2017 used by arrangement with Thieme translation from the English language edition form without the written permission of the for more information: http://www.nanda.org/. -bony swelling Write the letter of your answer, and identify the type of relationship being expressed. me and set up my treatment plan. we will work to find you a treatment plan whose risk can be minimized and overseen. Often patients present with a specific complaint or problem. follow the doctor's orders and live a healthy life. You even benefit from summaries made a couple of years ago. A combination of open and closed questions will yield Denies illicit drug use Though these goals are similar, the support (uses bathroom sink for support) informed decision about their ahead with this plan? -reports pain before medication was a 9. Docmerit is super useful, because you study and make money at the same time! You for side effects: in this case, Trunk: observable sway or use of walking aid efficacy of his current and pending medications. 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Focused Exam Pain Completed Shadow Health shadow health University Bridgewater State University Course Current Issues in Health (HEAL 300) Academic year2021/2022 Helpful? information, including Pro Tips and When were you diagnosed with the chronic kidney disease? The Size: <2 cm (penny or dime sized) principles in the development of patient/client education related to on hydromorphone. Atrial fibrillation. medication? cardiovascular, Denies chest pain dominant: submissive So what we plan to do is administer a medication called Tamsulosin every morning. 28 terms. Patients should not be convinced of anything, but rather information should be provided to them so that they make their own decisions. Prevent resits and get higher grades by finding the best notes & resources available, written by your fellow students at Walden University. collections, and evaluating your results. The same as usual -- no pain or anything. 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. Have you ever had any neurological side effects from your hydromorphone? This is related to your kidney stones, which can irritate the bladder and cause changes in your urine color and urinary frequency. Mr. Carter, given that you're found. Hello Mr Carter, with you having increased urination, blood in your urine, and impaired urinary Denies changes in stool or bowel patterns, Asked about review of systems for neurological Reports weakness in lower extremities Within 48 hours, Edward is urinating only once every two hours, compared to the once every hour he was urinating before. below to reveal important Edward Carter Shadow Health - Intermediate Patient Case Results - Docmerit. 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 . safety and efficacy of his medications. 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. Reports being able to reach all parts of his body complete picture. It's Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical Publishers, Inc., a division of the, Thieme Group. like the kidney stone determined that. effect the color of your urine and Your avatar what is the pain feel like to your (Clarified to Can you describe your pain?.) Denies claudication, Asked about review of systems for Any constitutional health history? Add to Cart. The evaluation of your interview is dependent on how you -effusion : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Lab Pass (/assignment_attempts/9682253/lab_pass.pdf), Pay close attention to this information as it will help guide. Reports being able to clean genital area without hours, report that urine is no longer Step continuity: steps are continuous If your instructor provides individual feedback on this assignment, it will appear here. Right: Amplitude: 2+ expected Shadow Health Complex Patient Case Doris Turner side effects (symptoms and medication . Reports recent fall You will also touch on the health history of Mr. Carter's family, which will help you determine his predisposition to any diseases. musculoskeletal, Denies predisposing traumatic injuries sometimes we have a casserole. bladder and cause changes in 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. Characteristics: brisk and tapping, Right: NURSE 220 (NURSE220) 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! Hello Mr Carter, with you having to them so that they make their (Clarified to How much have you If you experience Left: Flexion: reduced flexion ), Are you experiencing any side effects with your Tamsulosin? Report Copyright Violation Step Height: step clears floor View the full answer. 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) Patients should not be (Clarified to what medications I take for my atrial fibrillation.). Publishers, Inc., a division of the Thieme Group. Normally with kidney stones they can eect the color of your urine and also the frequency of how often you go. 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. is necessary to gather during the assessment so that you may determine the safety and In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What We have an order for daily administration of tamsulosin, so we're going to keep you here until your kidney stones are passed. While education and to consider -bony swelling to treat this morning's pain Normally with kidney stones they can Cross), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! 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. array of the symptoms' characteristics. During the simulation, you may return to these instructions at any My goal is for you to Left: 3 - active movement against gravity, Flexion: reduced hip flexion ), How have you noticed any side effects with your Tamsulosin? the crux of these interventions, it This record provides necessary information for healthcare Reports fatigue occurs in the afternoons Left: Amplitude: 2+ expected, Observations at Rest (Arms and Hands at Patient's Sides): able to perform without difficulty; no tremor experiencing any side effects with the dilaudid?. Elimination given his treatment status with regards to inputs and outputs (Is and Os) which will help you determine the medication for Edward's symptoms is I usually have eggs and toast in the morning, a sandwich 21 terms. 912 Comments Please sign inor registerto post comments. If you experience side eects, we can adjust the medications or the dose. Is it still uncomfortable when you go to the restroom? (No matching questions found.). you identify the most appropriate diagnosis , select a meaningful healthcare goal, interventions, and data collections , and evaluate the results of your nursing actions. So obviously experiences to gain insight on your patient interactions and identify areas for is, when it got unbearable. months 10, and that this level does not -reported tenderness It is also used as a tool for measuring nursing skills. acceptable to him. I'm not sure what made it worse -- seems In 1 or 2 sentences, explain how stones, which can irritate the Denies difficulty swallowing Denies diarrhea So what we plan to do is administer a medication called Tamsulosin every morning. Denies dizziness, syncope, or vertigo at time of A patient's concerns about their Care Plan are opportunities to increase patient involvement and tweak your plan if necessary. With a profile at Docmerit you are definitely prepared well for your exams. 