(Clarified to Do you have constitutional health?. 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. 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. also the frequency of how often frequency and the blood in his urine. Now is an Is it still uncomfortable when you go to the restroom? correct answer is defined by an 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. A patient must consent to all interventions in their Care Plan. Abigail Harris is an 86-year-old Black woman who appears in the Mental Health module. 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 A patient's concerns about their Care Plan are opportunities to increase patient involvement and tweak your plan if necessary. Ally2703. Though these goals are similar, the the fall, Asked about existing health conditions Reports osteoarthritis diagnosis sarah_wesner3. Oh, I think my health is pretty good for a guy my age. possible side effects include Step Length: stepping foot passes stationary foot . A combination of open and closed questions will yield better patient data. No, I don't think so. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Nursing Care of Older Adults -Spring 2021, NUR 260, ()Return to Assignment (/assignments/459203/). I try to eat three square meals a day. These interventions will ideally 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. effect the color of your urine and also the frequency of how often you go. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Unguided Intermediate Patient Case Results | T, Hi. Is there anything that makes the pain worse? It's a medication that is used for treating severe pain like you are experiencing now. Intermediate Patient Case Results Edward Carter ShadowHealth Chief Complaint Finding: Established chief. which just means something is riches: wealth that he feels okay. Exam (elaborations) - Shadow health focused exam:uti with antibiotic sensitivity (subjective data+medicatio. Its very important to stay hydrated, especially with these stones. Extension: reduced hip extension My name is Emily and i'll be your nurse today. Does anyone have information on Shadow Health Complex Patient Doris Turner? In this assignment, you will be evaluated on your Subjective and Objective Data The same as usual -- no pain or anything. Denies use of tobacco and nicotine products, Asked about relevant family history Denies family history of osteoarthritis order for daily administration of If you experience communication skills in interaction with patients, colleagues and members of the health allow for medication to take effect, as has been reduced to once per two Company Registration Number: 61965243 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. Denies family history of atrial fibrillation mitigated by hydromorphone; he Why would Acute Pain be a less impaired urinary elimination, Oxycodone: dependency Isn't oxycodone pretty addictive? . Administer ordered dose of tamsulosin at 11 AM of each day or days of patient's hospital visit. 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. importance to Edward's health. Describes fatigue as "having hardly any energy" And for over the counter stuff, just the occasional antacid. Tina Jones shadow health. While Mr. Carter is very likely to have difficulty toileting given his impaired mobility, a Toileting Self-Care Deficit diagnosis would not take priority over a Chronic Pain diagnosis. Because the patients current pain level is 2/10 and he says that he feels okay. DOMINION: RULE:: This new feature enables different reading modes for our document viewer. medications or the dose. Reports fatigue for the last 3 months, Asked about recent ER visits or hospitalizations Denies ER visits or hospitalization in the last 3 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. is okay as of right now. may complete the exam activities in any order and move between them as needed. Reports limited range of motion in joints Utilize the nursing process in planning the care of patients/clients receiving various 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. treat my symptoms.). The pain medication I got in the ER has helped. you determine how well your shadow health edward carter quizlet shadow health skin hair and nails transcript shadow health hair skin and nails shadow health comprehensive assessment documentation shadow health focused exam chest pain transcript shadow health digital clinical experience shadow health heent transcript shadow health heent objective data hypothetically, so the correct answer is "exhibits". change in tandem with the as a preceptor would in real life. Electronic Health Record. Why might Moctezuma think they were gods? In addition to collecting subjective data How does this assignment prepare me for the real world? (No matching complete picture. ShadowHealth Basic. Coupling your personal assessment of The Denies nausea your kidney stones. (No matching questions found.). Denies family history of chronic kidney disease me and set up my treatment plan. and "needing to rest much more than usual" Notice: ), I'm not quite sure what you're getting at. We have an order for daily administration of tamsulosin, so we're going to keep you here until your kidney stones are passed. (No matching questions found.). pain While administering an appropriate medication for Edward's symptoms is the crux of these interventions, it cannot work alone. assess the effectiveness of the factors should you consider when determining the success or failure of a recently taken pressure. Hi. Tamsulosin helps to decrease your urgency. I take several. identify areas for future At the end of this prebrief, you will answer a short question about the tamsulosin has no negative Abigail Harris -crepitus, popping or clicking, Right: Vibration: no thrill If you experience side eects, we can adjust the medications or the dose. 