Q Case Assignments • Groups 1-4: Case #1 • Groups 5-9: Case #2 EXTRA QUESTIONS (at bottom of this page) • Groups 1, 2 and 3: A-C • Groups 4, 5 and 6: D-F • Groups 7, 8 and 9: G-I GI Focused Case Study #1 • Chief Complaint (CC): 47 year old male client complains of nausea/vomiting and diarrhea for 3 days. How would you focus your abdominal assessment? o Subjective Data: Practice asking OLDCARTS----Remember your questions are dependent on the client's chief complaint. If a client has had N/V and diarrhea for 3 days, what do you think might be happening with his fluid volume status? What specific questions would you ask to address that? ? ? O ? L ? D ? C----get details-----what questions give you details about the character? ? A/A---when asking about associated symptoms, what 'other' symptoms might relate to potential fluid volume concern? ? R ? T ? S--- Are they able to eat/drink anything? Why is it important to ask this? o Objective Data: ? ? Inspect ? Contour ? Any abnormalities of abdomen ? Any abnormalities related to fluid volume concern ? Auscultate (listen to video below to describe sounds) ? Percussion ? Palpate ? Light and Deep palpation ? Assess skin turgor------why? FOR CASE STUDY: All four quadrants GI Focused Case Study #2 • Chief Complaint (CC): 19 year old male client complains of abdominal pain. How would you focus your abdominal assessment? o Subjective Data: Practice asking OLDCARTS----Remember your questions are dependent on the client's chief complaint. What specific questions would you ask to address that? ? ? O ? L ? D ? C----get details-----what questions give you details about the character? ? A/A ? R ? T ? S--- Pain rating scale o Objective Data: ? ? Inspect ? Contour ? Any abnormalities of abdomen ? Auscultate (listen to video below to describe sounds) ? ? Percussion ? Palpate ? Light and Deep palpation ? Assess for rebound tenderness (what is the correct procedure?): https://www.youtube.com/watch?app=desktop&v=TXbd54TkqaQ (Links to an external site.) EXTRA QUESTIONS How would you interpret the following? A. B. C. D. E. F. G. H. I.
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