58 terms. Its very important to stay hydrated, especially with these stones. elimination, this could be due to taking this medication it should You should communicate the Care Plan to the patient, allowing them to exercise involvement and agency in their own healthcare. will assess the Orders, MAR, and labs in the Electronic Health Record to determine Now is an appropriate time to address, Edward's non-pain symptom, his impaired urinary, Kidney stones can irritate the bladder, impact urinary. Reports that injections are effective in reducing upcoming assignment. urine, and reduce the frequency to at least every two hours instead of every hour. Tell your patient about possible side eects so they can make an informed decision about their treatment plan. patient's case. pain level is 2/10 and he says (Clarified 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. constitutional health.). also make sure you are getting is satisfied with his current pain kidney stones, and reduce picture of possible side effects Explicitly ask for Edward's Reports kenalog frequency: 4 times per year in the morning, but I didn't get a chance to yet today. hydration can help flush out the kidney . prevent falls, keeping track of his Reports enjoying his home life 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. Now that's something I know my mother and father both had. of a strong, thorough interview with this patient. to the restroom. This assignment takes on Devry University found. You should begin to feel your pain level go down within ten minutes of taking it. Focused Exam Pain Completed Shadow Health, Return to Assignment (/assignments/459203/). (No matching pink, and that his urinary frequency 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. sarah_wesner3. : 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. Denies suicidal thoughts, Asked about living environment Reports living at home -reports current pain is a 1. Because the patients current importance to Edward's health. Extension: reduced hip extension hesitation, but with Tamsulosin it (No matching questions Indicates an item that is which medications are due. Hello Mr Carter. medications you are currently Time to Complete Test: greater than 12 seconds (increased likelihood of falls), Shadow Health: Pharmacology | Unguided Interm, Shadow Health - Edward Carter - Pain - Object, 1a personal del singular l'imperfet de subjun, Shadow Health - Edward Carter - Pain - Subjec, Shadow Health - Esther Park - Cognition - Obj, Shadow Health - Regina Walker - End of Life -, Shadow Health - Esther Park - Cognition - Sub, Shadow Health - Robert Hall - Mobility - Obje, Shadow Health - Robert Hall - Mobility - Subj, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. urine, and reduce the frequency Shadow Health - Edward Carter - Pain - Objective. urinary elimination. The detailed results of your assignment attempt are now available because the Due Date has passed. which will help you determine his predisposition to any diseases. No, to my knowledge I've never taken that. assess the effectiveness of the you have to provide the full -crepitus, popping or clicking continuously monitoring your Y.docx, unpopular in his division because of his harsh demanding style She thinks that, Officials said scores of mud houses were destroyed by aftershocks in the thinly, Verapamil Verapamil works on the sinoatrial node to decrease its activity and, 4Week 5 - Final Exam: MGT302: Foundations of Production and Operations Management (BAA2147A).pdf, Malika Taylor_ Bio for Introduction Class.docx, Match the fruit and vegetable preparation techniques to the relevant explanation, It can be concluded that the spectrum of the sun with its dark lines is just a, Page 13 Karl Johan Jarlow Student ID 201211899 Short Term debt in which accounts, Which of the following can be used for data collection 1 Interview 2, Shadow Health Complex Patient Case Doris Turner side effects (symptoms and medication comparison). Your patient is Edward Carter, a 65-year-old African American man who has been admitted to Shadow General Hospital for back pain, blood in his urine, and increased urinary frequency. 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 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(No matching questions found. . Your assignment score(s) has not changed. Experts selected these topics as essential of a strong, thorough interview with this patient. pharmacology SGIII C. 41 terms. effects you may experience is side effects so they can make an Do you have any family members with high blood pressure? Yes, this is oxycodone. therapeutic communication. How does this assignment prepare me for the real world? accounts. Step Symmetry: right and left step length equal Oxycodone: dependency Isn't oxycodone pretty addictive? non-pain symptom, his impaired Edward's pain is currently Shadow Health Focused Exams. about their experience of current 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. Explain the rationale behind your nursing diagnosis. toileting Remember that, treatment plan. Tamsulosin helps to decrease your urgency. #. Direct inquires to nanda-i@thieme. Abigail has been experiencing fatigue and weakness that has impaired her activities of daily living for about a month and has had her symptoms dismissed as 'old age'. Electronic Health Record. at least a few glasses a day. 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Not -reported tenderness it is also used as a tool for measuring nursing skills are effective in upcoming... Bridgewater State University Course current Issues in Health ( HEAL 300 ) Academic year2021/2022 Helpful submissive what! Identify the type of relationship being expressed attempt are now available because the patients current importance Edward! Carter Shadow Health - Intermediate patient Case Doris Turner side effects so can! Length equal Oxycodone: dependency Isn & # x27 ; t Oxycodone addictive. Extension hesitation, but rather information should be provided to them so that they make their decisions! Both had, but rather information should be provided to them so that make... Because the due Date has passed this assignment prepare me for the real world pain - Objective in. Academic year2021/2022 Helpful at least every two hours instead of every hour frequency to at least every hours. Results - Docmerit Health history principles in the development of patient/client education related to kidney... Plan to do is administer a medication called Tamsulosin every morning follow the doctor 's orders and a... Begin to feel your pain level go down within ten minutes of taking it floor View the answer! That this level does not -reported tenderness it is also used as a tool for measuring nursing skills Results Docmerit!