ESTHER PARK SHADOW ASSESSMENT: CHIEF COMPLAINT, COMPLETE PHYSICAL EXAMINATIONS,
INTERVIEW AND ASSESSMENT ANSWERS.
Chief complaint:
Reports
... [Show More] abdominal pain and difficulty with bowel movement
Orientation/Mental status
Oriented to own person
Oriented to place
Oriented to situation
Oriented to time
Onset, frequency and duration of pain
Discomfort for the past 5 days
Pain with gradual onset that worsened 2-3 days ago
Location of pain
Pain in left lower abdomen
Reports pain is not localized
Pain score
6/10 pain
Characteristic of pain
Describes pain a dull and cramping
Pain fluctuates in severity
Non-pharmacological relieving factors
Denies intake of pain medication
Denies intake of laxatives
Aggravating factors
Reports pain is aggravated by eating
Aggravated by physical activity
This study source was downloaded by 100000831777157 from CourseHero.com on 07-26-2022 01:55:10 GMT -05:00
https://www.coursehero.com/file/147162920/ESTHER-PARK-SHADOW-ASSESSMENTdocx/
Impact on daily life
Recent difficulty participating in usual activities
Reports low energy
Followed up on constipation
Constipation most of last 5 days
Denies any attempt to treat constipation
Asked about diarrhea
Recent diarrhea
Followed up about diarrhea
About 6 months ago
Sudden onset
Lasted one day
-loose and water
Asked about substances in stool
Denies mucus and blood in stool
Asked about urination
Recent, slight decrease in frequency of urination
Darker urine recently
Denies blood in urine
Asked about fluid intake
Decreased thirst
Decreased fluid intake for last few days
Typical fluid intake is 1-2 glasses water/day
Denies drinking caffeine
Asked about contact with illnesses
Denies recent travel and exposure to food poisoning
Asked about history of constipation
Denies history
Asked about typical bowel movements
Typically has BM almost every day
This study source was downloaded by 100000831777157 from CourseHero.com on 07-26-2022 01:55:10 GMT -05:00
https://www.coursehero.com/file/147162920/ESTHER-PARK-S [Show Less]