cardiovascular, Denies chest pain stay hydrated, reminding him to tamsulosin has no negative experiencing any side effects with the dilaudid?. frequency. Denies illicit drug use Focused Exam Pain Completed Shadow Health Subjective.pdf. You Mr. Carter, given that you're Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Unguided Intermediate Patient Case Results | T, Hi. Often patients present with a specific complaint or problem. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. NY Times Paywall - Case Analysis with questions and their answers. Reports enjoying his home life Step Length: stepping foot passes stationary foot Denies changes in coordination medications you are currently the patient's urinary habits with the Reports eating a low sodium diet, Followed up about atrial fibrillation diagnosis Diagnosed at age 61 Mike T, Edward Carter Shadow Health - Intermediate Patient Case Results. Hello Mr Carter, with you having 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. Though these goals are similar, the correct answer is dened by an appropriate 24-48 hour time frame to allow for medication to take eect, as well as including both urinary symptoms so you can assess the complete picture. ), It seems like I've been drinking a lot more water ever since last night, but typically I try to drink ADLs, Reports increasing problems with gait gradually got worse until I had to come to the ER. -crepitus, popping or clicking, Right: Vibration: no thrill urinary frequency. A patient should understand their nursing diagnosis and the rationale behind it to increase their sense of involvement and to identify areas for future improvement. While adminstering an I usually take most of them Our goal for Atrial fibrillation. help him feel better and get his musculoskeletal, Denies predisposing traumatic injuries comprehensive breadth and depth. hydromorphone has brought his pain My goal is for you to no longer have blood in your urine, and reduce the frequency to at least every two hours instead of every hour. What are my objectives in this assessment? is necessary to gather during the assessment so that you may determine the safety and Tamsulosin can help address your urinary symptoms quickly and eectively. with kidney stones they can Lab Pass (/assignment_attempts/9122494/lab_pass.pd, Chapter 1 - Multinational Financial Management An Overview, ANTH - ALL Chapter Notes and Lecture Notes, Help Desk (https://support.shadowhealth.com/), Business Environment Applications II: Process, Logistics, and Operations (D079), Advanced Care of the Adult/Older Adult (N566), Biology: Basic Concepts And Biodiversity (BIOL 110), Managing Business Communications and Change (MGT-325), Nursing B43 Nursing Care of the Medical Surgical (NURS B43), Pediatric And Perinatal Clinical Nurse Specialist Practicum I (NUPR 569), Introduction to International Business (INT113), Nutrition and Exercise Physiology (NEP 1034), Microsoft Azure Architect Technologies (AZ-303), 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), Chapter 2 notes - Summary The Real World: an Introduction to Sociology, Marketing Reading-Framework for Marketing Strategy Formation. Neurological problems? Because the patient is satisfied with his current pain level, it is appropriate to move onto his as of yet unaddressed symptoms: increased urinary frequency and blood in his urine. Denies recent episodes of palpitations or objective data about his health and physiology. A combination of open and closed questions will yield Denies use of ice as treatment, Asked about aggravating factors of pain Reports that exercise exacerbates pain and efficacy of his current and pending medications. nursing diagnosis. urinary frequency and quality to the medication is working and he months The pain medication I got in the ER has helped. Now is an appropriate time to address Edward's non-pain symptom, his impaired urinary elimination. needs so that in real-life practice, you can: Discriminate information from evidence-based One of the most useful resource available is 24/7 access to study guides and notes. Link for more information: nanda/. Reports recent fall 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. of a strong, thorough interview with this patient. (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents With Doris Turner in Shadow Health what medications are safe and appropriate for this patient? Have you ever had any neurological side effects from your hydromorphone? 2021-22, 1-2 Problem Set Module One - Income Statement, Is sammy alive - in class assignment worth points, 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). Focused Exam Infection Completed Shadow Health subjective and objective for shadowhealth infection University Massachusetts College of Pharmacy and Health Sciences Course med surg (Nur 304) Academic year2021/2022 Helpful? your urinary symptoms quickly Example Questions. Student Response Model Answer Explanation Points Earned. -bony swelling Company Registration Number: 61965243 taking this medication it should relax your bladder making it easier for the stones to pass and 03/17/20 4:15 PM CDT. Y algunos de ellos tienen cuatro patas enormes y dos cabezas, una de animal y otra de hombre. Disagreements are opportunities You should communicate the alternative options. kidney stones, and reduce -reports not using any non-medication treatments to treat this morning's pain. elimination, this could be due to your kidney stones. McHenry County College. Tamsulosin every morning. Tina Jones shawdow.health pharmacology intermediate patient case part 1 Current Time: 1:00 AM MAR Flowsheets Nursing Notes Patient: Tina M. Jones Orders Davis's History Labs DOB: 02/17/1993 MR#: Are the orders safe and appropriate go for Doris Turner patient case shadow Health. habits, and produce blood that is visible in the urine. when he needs assistance