Esther Parks Abdominal Pain Assessment

Esther Parks Abdominal Pain Assessment

Esther Parks Abdominal Pain Assessment

Mrs Esther Parks is a 78 year old woman who presents at the clinic with abdominal pain. She reports that the pain isn’t severe, but her daughter was concerned and saw it wise to bring her in. It is necessary that you determine whether the situation is an emergency and establish what the cause of Esther’s discomfort is. Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. …

Education & Empathy : 1 of 7 (14.3%)

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

 

2 Medications

Not Followed Up

 

	Description: Ms. Park describes her medication use and attitudes toward taking medication.
	did you take anything for abdominal pain at home	Question 01:47 PM EST
	No, I haven’t tried any medicines for it.
	when did you eat last time	Question 01:48 PM EST
	Model Statement: “I understand not wanting to take many medications. However, some medications can help reduce pain, relieve symptoms, and keep you healthy in the long-run.”

3 Diet

Not Followed Up

 

	Description: Ms. Park describes her dietary habits.
	when did you eat last time	Question 01:48 PM EST
	I haven’t been eating much at all lately. . . the last time I ate was this morning, a little toast.
	do you feel any nausea	Question 01:48 PM EST
	Model Statement: “Keeping an eye on your fiber intake is a great start. The USDA recommends that adults eat around 28 grams of fiber per day, which is several servings of fruits, vegetables, and whole grains. Let’s talk about ways for you to get a little more fiber in your diet.”

4 Activity Level

Not Encountered

 

	Description: Ms. Park describes staying socially active and exercising.
	Model Statement: “It sounds like you stay physically and socially active. That’s great!”

5 Medical History

Not Followed Up

 

	Description: Ms. Park describes her past c-section and losing a child at birth.
	what surgeries you have had	Question 01:58 PM EST
	I’ve had two. I had my gallbladder out, and I had a C-section. Both in my early 40s.
	have you had any problems after surgeries	Question 01:59 PM EST
	No, no complications.
	do you have any history of gastrointestinal problems	Question 01:59 PM EST
	No, I have a good stomach. I’ve never had this kind of trouble before. And I’m usually fairly regular.
	Model Statement: “I’m so sorry to hear about this. It must have been a painful situation for you. Thank you for sharing.”

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6 Sexual Activity

Not Encountered

 

	Description: Ms. Park describes being sexually active.
	Model Statement: “Thank you for sharing this personal information. It will help me determine if any part of your abdominal pain is caused by sexual activity.”

7 Family and Support

Not Followed Up

 

	Description: Ms. Park describes being widowed and living with her daughter.
	do you live alone	Question 02:07 PM EST
	No. I live with my daughter, Jennifer.
	who does the shopping for you	Question 02:07 PM EST
	I write the grocery list. My daughter Jennifer does the shopping.
	who prepares meals	Question 02:08 PM EST
	My daughter has many wonderful talents, but… I prefer that I do the cooking.
	do you eat alone	Question 02:08 PM EST
	Model Statement: “I’m sorry that your husband passed away. It sounds like you have a wonderful relationship with your daughter and son. I’m happy to hear that you have a strong support system in your children.”