Asked about non-medication relieving factors of pain. Y, Nursing Concepts: Health and Wellness Across the Lifespan I, Health-Illness Concepts Across the Lifespan I, All Hesi Hints 1 for rn exit exam hesi tip guides, Subjective data - Lecture notes Lecture notes, Module two session two lectures guided notes, OB Nursing 2 - Health-Illness Concepts Across the Lifespan II 5, OB Nursing 2 - Lecture notes Health-Illness Concepts Across the Lifespan II 5, Survey of Special Education: mild to moderate disabilities (SPD-200), Perspectives in the Natural Sciences (SCI100), Educational Psychology and Development of Children Adolescents (D094), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Human Anatomy and Physiology I (BIO 203), Introduction to Computer Technology (BIT-200), Foundations of Addiction and Substance Use Disorders (PCN-100), Pre service firefighter education and training (FSC-1106), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 2 Thinking like an economist part 2, C228 Task 2 Cindy - Bentonville - Passed with no revisions, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, C100 Study Guide - Notes for Intro to hummanities, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, BI THO LUN LUT LAO NG LN TH NHT 1, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. The same as usual -- no pain or anything. palace: hut completely valid. and effectively. medications at once is 24 terms. It's a medication that is used for treating severe pain like you are experiencing now. get you some relief with your protocol and an assessment of during the patient interview, you will perform a physical exam on Mr. Carter to gather The diagnosis that's most I take several. frequency and the blood in his urine. pdf, Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Health and Illness Across the Lifespan (NUR2214). Your patient is Edward Carter, a 65-year-old African American man who has been admitted to I'm Preceptor Diana. Your concern about taking many medications at once is completely valid. How does this assignment prepare me for the real world? Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Assessed IV site: Dressing dry and intact, Assessed urine quality: Clear, pink or amber in color. complete picture. Within 24-48 hours, ask patient if urine Oriented to person Oriented to place Oriented to time Oriented to situation, Reports pain Reports recent fall Reports worry about worsening symptoms, Reports recent episode of severe pain started this morning Reports pain has been getting progressively worse in the last few weeks, Describes pain as aching Describes pain as "deep", Reports occasional "grating" sensation in joints, Reports current pain is a 1 Reports pain before medication was a 9, Asked about non-medication relieving factors of pain, Reports that rest typically relieves the pain Reports not using any non-medication treatments to treat this morning's pain Reports occasional use of moist heat as treatment, on hips Reports using range of motion exercises for knees Reports wearing elastic supports on knees, bilaterally Denies use of ice as treatment, Reports that exercise exacerbates pain and stiness Reports that weight bearing exacerbates pain and stiness Reports that pain and stiness are worse in the morning Reports that changes in weather exacerbate pain and stiness, Reports falling getting out of bed Reports hitting his back on bed frame Denies dizziness, syncope, or vertigo at time of, fall Denies substance use that could have related to the fall, Reports osteoarthritis diagnosis Reports hypertension diagnosis Reports chronic kidney disease diagnosis Reports atrial fibrillation diagnosis, Followed up about osteoarthritis diagnosis, Followed up about osteoarthritis symptoms and ADLs, Reports increasing problems with gait Reports increasing problems with exercise, Diagnosed at age 55 Reports belief that blood pressure is well-, controlled Reports typical blood pressure as 130/85 Reports eating a low sodium diet, Followed up about atrial fibrillation diagnosis, Diagnosed at age 61 Denies recent episodes of palpitations or problems, Denies pacemaker or surgical intervention, Reports medication for osteoarthritis Reports medications for atrial fibrillation Reports medication for hypertension Denies medication for chronic kidney disease Denies pain medication at home Denies taking vitamins Denies taking herbal supplements, Reports using a pillbox to organize medications Denies missing doses of medication Denies missing doses of medication because of, side eects Denies diculty obtaining medications because of nances Denies diculty obtaining medications because of transportation, Followed up on last dose of home medications, Reports taking naproxen at 5 am this morning to try to relieve pain Denies taking other medications today, Followed up on anticoagulant medication for atrial fibrillation, Reports taking apixaban Reports apixaban dosage: 2.5 mg Reports apixaban frequency: 1x daily Denies apixaban side eects, Followed up on calcium channel blocker medication for atrial fibrillation, Reports taking verapamil Reports verapamil dosage: 80 mg Reports verapamil frequency: 3x daily Denies verapamil side eects, Followed up on combination ARB / diuretic for hypertension, Reports