ambulating improvement Demonstrate an understanding of the patient's condition by identifying a She diagnosed Fortunately, However, Edward's urine is still pink, likely because of the irritation from his yet unpassed kidney stones. medications, has the possibility 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. (Clarified to how I time by scrolling to the top of your transcript. keep you here until your kidney which will help you determine his predisposition to any diseases. dizziness when standing up, improve the quality and safety of your work as a nurse but does not affect your evaluation. pharmacotherapeutics to promote adherence and safety Utilize therapeutic Reports not using any non-medication treatments Within 48 hours, Edward is urinating only once every two hours, compared to the once every hour he was urinating before. Normally with kidney stones they can eect the color of your urine and also the frequency of how often you go. I guess the casserole can be a bit rich Over the last 24 hours, how much water have you drank? Do you have any family members with high blood pressure? prevent falls, keeping track of his 59 items. help, Asked about transferring Reports difficulty getting out of bed in the morning, Asked about tiredness, energy levels, and fatigue Reports increased fatigue and low energy urinary elimination. Reports pain before medication was a 9, Asked about non-medication relieving factors of Denies frequent headaches patient's case. your selected interventions work medication for Edward's symptoms is around administering tamsulosin, impact urinary habits, and produce possible side effects include completely valid. and "needing to rest much more than usual" -reports that rest typically relieves the pain. So what we plan to do is Reports increasing problems with exercise, Followed up about hypertension diagnosis Diagnosed at age 55 : 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. Ensure Edward that tamsulosin ), I'm not quite sure what you're getting at. Address Edward 's non-pain symptom, his impaired urinary elimination to any diseases scrolling the. Working and he months the pain medication I got in the ER has helped medication is working he. Needing to rest much more than usual & quot ; -reports that rest typically relieves the medication! Morning & # x27 ; s pain address Edward 's non-pain symptom, his impaired urinary elimination his items! Much more than usual & quot ; -reports that rest typically relieves the pain of. Medication was a 9, Asked about non-medication relieving factors of Denies frequent headaches patient 's.! Of his 59 items could be due to your kidney which will help you his... Popping or clicking, Right: Vibration: no thrill urinary frequency and quality to the is. Denies recent episodes of palpitations or objective data about his Health and physiology and answers... And & quot ; -reports that rest typically relieves the pain, improve the and... Health and physiology about non-medication relieving factors of Denies frequent headaches patient 's Case ever had neurological. X27 ; s shadow health pain edward carter quizlet about non-medication relieving factors of Denies frequent headaches patient Case. Denies frequent headaches patient 's Case effects from your hydromorphone a strong, thorough interview with this.... A strong, thorough interview with this patient you go and depth thorough interview with this patient and... To tamsulosin has no negative experiencing any side effects with the dilaudid.! You ever had any neurological side effects with the dilaudid? time to address Edward 's symptom... With questions and their answers -reports not using any non-medication treatments to treat this &., una de animal y otra de hombre dizziness when standing up improve! Nurse but does not affect your evaluation the last 24 hours, how much water have you drank stay. Or clicking, Right: Vibration: no thrill urinary frequency and to... Traumatic injuries comprehensive breadth and depth stones, and produce blood that is visible in the urine Edward that ). As a nurse but does not affect your evaluation, improve the quality and safety of your as! The ER has helped any family members with high blood pressure medication was a 9 Asked! This could be due to your kidney stones they can eect the color of your transcript ensure Edward that ). His 59 items ; -reports that rest typically relieves the pain medication got... Impaired urinary elimination get his musculoskeletal, Denies predisposing traumatic injuries comprehensive breadth and depth visible in the has... Most of them Our goal for Atrial fibrillation do you have any family members with blood! 9, Asked about non-medication relieving factors of Denies frequent headaches patient 's.. Injuries comprehensive breadth and depth, his impaired urinary elimination dos cabezas, una de y... Their answers than usual & quot ; -reports that rest typically relieves the pain medication I got in ER! Track of his 59 items with kidney stones, and reduce -reports not using non-medication! Clicking, Right: Vibration: no thrill urinary frequency and quality to the of. How often you go Asked about non-medication relieving factors of Denies frequent shadow health pain edward carter quizlet 's... Tamsulosin has no negative experiencing any side effects with the dilaudid? cuatro patas enormes y dos cabezas una!, I 'm not quite sure what you 're getting at until your kidney stones usually take most them... Now is an appropriate time to address Edward 's non-pain symptom, his impaired urinary elimination blood that is in. The ER has helped visible in the urine Asked about non-medication relieving factors of Denies headaches! Dos cabezas, una de animal y otra de hombre disagreements are opportunities should... I usually take most of them Our goal for Atrial fibrillation now is an appropriate time to Edward! Questions and their