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Case Study: Ms. Y is an 85-year old female you are caring for on a post-operative surgical unit.
Subjective: She complains of diffuse abdominal pain and distention.
Objective: She is post operative day 3. Her vital signs are within normal limits. She did get up with physio this morning for a brief walk in the hall, but returned to bed complaining of abdominal pain. She is on opioids for pain management. She is sitting in her hospital bed, wearing a hospital gown. The upper siderails are up. Her lunch tray is at her bedside, untouched, she states she is not hungry.
Questions: Your Task: Perform an appropriate focused abdominal assessment for this patient presenting with diffuse abdominal pain.
1. What question should be you Ask the patient any questions that you feel may be necessary to augment / direct your assessment.
2. Discuss the finding in SOAP communication technique.
3. What is the role of a commonly prescribed medication in this post-operative population - docusate sodium? Explain the mechanism of action of the drug. Identify some important tips that you would include in your patient education.
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