy foods increase the pain
Denies high-fat foods as an aggravating
factor
Pain worsens when supine
Pain worsens when bending over




Asked about relieving factors Pain improves between meals
Pain improves when upright




Asked about effects of pain on diet and Reports decreased appetite
appetite Describes not wanting to eat out of
anticipation of pain
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




Medical History
This study source was downloaded by 100000844708667 from CourseHero.com on 09-08-2022 05:10:15 GMT -05:00

https://chamberlain.shadowhealth.com/assignment_attempts/4249614 2/5
https://www.coursehero.com/file/36352185/NR-509-Gastrointestinal-Subjective-Shadowpdf/

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