SHADOW HEALTH FOCUSED EXAM: ABDOMINAL PAIN ASSIGNMENT ANSWER KEY CLASSROOM CLASSROOM

SHADOW HEALTH FOCUSED EXAM: ABDOMINAL PAIN ASSIGNMENT ANSWER KEY CLASSROOM CLASSROOM SUBJECTIVE DATA COLLECTION Finding — Foundational Items highlighted in gray Established chief complaint Reports abdominal pain Example Questions What brings you in today? Do you have any abdominal pain? Pro Tips Asking a patient broadly about their chief complaint allows them to answer in their own words and confirm information that you may have already received from another source. Asking for details about the abdominal pain helps to determine the origin. Understanding all of a patient's reason for visiting is Reports difficulty with bowel movements Are you able to have a bowel movement? an important foundation to establish. If there are multiple symptoms, especially related symptoms like constipation and bowel pain, follow up on each one during your interview. Asked about orientation Oriented to own person Oriented to place Oriented to situation Oriented to time 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 CLASSROOM Can you please state your full name? Can you tell me who you are? Do you know where you are right now? Do you know why you are here today? What is the date and year? When did your stomach pain start? How long have you had stomach pain? Has the stomach pain changed? Where is your stomach pain? Where is your discomfort located? FOR FACULTY USE ONLY You should ask geriatric patients whether they are oriented to their basic surroundings so you can determine their cognitive functioning. You should ask geriatric patients to state their name so you can determine their cognitive functioning. You should ask geriatric patients to identify where they are so you can determine their cognitive functioning. You should ask geriatric patients to identify their reason for being here so you can determine their cognitive functioning. You should ask geriatric patients to identify the date and year so you can determine their cognitive functioning. Whenever you are assessing a symptom or a health condition, in this case stomach pain, inquiring about onset allows you to assess the severity and the progression of the problem. Whenever you are assessing a symptom or a health condition, in this case stomach pain, inquiring about onset allows you to assess the severity and the progression of the problem. Whenever you are assessing a symptom or a health condition, in this case stomach pain, inquiring about changes in the pain allows you to assess the severity and the progression of the problem. Identification of the location of your patient's stomach pain can provide important clues about its cause and how it should be best treated. Identification of the location of your patient's discomfort can provide important clues about its cause and how it should be best treated. CLASSROOM CLASSROOM CLASSROOM SHADOW HEALTH FOCUSED EXAM: ABDOMINAL PAIN ASSIGNMENT ANSWER KEY CLASSROOM Reports pain is not localized 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 CLASSROOM CLASSROOM Is the painina specific spot? Do you have pain on your sides? Can you tell me how much it hurts on a scale of 0 to 10? How would you rate your pain on a scale of one to ten? How would you rate your pain at its lowest? How would you rate your pain at its worst? What is the pain like? Can you describe the pain? Can you describe the pain? Is your pain constant? Does your pain fluctuate? |ldentifying the location of your patient's pain provides important clues about its cause and how to treat it best. Flank pain often occurs with disorders of the urinary tract. When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria. For many people, it is difficult to clearly describe pain. Asking your patient to rate her pain on a scale from zero to 10 develops a consistent measure of pain severity. For many people, it is difficult to clearly describe pain. Asking your patient to rate her pain on a scale from zero to 10 develops a consistent measure of pain severity. For many people, it is difficult to clearly describe pain. Asking your patient to rate her pain at its lowest on a scale from zero to 10 develops a consistent measure of pain severity. For many people, it is difficult to clearly describe pain. Asking your patient to rate her pain at its highest on a scale from zero to 10 develops a consistent measure of pain severity. Asking your patient to describe her pain helps identify its cause and the severity. Patients may not know how to answer, so you may need to suggest words like sharp, dull, burning, throbbing, or shooting. Asking your patient to describe her pain helps identify its cause and the severity. Patients may not know how to answer, so you may need to suggest words like sharp, dull, burning, throbbing, or shooting. Asking your patient to describe her pain helps identify its cause and the severity. Patients may not know how to answer, so you may need to suggest words like sharp, dull, burning, throbbing, or It's shooting. important to ask your patient if her pain is constant or intermittent in order to determine her level of discomfort and identify the cause of the pain. Constant pain is often best managed with around-the-clock pain medications. Whenever you are assessing a symptom or a health condition, in this case stomach pain, inquiring about changes in the pain allows you to assess the severity and the nature of the problem. CLASSROOM CLASSROOM CLASSROOM FOR FACULTY USE ONLY SHADOW HEALTH FOCUSED EXAM: ABDOMINAL PAIN ASSIGNMENT ANSWER KEY CLASSROOM 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 CLASSROOM CLASSROOM Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. The results of her previous treatment may be helpful in your diagnosis and the development of her new treatment plan, as well as Have you done anything for your pain besides take medication? What relieves your pain besides medication? What relieves your pain besides medication? What medication have you taken for the pain? Have you taken medication for the stomach pain? Have you taken laxatives? What makes your pain worse? Does eating aggravate the pain? Does physical activity aggravate the pain? a good opportunity to educate your patient on effective self-care practices. Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. The results of her previous treatment may be helpful in your diagnosis and the development of her new treatment plan, as well as a good opportunity to educate your patient on effective self-care practices. Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. The results of her previous treatment may be helpful in your diagnosis and the development of her new treatment plan, as well as a good opportunity to educate your patient on effective self-care practices. It's important to assess the nature of pain by asking about relief. If you know your patient is taking pain medication, asking about the medication's effectiveness can help you adjust treatment as needed. It's important to assess the nature of pain by asking about relief. If you know your patient is taking pain medication, asking about the medication's effectiveness can help you adjust treatment as needed. It's important to assess the nature of pain by asking about relief. If you know your patient is taking laxatives for constipation, asking about the medication's effectiveness can help you adjust treatment as needed. Asking your patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self- care. Asking your patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self- care. In patients with stomach pain, whether or not eating exacerbates pain may help you identify the nature of the condition. Asking your patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self- care. CLASSROOM CLASSROOM CLASSROOM FOR FACULTY USE ONLY