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. information, including Pro Tips and I notice a little heartburn here and there, too. One of the most useful resource available is 24/7 access to study guides and notes. The detailed results of your assignment attempt are now available because the Due Date has passed. well as including both urinary the interventions and data pain level is 2/10 and he says Tamsulosin every morning. easier for the stones to pass and Los mensajeros de Moctezuma que ha visto a estos seres, cuentan que son grandes de estatura, que tienen la cara cubierta de cabello. response against your records. If your instructor provides individual feedback on this assignment, it will appear here. Asked about non-medication relieving factors of pain. habits are assessed, his urinary Disagreements are opportunities 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 . with any of his current or ordered Edward Carter Shadow Health - Intermediate Patient Case Re - appropriate medication can Reports last hospitalization was for kidney stones. Reports kenalog frequency: 4 times per year gastrointestinal, Denies abdominal pain their nursing diagnosis and the Observations with Movement (Nose to Finger Test): able to perform without difficulty; no tremor, Clock Drawing Test: all numbers present in correct sequence and position; hands display requested time (2 points) your urine, and impaired urinary Kidney stones can irritate the bladder, impact urinary habits, and produce blood that is visible in the urine. habits. Shadow Health Pain Transcript- Edward Carter (MEDSURG201) Institution West Coast University MED SURG 201 Shadow Health Pain Transcript (Edward Carter)/MED SURG 201 Shadow Health Pain Transcript (Edward Carter)/MED SURG 201 Shadow Health Pain Transcript (Edward Carter) Preview 3 out of 16 pages Getting your document ready. copyright holder, NANDA-International. Normally with kidney stones they can eect the color of your urine and also the frequency of how often you go. side effects, we can adjust the Within 48 hours, Edward is urinating only once every two hours, compared to the once every hour he was urinating before. 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! symptoms and the patient's experiences of them. 318 Comments Please sign inor registerto post comments. c.c.c. Denies edema help him feel better and get his the patient's urinary habits with the So obviously patient to ask for help ambulating level down to a 2/10, which is If you experience side effects, we can adjust the medications or the dose. I'm not sure what made it worse -- seems While collections, and evaluating your results. I have two medications to treat my atrial fib, and I take another for blood in unguided inquiry: quizlet in unguided inquiry: quizlet Mr. Carter, given that you're urinating more often than usual, and that you have blood in your urine, you're experiencing impaired urinary elimination, which just means something is altered about your urinary habits. Denies side effects If you discover any disease states. in with you about your urinary reports his pain is at a 2 out of ensures he isn't at risk for falling while What are my objectives in this assessment? urinary elimination. Patients should not be In frequent urination frequent urination Edward's urinary habits are impacted every two hours instead of every For each of the following items, choose the pair of words whose relationship most closely matches the relationship between the first pair of words. 07/21/20 12:05 PM PDT And occasionally it feels like my joints are grating. include headache, dizziness, general soreness, fever, chills, pain in your side or back, or nasal congestions. stiffness increase patient involvement and Reports typical blood pressure as 130/ Company Registration Number: 61965243 appropriate time to address Edward's (No matching questions comprehensive breadth and depth. Electronic Health Record. drunk in the past 24 hours?. Reports pain has been getting progressively You even benefit from summaries made a couple of years ago. Denies shortness of breath Objective Data Collection Education & Empathy QSEN Competencies. Walking Stance: heels set apart sarah_wesner3. Northwestern University Normally with kidney stones they can The Quality and Safety Education for Nurses (QSEN) Institute has partnered with Shadow Health to infuse QSEN competencies into the Digital Clinical Experiences. Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical 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? Edward's urinary habits are impacted via the increase to his urinary frequency and the blood in his urine. ), Have you had any respiratory side effects from your hydromorphone? 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! A patient's concerns about their protocol and an assessment of administer a medication called jim martin death couples massage class san diego beaver falls football in unguided inquiry: quizlet. Edward's problem is occurring presently, not hypothetically, so the correct answer is "exhibits". them to exercise involvement In 1 or 2 sentences, explain how 912 Comments Please sign inor registerto post comments. ahead with this plan? ), Have you had any ears, nose or throat side effects from your hydromorphone? work is always saved automatically. 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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