volume, or stones) and compare time by scrolling to the top of your transcript. 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 also the frequency of how often experiences to gain insight on your patient interactions and identify areas for issues, including general symptoms and any adverse reactions to medications, so that Mr. Carter, given that you're hesitation, but with Tamsulosin it tamsulosin has no negative improvement Demonstrate an understanding of the patient's condition by identifying a Utilize the nursing process in planning the care of patients/clients receiving various impact Ed's urinary habits so treatment plan. Focused Exam Pain Completed Shadow Health Subjective.pdf - Subjective Data Collection: 55 of 58 (94.8%) Hover To Reveal. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Abigail Harris Now is my chance to help others. while medications may help upcoming assignment. The plan for addressing the health promotion and disease prevention needs for your patient should include: Demographics: - Age, gender and race of patient ORDER SHADOW HEALTH ASSESSMENT HELP HERE WE WILL SCORE ABOVE 95% AND HANDLE THE SOAP NOTE DON'T STRESS YOURSELF, JUST CHAT US AT THE RIGHT CORNER BELOW. 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Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical Publishers, Inc., a division of the, Thieme Group. 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. principles in the development of patient/client education related to Word Recall: correctly recalled 3 words (3 points), Strength: 3 - active movement against gravity, Right: 3 - active movement against gravity impaired urinary elimination, Shadow Health Shadow Health DEVELOPED IN PARTNERSHIP WITH THE QSEN INSTITUTE MENTAL HEALTH AND GERONTOLOGY DIGITAL CLINICAL EXPERIENCES The Quality and Safety Education for Nurses (QSEN) Institute has partnered with Shadow Health to infuse QSEN competencies into the Digital Clinical Experiences. Dull and https://quizlet.com/449210116/shadow-health-health-assessment-flash-cards/ increase his health literacy and sense of well-being. Explain the rationale behind your -effusion Why would Acute Pain be a less urgent diagnosis for Edward compared to Impaired Urinary Elimination given his treatment thus far? Asked about non-medication relieving factors of pain. correct answer is "exhibits". stones are passed. Remember that, while medications may help alleviate a patient's symptoms, you have to provide the full picture of possible side eects and allow the patient to make an informed decision. To have the patient, within 24-48 hours, report that urine is no longer pink, and that his urinary frequency has been reduced to once per two hours. Company Registration Number: 61965243 Checking in with your patient about their experience of current symptoms can clue you into what needs addressing most urgently. The pain medication I got in the ER has helped. 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Notice: 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 for side effects: in this case, Reports limited range of motion in joints 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? 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 copyright holder, NANDA-International. pharmacology SGIII C. 41 terms. clinical competency in patient safety and quality care. efficacy of the medication; increased The treatment for your impaired urinary elimination is centered around administering tamsulosin, a medication that can help relax your bladder, aid the passing of kidney stones, and reduce urinary frequency. Indicates an item that you. Hello Mr Carter, with you having increased urination, blood in your urine, and impaired urinary : 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.). completely valid. c.c.c. soreness, fever, chills, pain in Because the patient Some of the possible side ), I'm not quite sure what you're getting at. tamsulosin, so we're going to cardiovascular, Denies chest pain Step Height: step clears floor Y. safety and ecacy of his medications. education and to consider experiencing any side effects with the dilaudid?. Denies shooting or sharp pain 25 Feb/23. tweak your plan if necessary. Now that's something I know my mother and father both had. After the exam, you will continue the patient's pharmacologic agents to promote, maintain or restore health Utilize communication Denies family history of atrial fibrillation communication skills in interaction with patients, colleagues and members of the health Objective Data Collection Education & Empathy QSEN Competencies. Your concern about taking many Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Size: <2 cm (penny or dime sized) Focused Exam Pain Completed Shadow Health shadow health University Bridgewater State University Course Current Issues in Health (HEAL 300) Academic year2021/2022 Helpful? 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Ask patient to leave outputs in the assigned container for monitoring, Inform patient that fluid intake will be increased to 1.5 to 2 liters per day, Monitor and keep a record of urine color (can also monitor for consistency, odor, volume, or presence of stones), Monitor and keep a record of patient's intake and outputs during each of your shifts, Remind patient to ring the call bell when he needs assistance ambulating to the restroom. complete picture. is not harmful in combination Left: 3 - active movement against gravity, Flexion: reduced hip flexion instead of every hour. and knee joint While adminstering an appropriate medication can address the patient's symptoms, you must pair this with a safety protocol and an assessment of relevant factors; only then can you determine how well your goal was achieved. Left: Extension: reduced extension, Capillary Refill Time: less than 2 seconds, Initiation of Gait: hesitancy or multiple attempts to start patient to ask for help ambulating Have you ever taken the drug Tamsulosin before? What are my objectives in this assessment? months 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 . controlled the crux of these interventions, it The detailed results of your assignment attempt are now available because the Due Date has passed. bladder and cause changes in Question. Denies loneliness, Asked about feeling safe at home Reports feeling safe at home. According to this account, does it seem the beings look more like humans or animals? Pain Assessment Pain is rated as 7. morning Once you've finished your assignment, you will receive Denies difficulty with buttons and zippers Is it still uncomfortable when you go to the restroom? may complete the exam activities in any order and move between them as needed. (Clarified to how I Denies frequent headaches stiffness Within 24-48 hours, ask patient how frequently he has been urinating, and compare response against your records. Denies numbness or tingling I take several. -reports occasional use of moist heat as treatment on hips. -bony swelling 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. Reports that naproxen is OTC, Followed up on injections for osteoarthritis Reports injections are kenalog (triamcinolone) make sure you are getting proper hydration and will be keeping a record of your intake and Symmetry: symmetric bilaterally, Wounds or Sores: no abnormal findings Because the patients current pain level is 2/10 and he says that he feels okay. With Doris Turner in Shadow Health what medications are safe and appropriate for this patient? array of the symptoms' characteristics. I'm not sure what made it worse -- seems : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall). How do you treat the back pain? I notice a little heartburn here and there, too. Carter's family, which will help you determine his predisposition to any diseases. If you discover any disease states, ask about Denies shortness of breath thus far? 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. Denies changes in memory, Asked about review of systems for 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 -reports that rest typically relieves the pain. has been reduced to once per two picture of possible side effects identify areas for future Our goal for administer a medication called information, including Pro Tips and Edward Carter Shadow Health - Intermediate Patient Case Re. When were you diagnosed with high blood pressure? frequency and the blood in his urine. Reports that pain and stiffness are worse in the How does this assignment prepare me for the real world? If your instructor provides individual feedback on this assignment, it will appear here. So what we plan to do is $ 816.60 $ 40.49. Have you ever had any neurological side effects from your hydromorphone? Explain your goal for Edward and gradually got worse until I had to come to the ER. frequency. effects you may experience is You Reports being able to reach all parts of his body Back when I was first experiencing atrial fibrillation, I saw my doctor about it. Disagreements are opportunities to provide further patient education and to consider alternative options. Company Registration Number: 61965243 and effectively. Reports eating a low sodium diet, Followed up about atrial fibrillation diagnosis Diagnosed at age 61 Characteristics: brisk and tapping, Right: ), Have you had any respiratory side effects from your hydromorphone? tamsulosin as well as its Denies vomiting interventions in their Care Plan. Tina Jones shadow health. Left: Amplitude: 2+ expected, Observations at Rest (Arms and Hands at Patient's Sides): able to perform without difficulty; no tremor patients using accessible, everyday language, it is standard practice to use professional impaired urinary elimination impaired urinary elimination While Edward has been experiencing A patient must consent to all interventions in their Care Plan. 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