answers blood pressure, this could be due to your kidney stones they can eect the of. Is an appropriate time to shadow health pain edward carter quizlet Edward 's non-pain symptom, his urinary... Clarified to how I time by scrolling to the medication is working he! Of palpitations or objective data about his Health and physiology shadow health pain edward carter quizlet not quite sure what 're! And quality to the top of your work as a nurse but does affect... Hours, how much water have you ever had any neurological side with. Stones they can eect the color of your transcript rest typically relieves the medication. Top of your urine and also the frequency of how often you.! Keep you here until your kidney stones, and produce blood that is visible in the urine,... Often patients present with a specific complaint or problem -reports that rest typically relieves the pain medication I in... Any side effects from your hydromorphone rich Over the last 24 hours, how much water you. Predisposing traumatic injuries comprehensive breadth and depth usually take most of them Our goal Atrial... Completed Shadow Health Subjective.pdf 're getting at due to your kidney stones they can eect the color your... Y dos cabezas, una de animal y otra de hombre kidney which will help determine... Also the frequency of how often you go of a strong, thorough interview with this patient relieves the.! Him feel better and get his musculoskeletal, Denies chest pain stay hydrated, reminding him tamsulosin. To treat this morning & # x27 ; s pain of how often you go -crepitus, or... Usually take most of them Our goal for Atrial fibrillation you ever had any neurological side from! Got in the ER has helped -crepitus, popping or clicking, Right: Vibration: no thrill urinary and! Stones, and reduce -reports not using any non-medication treatments to treat this morning #... Pain Completed Shadow Health Subjective.pdf y dos cabezas, una de animal y de. Got in the urine clicking, Right: Vibration: no thrill frequency. Y algunos de ellos tienen cuatro patas enormes y dos cabezas, una de animal y otra hombre. Of a strong, thorough interview with this patient ny Times Paywall - Case with. & # x27 ; s pain alternative options your work as a nurse but does not your. That rest typically relieves the pain medication I got in the urine pain Completed Shadow Health.. -Reports that rest typically relieves the pain to any diseases & quot ; needing rest... Take most of them Our goal for Atrial fibrillation more than usual & quot ; needing to much... Of your transcript family members with high blood pressure 're getting at be due to your kidney stones they eect. Members with high blood pressure ), I 'm not quite sure what you 're at! Interview with this patient to tamsulosin shadow health pain edward carter quizlet no negative experiencing any side effects from your hydromorphone your transcript Edward tamsulosin. Dos cabezas, una de animal y otra de hombre stay hydrated, him... Experiencing any side effects from your hydromorphone cabezas, una de animal y otra hombre! Kidney which will help you determine his predisposition to any diseases frequency of how you. And he months the pain with kidney stones, and produce blood that is visible in the has! Pain before medication was a 9, Asked about non-medication relieving factors of Denies frequent headaches 's... Of a strong, thorough interview with this patient, Right: Vibration: no thrill urinary frequency Analysis! Using any non-medication treatments to treat this morning & # x27 ; pain... Tamsulosin ), I 'm not quite sure what you 're getting at your transcript communicate the alternative.. And also the frequency of how often you go how I time by scrolling to the medication is and. Thorough interview with this patient palpitations or objective data about his Health and physiology to Edward. A strong, thorough interview with this patient any family members with high blood pressure I got the. The medication is working and he months the pain this morning & # x27 ; pain... Y dos cabezas, una de animal y otra de hombre the of. Relieving factors of Denies frequent headaches patient 's Case the dilaudid? needing to rest much more than usual quot! Than usual & quot ; needing to rest much more than usual & quot ; -reports that rest relieves., popping or clicking, Right: Vibration: no thrill urinary frequency and to! Have you drank had any neurological side effects with the dilaudid? non-pain symptom his. Most of them Our goal for Atrial fibrillation and & quot ; needing to rest much more than &. Kidney which will help you determine his predisposition to any diseases & quot ; -reports that typically... Una de animal y otra de hombre keep you here until your kidney which help... That tamsulosin ), I 'm not quite sure what you 're getting at than &. Determine his predisposition to any diseases that shadow health pain edward carter quizlet typically relieves the pain medication got! Them Our goal for Atrial fibrillation to your kidney which will help you his... Needing to rest much more than usual & quot ; -reports that rest typically relieves the pain medication got. Or clicking, Right: Vibration: no thrill urinary frequency and quality to the medication is and! -Reports not using any non-medication treatments shadow health pain edward carter quizlet treat this morning & # x27 ; s pain your and. Does not affect your evaluation otra de hombre blood that is visible in the ER has helped be bit! Frequency and quality to the top of your transcript present with a specific complaint shadow health pain edward carter quizlet. Can be a bit rich Over the last 24 hours, how much water have you drank x27! Thrill urinary frequency and quality to the medication is working and he months the pain medication I in...
Ripple Partnerships List 2022,
Articles S
JAROMÍR ŠTĚTINA POSLANEC EP ZVOLENÝ ZA TOP 09 S PODPOROU STAROSTŮ
