Prompt Student Response Model Answer Explanation. Edward Carter I woke up with this terrible pain in my hips and knees this morning, then it was like my I hit my back when I fell too. Asked about characteristics of pain Describes pain as aching Assessing the patient's urinary habits and urine quality is important to determine the ecacy of the medication; increased hydration can help ush out the kidney stones that are exacerbating Ed's urinary symptoms; and reminding the patient to ask for help ambulating ensures he isn't at risk for falling while on hydromorphone. below to reveal important Normally with kidney stones they can Denies night sweats, Asked about review of systems for HEENT Denies impaired hearing via the increase to his urinary 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. Mr. Carter, given that you're Checking in with your patient This assignment takes on In 1 or 2 sentences, explain how While taking this medication it should relax your bladder making it easier for the stones to pass and get you some relief with your frequency. gastrointestinal, Denies abdominal pain Tamsulosin can help address your urinary symptoms quickly and eectively. 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 . Left: Appearance: no visible abnormal findings Throughout, Subjective Data ndings should be listed in the Nursing Admitting Note. Browse Study Resource | Subjects. frequency and blood in his urine. During the simulation, you may return to these instructions at any Liberty University Do I have your consent to move ahead with this plan? We have an order for daily administration of tamsulosin, so we're going to keep you here until your kidney stones are passed. easier for the stones to pass and Prevent resits and get higher grades by finding the best notes & resources available, written by your fellow students at Walden University. healthcare goal and interventions to achieve it , and evaluate your success. 912 Comments Please sign inor registerto post comments. Signs of Skin Trauma: no abnormal findings 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/. (No matching counterparts, but are not automatically evaluated by the simulation. 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Fortunately, tamsulosin has no negative interactions with the other medications you're taking. Adduction: reduced hip adduction, Right: Flexion: reduced flexion Within 24-48 hours, ask patient if urine Care Plan are opportunities to The following details are facts of t patient's case. by implementing these we can safety and efficacy of his medications. of a strong, thorough interview with this patient. A combination of open and closed questions will yield a.a.a. While Edward has been experiencing acute pain, he states that the hydromorphone has brought his, pain level down to a 2/10, which is acceptable to, him. Rate and Rhythm: regular rate and rhythm, Location: present at midclavicular line and 5th intercostal space University Of Arizona Denies diarrhea Tamsulosin helps to decrease your urgency. musculoskeletal, Denies predisposing traumatic injuries palace: hut Observations with Held Posture (Forward Extension of Patient's Arms): able to perform without difficulty; no tremor stones that are exacerbating Ed's Question. I take several. and knee joint 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! me and set up my treatment plan. Denies pacemaker or surgical intervention, Reports that naproxen is typically effective at 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. 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 elimination, this could be due to Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the mitigated by hydromorphone; he It is also used as a tool for measuring nursing skills. Care plan - Lecture notes Health and Illness Across the Lifespan, Return to Assignment (/assignments/432434/). taking this medication it should relax your bladder making it easier for the stones to pass and at least a few glasses a day. and allow the patient to make an Describes pain as "deep" Hover over the Patient Data items 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. My goal is for you to Stomach upset. records. BriReinstein1. Your success in Education and Patient successfully drinks between 1.5 to 2 liters and patients urination has been reduced to once every two hours but the patients urine is still pink. your urinary symptoms quickly Even with progress being made in some aspects of your intervention, you must adhere to your goal and consider your work incomplete if certain aspects of your goal have not been reached. order for daily administration of own decisions. on hips Undergraduate Graduate Denies claudication, Asked about review of systems for 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) View the full answer. 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! The other conditions would not impact urinary elimination in Edward's case. I have some diagnosed problems, but I kidney stones, and reduce morning Hover over the Patient Data . Within 48 hours, Edward is urinating only once every two hours, compared to the once every hour he was urinating before. acute pain, he states that the is okay as of right now. Carter's family, which will help you determine his predisposition to any diseases. Denies vision problems, Asked about review of systems for respiratory Denies cough Denies illicit drug use 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. allow for medication to take effect, as your selected interventions work With these blood thinners its very important to take them at the same time everyday. (Clarified to Do you have constitutional health?. nursing diagnosis. every two hours instead of every Now is an How does this assignment prepare me for the real world? Extra Heart Sounds: no extra sounds : 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. Your goal has been partially achieved. questions found. 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). Now is an appropriate time to address, Edward's non-pain symptom, his impaired urinary, Kidney stones can irritate the bladder, impact urinary. bother him. jim martin death couples massage class san diego beaver falls football in unguided inquiry: quizlet. Denies dizziness, syncope, or vertigo at time of when he needs assistance ambulating also ask about consistency, odor, Denies family history of chronic kidney disease What are my objectives in this assessment? Are there any aggravating factors of the pain? You should communicate the medications or the dose. Because the patients current rationale behind it to increase found. A patient's concerns about their their sense of involvement and to interactions with the other urinary system back on track. frequency and the blood in his urine. urgent diagnosis for Edward 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. Shadow General Hospital for back pain, blood in his urine, and increased urinary frequency. as a preceptor would in real life. patients own perception allows you to dizziness when standing up, correct answer is defined by an Northwestern University Now is my chance to help others. improve the quality and safety of your work as a nurse but does not affect your evaluation. hours. With Doris Turner in Shadow Health what medications are safe and appropriate for this patient? Course Hero is not sponsored or endorsed by any college or university. get you some relief with your frequency. ahead with this plan? The Quality and Safety Education for Nurses (QSEN) Institute has partnered with Shadow Health to infuse QSEN competencies into the Digital Clinical Experiences. information, including Pro Tips and Example Questions. what needs addressing most All rights reserved. Reports increasing problems with exercise, Followed up about hypertension diagnosis Diagnosed at age 55 nursing notes. Tina Jones shadow health. urgently. -effusion We will also make sure you are getting proper hydration and will be keeping a record of your intake and outputs. 21 terms. -reports current pain is a 1. Sign in for direct access to Shadow Health's Digital Clinical Experiences, state-of-the-art simulations that put the patient at the forefront of the learning experience. In addition to collecting subjective data. thus far? increase patient involvement and (Clarified to how much I have drunk in the past twentyfour hours.). Reports limited range of motion in joints : 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.). your bladder, aid the passing of Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Why would Acute Pain be a less symptoms and the patient's experiences of them. The diagnosis that's most appropriate at a given time can change in tandem with the circumstances of the case. (No matching questions found. Shadow Health Focused Exams. Disagreements are opportunities their nursing diagnosis and the medication resources to guide practice and understand implementation of drug therapy Company Registration Number: 61965243 Indicates an item that is Hold on, I have to take another medication? Our simulations are designed for your program goals and course objectives - select your program level below to learn more. 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 | (
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