taking Hyzaar (losartan and hydrochlorothiazide combination) Reports Hyzaar dosage: 100 losartan /25 mg hydrochlorothiazide Reports Hyzaar frequency: 1x daily Denies Hyzaar side eects, Followed up on oral medication for osteoarthritis, Reports taking naproxen Reports naproxen dosage: 220 mg Reports naproxen frequency: 2x daily Denies naproxen side eects, Reports that naproxen is typically eective at reducing pain Reports that naproxen is OTC, Followed up on injections for osteoarthritis, Reports injections are kenalog (triamcinolone) Reports kenalog dosage: 10 mg/mL Reports kenalog frequency: 4 times per year Reports kenalog location: Injected into each hip, and knee joint Denies side eects Reports that injections are eective in reducing, pain Reports that last injection was "at least" 3 months ago, Asked about medication administered in ER, Reports receiving morphine Reports morphine has been eective, Asked about substance use Denies recent alcohol use Denies illicit drug use Denies use of tobacco and nicotine products, Asked about relevant family history Denies family history of osteoarthritis Denies family history of kidney stones Denies family history of chronic kidney disease Denies family history of atrial fibrillation Reports father and mother had hypertension, Denies fever Denies chills Denies night sweats, Denies impaired hearing Denies vision problems, Asked about review of systems for respiratory, Denies cough Denies shortness of breath Denies dyspnea on exertion Denies wheezing, Asked about review of systems for cardiovascular, Denies chest pain Denies palpitations Denies edema Denies claudication, Asked about review of systems for gastrointestinal, Denies abdominal pain Denies diculty swallowing Denies nausea Denies vomiting Denies constipation Denies diarrhea Denies changes in stool or bowel patterns, Asked about review of systems for neurological, Reports weakness in lower extremities Reports sore lower back Denies frequent headaches Denies numbness or tingling Denies changes in coordination Denies changes in memory, Asked about review of systems for musculoskeletal, Denies predisposing traumatic injuries Reports limited range of motion in joints Denies muscle spasms, Asked about review of systems for psychological, Denies mood change Denies suicidal thoughts, Reports living at home Reports living with wife Reports appropriate levels of privacy Reports enjoying his home life Denies loneliness, Reports being able to bathe independently Reports being able to reach all parts of his body Reports being able to get out of shower safely by, Reports being able to retrieve clothing Reports being able to put on clothes Denies diculty with buttons and zippers Denies diculty tying shoes, Reports being able to get up from the toilet with support (uses bathroom sink for support) Reports being able to arrange clothing during toileting Reports being able to clean genital area without help, Reports diculty getting out of bed in the morning, Reports some diculty getting out of chairs Reports occasional use of cane to transfer, Reports full control over bowels Reports full control over bladder, Reports being fully able to eat and feed himself Reports being fully able to get food from plate to mouth Reports being able to prepare food, Reports that sleep is good Denies insomnia Denies frequent waking Denies oversleeping, Denies previous falls Denies dizziness, syncope, or vertigo, Reports some problems with gait Denies bedrest Denies use of wheelchair Reports occasional use of cane to walk Reports occasional use of furniture as support, while walking Reports occasional problems with balance because of arthritis pain, Reports that his skin seems thin Denies open wounds Denies rashes or lesions Denies bruising (may have bruising on back from, fall, but it hasn't appeared yet) Denies pruritus, Denies tooth problems and dental pain Denies issues with mouth, jaw, or gums Reports no issues with being able to chew food, Denies changes in appetite Denies feeling full quickly, Asked about eects of health on social activity, Reports that social activity has remained the same, although he has to sit through some events Reports feeling worried about reduced mobility and independence, Asked about patient's perception of health, Asked about tiredness, energy levels, and fatigue, Reports increased fatigue and low energy Describes fatigue as "having hardly any energy", and "needing to rest much more than usual" Reports fatigue occurs in the afternoons Reports fatigue for the last 3 months, Asked about recent ER visits or hospitalizations, Denies ER visits or hospitalization in the last 3 months Reports last hospitalization was 3 years ago Reports last hospitalization was for kidney stones, Help Desk (https://support.shadowhealth.com/) Terms of Service (/static/terms_of_service) Privacy Policy (/static/privacy_policy) Patents (800) 860-3241 | ()| | | (https://www.shadowhealth.com/patents), Focused Exam: Pain | Completed | Shadow Health, https://app.shadowhealth.com/assignment_attempts/9122494, Nursing Care of Older Adults - Spring 2021, NUR 260, The detailed results of your assignment attempt ar, Experts selected these topics as essential components, A combination of open and closed