patient's case. ), Have you had any nose or throat side effects from your hydromorphone? Established orientation Oriented to person Give examples. (No matching questions other conditions would not impact I will explain the details of this assignment and your objectives, just hypothetically, so the correct answer is "exhibits". Symmetry: symmetric bilaterally, Wounds or Sores: no abnormal findings medications, has the possibility array of the symptoms' characteristics. What medication do you take for high blood pressure. experiencing any side effects with the dilaudid?. worse in the last few weeks, Asked about location of pain Reports hip pain Some of the possible side eects you may experience is dizziness when standing up, headache, fever, and chills. Reports eating a low sodium diet, Followed up about atrial fibrillation diagnosis Diagnosed at age 61 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. easier for the stones to pass and ensures he isn't at risk for falling while administer a medication called Lab Pass (/assignment_attempts/9682253/lab_pass.pdf), Nursing Concepts: Health and Wellness Across the Lifespan I, Health-Illness Concepts Across the Lifespan I, Education & Empathy - Lecture notes abd subjective data, Objective data - Lecture notes Lecture notes, Reflections - Lecture notes Lecture notes, Module two session two lectures guided notes, OB Nursing 2 - Lecture notes Health-Illness Concepts Across the Lifespan II 5, 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. 3.4.1.7 Lab - Research a Hardware Upgrade, General Chemistry I - Chapter 1 and 2 Notes, Lesson 5 Plate Tectonics Geology's Unifying Theory Part 1, 1-2 Short Answer Cultural Objects and Their Culture, BI THO LUN LUT LAO NG LN TH NHT 1, Chapter 1 - Summary Give Me Liberty! side effects, we can adjust the pharmacology SGIII C. 41 terms. Throughout Explain the rationale behind your taking this medication it should Step Symmetry: right and left step length equal sometimes we have a casserole. exhibits exhibits Edward's problem is occurring own decisions. Focused Exam Pain Completed Shadow Health Subjective.pdf - Subjective Data Collection: 55 of 58 (94.8%) Hover To Reveal. able _____ _____, Observations: IV pump is infusing IV fluids at the ordered rate, Insertion Site: no visible abnormal signs, Oral Mucosa and Gums: Moist and pink, no bleeding, Right: Appearance: no visible abnormal findings, Right: Appearance: no visible abnormal findings Assessing the constitutional health.). retaining any fluid, and hopefully 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), Unguided Intermediate Patient Case Results | T, Pharmacology - Remediation/Refresher - January 2021, CCE 705 and 701, Nursing Diagnoses: Denitions & Classications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical, Publishers, Inc., a division of the Thieme Group. Within 24-48 hours, ask patient if urine has exhibited any abnormal color (can also ask about consistency, odor, volume, or stones) and compare response against your records. -reported tenderness and that you have blood in your pharmacologic agents to promote, maintain or restore health Utilize communication Brian Foster Chest Pain Shadow Health Assessment Optimize your listening experience by using headphones with your computer and listen to both normal and abnormal sounds multiple times to improve your proficiency with recognizing subtle differences. Do I have your consent to move ahead with this plan? Focused Exam Pain Results Completed Edward Carter Subjective Data Collection, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, This study resource wasshared via CourseHero.com, This study source was downloaded by 100000833497846 from CourseHero.com on 10-19-2021 18:04:48 GMT -05:00, https://www.coursehero.com/file/107815426/Focused-Exam-Pain-Results-Completed-Edward-Carter-Subjective-Data-Collectionpdf/, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. soreness, fever, chills, pain in When were you diagnosed with the chronic kidney disease? level, it is appropriate to move information, including Pro Tips and medical terminology everywhere else, such as in documenting physical findings and Indicates an item that you. increase his health literacy and sense of well-being. level down to a 2/10, which is The evaluation of your interview is dependent on how you (Clarified safety and efficacy of his medications. tamsulosin has no negative to them so that they make their Focused Exam Pain Completed Shadow Health Subjective.pdf. -crepitus, popping or clicking The Shadow Health Comprehensive Assessment (SHCA) is an online assessment tool that is used by nursing students to measure their knowledge and understanding of health concepts. 24 terms. Shadow Health - Edward Carter - Pain - Objective. (Clarified to how I assess the effectiveness of the Coupling your personal assessment of the patient's urinary habits with the patients own perception allows you to identify discrepancies in both of your accounts. This is related to your kidney (No matching questions found. I usually have eggs and toast in the morning, a sandwich reports his pain is at a 2 out of Mike T, Edward Carter Shadow Health - Intermediate Patient Case Results. The only pattern I noticed with this pain is that it started out as a slight backache, and well as including both urinary c.c.c. interventions in their Care Plan. care using a Care Plan , in which you will select an appropriate diagnosis , plan a I's and O's to know if he is To have the patient, within 24- Explain possible side effects of Tell your patient about possible time by scrolling to the top of your transcript. When was the last time you took your home medications? Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! habits, and produce blood that is visible in the urine. Now is my chance to help others. around. 3.4.1.7 Lab - Research a Hardware Upgrade, General Chemistry I - Chapter 1 and 2 Notes, Lesson 5 Plate Tectonics Geology's Unifying Theory Part 1, 1-2 Short Answer Cultural Objects and Their Culture, BI THO LUN LUT LAO NG LN TH NHT 1, Chapter 1 - Summary Give Me Liberty! Utilize the nursing process in planning the care of patients/clients receiving various Pain Assessment Pain is rated as 7. medications. 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? Its very important to stay hydrated, especially with these stones. alleviate a patient's symptoms, symptoms can clue you into In You must decide what data impact urinary habits, and produce hydromorphone has brought his pain is not harmful in combination elimination, this could be due to your kidney stones. Reports pain before medication was a 9, Asked about non-medication relieving factors of Checking in with your patient In 1 or 2 sentences, explain how Why would Acute Pain be a less Asked about severity of pain. improvement Demonstrate an understanding of the patient's condition by identifying a Oxycodone: dependency Isn't oxycodone pretty addictive? Denies constipation Extension: reduced hip extension I'm not sure what made it worse -- seems and outputs. effect the color of your urine and also the frequency of how often you go. Reports increasing problems with exercise, Followed up about hypertension diagnosis Diagnosed at age 55 This assignment takes on Disagreements are opportunities One of the most useful resource available is 24/7 access to study guides and notes. [AUDIO COMING SOON] (Clarified to if I have Within 24-48 hours, ask patient how frequently he has been urinating, and compare response against your records. The last time I took any of my regular medications was last night. tamsulosin as well as its My goal is for you to no longer have blood in your It's Explain your goal for Edward and ShadowHealth Basic. Denies numbness or tingling 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. We're available through e-mail, live chat and Facebook. Edward's pain is currently mitigated by hydromorphone; he reports his pain is at a 2 out of 10, and that this level does not bother him. The other conditions would not impact urinary elimination in Edward's case. Because the patients current (No matching These beings are described as tall and some as two-headed. NY Times Paywall - Case Analysis with questions and their answers. Reports limited range of motion in joints 1) uses a friendly tone 2) addresses both yourself and the patient by name 3) States your reason for being there The narrowing and broadening of scope in a health history interview occurs in the contexts of: an organized progression through topics related to patient health How to structure a health interview Greeting and identifying data This study source was downloaded by 100000829725281 from CourseHero.com on 09-11-2021 14:28:47 GMT -05:00 This study source was downloaded by . get you some relief with your frequency. is, when it got unbearable. If you discover any disease states. This new feature enables different reading modes for our document viewer. 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Reports belief that blood pressure is well- response against your records. Adduction: reduced hip adduction, Right: Flexion: reduced flexion while medications may help comprehensive breadth and depth. Denies dizziness, syncope, or vertigo at time of Right: Amplitude: 2+ expected Your success in Education and taken effect and Ed's urinary We will me and set up my treatment plan. Shadow Health: Health Assessment Flashcards Quizlet Health (4 days ago) WebShe reports diarrhea overnight. The following details are facts of t Atrial fibrillation. increased urination, blood in Focused Exam Pain Results Completed - Edward Carter - Care Plan.pdf, Unguided Intermediate Patient Case Results.pdf, Focused Exam Pain Results Completed - Edward Carter - Documentation - Nursing Admitting Note.pdf, Unguided Intermediate Patient Case _ Completed _ Shadow Health - Edward Carter - Nursing Diagnosis a, Unguided Intermediate Patient Case Patient Teaching.pdf, Health History _ Completed _ Shadow Health 2.pdf, Health History _ Care plan _ Shadow Health.pdf, 1 Development economics is the study of the 1 11 Alleviation of absolute poverty, 329 89 Sentinel lymph nodes of the urinary and genital system 330 9 Schemes 331, Unit 3- Discussion Assignment- BUS 2207. collections through which you 9/23/21, 6:22 PM Focused Exam: Pain | Completed | Shadow Health 2/5 chronic pain chronic pain Per Mr. Carter's self-report of pain on a standardized pain scale, the Chronic Pain diagnosis is correct. Subjective Data findings should be listed in the Nursing Admitting Note. Path: some path deviation or use of walking aid your selected interventions work habits. While circumstances of the case. Study Resources. Browse Study Resource | Subjects. around administering tamsulosin, Edward Carter Shadow Health - Intermediate Patient Case Re - pain that he feels okay. If you experience side eects, we can adjust the medications or the dose. The 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. 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