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Exam (elaborations)

Shadow Health Focused Exam Abdominal Education Empathy 6 of 7 (85.7%)

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Shadow Health Focused Exam Abdominal Education Empathy 6 of 7 (85.7%)

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Shadow Health Focused Exam Abdominal
Education Empathy 6 of 7 (85.7%)
During the patient interview, there are a number of opportunities to provide patient education and
empathy. The opportunities listed below are those identified by nursing experts to be of particular
importance to this patient. A Model Statement is provided as an example of an appropriate
response to each opportunity.

 Opportunities marked as Not Encountered are opportunities that were not elicited in the
interview
 Opportunities marked as Not Followed Up are missed opportunities that were present in the
interview, but where no statements were made
 Opportunities marked as Followed Up were followed up by students, and include the dialogue
between student and patient


1 Symptoms
Followed Up


Description: Ms. Park describes the symptoms that
have been bothering her.

Question
what bring you in today? 07:54 PM
CDT




I have pain in my belly. . . and I'm having some
difficulty with going to the bathroom. My daughter
was concerned.




Question
when did your pain start? 07:55 PM
CDT

,The pain started as a general discomfort, about five
days ago, when I started having the. . . difficulties
going to the bathroom.




Empathize
I'm sorry to hear you are having pain and discomfort 07:56 PM
CDT




Thank you.




Question
where is your pain? 07:58 PM
CDT




The pain and discomfort is down low in my belly.

, Question
can you point the location? 07:58 PM
CDT




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.




Question
are you in pain right now? 07:59 PM
CDT




Yes. . . it hurts now, like it has been.




Question
can you describe your pain? 07:59 PM
CDT

, I'd say it's crampy and. . . a dull, crampy feeling.




Question
what is your pain level 0-10, 10 being worst? 08:00 PM
CDT




Right now. . . 6 out of 10.




Empathize
sorry to hear that you are in pain, 08:01 PM
CDT




Thank you.

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