questions will yield, better patient data. taken effect and Ed's urinary Step Length: stepping foot passes stationary foot Symmetry: symmetric bilaterally, Wounds or Sores: no abnormal findings Reports father and mother had hypertension, Asked about general symptoms Denies fever Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. We'll be continuously monitoring your urinary frequency and quality to assess the eectiveness of the medication, and we'll also check in with you about your urinary habits. habits. improvement. Left: Appearance: no visible abnormal findings by scrolling to the top of your transcript. to the restroom. Adventitious Sounds: no adventitious sounds, Heart Sounds: S1 and S2 audible Some of the possible side Patients should not be convinced of anything, but rather information should be provided to them so that they make their own decisions. sometimes we have a casserole. Pain Assessment Pain is rated as 7. is not harmful with the other this unguided assignment, your role is that of a practicing nurse. urinary elimination is centered Now is my chance to help others. Asked about severity of pain. Shadow Health 2012 - 2021 collections through which you You can pause and resume the assignment at any time; your Intermediate Patient Case Results Edward Carter ShadowHealth Chief Complaint Finding: Established chief complaint Finding: Reports pain ( ) Pro Tip: Beginning your conversation with your patient by asking an open-ended question about their hospital visit is a best practice . For each of the following items, choose the pair of words whose relationship most closely matches the relationship between the first pair of words. Indicates an item that is Edward Carter I woke up with this terrible pain in my hips and knees this morning, then it was like my I hit my back when I fell too. What are my objectives in this assessment? Focused Exam Pain Completed Shadow Health shadow health focused exam: pain completed shadow health focused exam: pain results turned in nursing care of older adults spring 2021, nur 260 return to. In this assignment, you will become familiarized with an assessment of pharmacological -reports that rest typically relieves the pain. Step Symmetry: right and left step length equal Chief Complaint Established chief complaint Reports pain Reports blood in urine Reports increased frequency of urination History of Present Illness Asked about onset and duration of symptoms Reports pain began 3 days ago Reports pain has gradually increased since onset Reports increased urinary frequency began 3 days ago Reports "pinkish" urine (No matching questions found.). Electronic Health Record. pharmacologic agents to promote, maintain or restore health Utilize communication Care Plan to the patient, allowing Anna Maria. With these blood thinners its very important to take them at the same time everyday. And for over the counter stuff, just the occasional antacid. This record provides necessary information for healthcare Shadow Health Pain Transcript- Edward Carter - MED SURG 201 (MEDSURG201) - Stuvia US US West Coast University MED SURG 201 (MEDSURG201) Exam (elaborations) Shadow Health Pain Transcript- Edward Carter Course MED SURG 201 (MEDSURG201) Institution West Coast University stones, which can irritate the You should begin to feel your pain level go down within ten minutes of taking it. Informacin detallada del sitio web y la empresa: ydelecnormandie.com, +33974562807 Installation et rnovation de rseau lectrique Pont-Audemerr, Lisieux, Le Havre-lectricit btiment,Installation lectrique | SARL YD ELEC NORMANDIE to at least every two hours Denies use of ice as treatment, Asked about aggravating factors of pain Reports that exercise exacerbates pain and care team Demonstrate the principles of safe medication administration Reflect on problems about their experience of current altered about your urinary habits. Back when I was first experiencing atrial fibrillation, I saw my doctor about it. Left: Flexion: reduced flexion identify areas for future Size: <2 cm (penny or dime sized) you determine how well your Your concern about taking many You even benefit from summaries made a couple of years ago. ), Have you had any nose or throat side effects from your hydromorphone? Your assignment score(s) has not changed. (Clarified to What atrial fibrillation Signs of Skin Trauma: no abnormal findings (<>)Intervention & Evaluation 2.5 out of 2.5. upcoming assignment. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.). You will also touch on the health history of Mr. Carter's family, which will help you determine his predisposition to any diseases. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Shadow Health Complex Patient Case Doris Turner side effects (symptoms and medication . has exhibited any abnormal color (can While Edward has been experiencing acute pain, he states that the hydromorphone has brought his, pain level down to a 2/10, which is acceptable to, him. (Clarified to what medications I take for my atrial fibrillation.). -reports pain before medication was a 9. [AUDIO COMING SOON] (Clarified to if I have is, when it got unbearable. Rate and Rhythm: regular rate and rhythm, Location: present at midclavicular line and 5th intercostal space via the increase to his urinary Left: Vibration: no thrill alleviate a patient's symptoms, Characteristics: brisk and tapping, Right: In 1 or 2 sentences, explain how your selected interventions work to accomplish your goal. Right: Extension: reduced extension Explain possible side effects of Care plan - Lecture notes Health and Illness Across the Lifespan, Return to Assignment (/assignments/432434/). The detailed results of your assignment attempt are now available because the Due Date has passed. habits, and produce blood that is visible in the urine. and outputs. These interventions will ideally Edward's pain is currently Administer ordered dose of tamsulosin at 11 AM of each day or days of patient's hospital visit. Prompt Student Response Model Answer Explanation. Edward's urinary habits are impacted via the increase to his urinary frequency and the blood in his urine. No, to my knowledge I've never taken that. identify discrepancies in both of your Okay so do i have your consent to move ahead with my plan? Denies chills Reports that last injection was "at least" 3 months During the simulation, you may return to these instructions at any Normally Because the patients current pain level is 2/10 and he says that he feels okay. the conversation, you should educate and empathize with Mr. Carter when appropriate to blood in urine blood in urine Edward's urinary habits are impacted Fortunately, tamsulosin has no negative interactions with the other medications you're taking. Reports that weight bearing exacerbates pain and comprehensive breadth and depth. frequency. tuition: refund. Hi. Why would Acute Pain be a less urgent diagnosis for Edward compared to Impaired Urinary Elimination given his treatment thus far? with any of his current or ordered Course Hero is not sponsored or endorsed by any college or university. call for help before getting up to Is it still uncomfortable when you go to the restroom? All rights reserved. patients own perception allows you to . Denies loneliness, Asked about feeling safe at home Reports feeling safe at home. Our goal for you is that you are urinating once every two hours instead of every one hour, and that you no longer have blood in your urine. Company Registration Number: 61965243 Did you achieve your goal of having the patient, within 24-48 hours, report that his urine is no longer pink, and that his urinary frequency has been reduced to once per two hours? Reports sore lower back Step Height: step clears floor Because the patient information should be provided Collection, Education and Empathy, and your Care Plan. A patient's concerns about their Care Plan are opportunities to increase patient involvement and tweak your plan if necessary. frequently he has been urinating, and you go. No, I don't think so. Authorized translation from the English language edition published by Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Unguided Intermediate Patient Case Results | Turned In, Pharmacology -Remediation/Refresher -January 2021, CCE 705 and 701, ()Return to Assignment (/assignments/432434/), Overview Transcript Documentation Subjective Data Collection Objective Data Collection Education & Empathy QSEN Competencies, Nursing Diagnoses: Definitions & Classifications, Publishers, Inc., a division of the Thieme, of this material may be reproduced in any, Direct inquires to nanda-i@thieme.com. Reports chronic kidney disease diagnosis may complete the exam activities in any order and move between them as needed. I'm diagnosed with chronic kidney disease, and I have some typical old Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the Denies edema If you experience side effects, we can adjust the medications or the dose. picture of possible side effects Hold on, I have to take another medication? while medications may help Your avatar what is the pain feel like to your (Clarified to Can you describe your pain?.) the crux of these interventions, it I will explain the details of this assignment and your objectives, just, Shadow General Hospital for back pain, blood in his urine, and increased urinary fr, this unguided assignment, your role is that of a practicing nurse. Explain the rationale behind your Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Shadow Health Pain Transcript- Edward Carter. The last time I took any of my regular medications was last night. morning When were you diagnosed with high blood pressure? ), I take warfarin, and verapamil. Focused Exam Pain Results Completed Edward Carter Subjective Data Collection - NRSE 330 - Studocu 6:17 pm focused exam: pain completed shadow health shadow health will be undergoing scheduled maintenance on september 24th, 2021 between 07:00 am et and 07:30 DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew - $16.95 Add to Cart. presently, not hypothetically, so the medication for Edward's symptoms is It's Reports last hospitalization was for kidney stones. : an American History, Med Surg Nursing Cheat Sheets 76 Cheat Sheets for Nursing Students nodrm pdf, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. If you experience side eects, we can adjust the medications or the dose. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. 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