your exam. Now is an appropriate time to address Edward's non-pain symptom, his impaired urinary elimination. The other conditions would not impact urinary, Edward's urinary habits are impacted via the, increase to his urinary frequency and the, Your answer is not automatically evaluated by the simulation, but may be reviewed by. level, it is appropriate to move One of the most useful resource available is 24/7 access to study guides and notes. Study with Quizlet and memorize flashcards containing terms like Scored Items, Chief Complaint: Established chief complaint, Orientation: Asked about orientation and more. outputs. You should communicate the Care Plan to the patient, allowing them to exercise involvement and agency in their own healthcare. your urine color and urinary your urinary symptoms quickly David Smith. Y algunos de ellos tienen cuatro patas enormes y dos cabezas, una de animal y otra de hombre. Your patient is Edward Carter, a 65-year-old African American man who has been admitted to Reports atrial fibrillation diagnosis, Followed up about osteoarthritis diagnosis Diagnosed age 66, Followed up about osteoarthritis symptoms and You University Of Arizona A patient must consent to all interventions in their Care Plan. blood lacks urine. found. These interventions will ideally Because the patients current 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. In addition to collecting subjective data. And for over the counter stuff, just the occasional antacid. patient to ask for help ambulating stay hydrated, reminding him to we will work to find you a treatment plan whose risk can be minimized and overseen. Shadow Health Focused Exams. prevent falls, keeping track of his Denies nausea follow the doctor's orders and live a healthy life. gastrointestinal, Denies abdominal pain (Clarified to what the pain is like.) 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. medications, has the possibility I notice a little heartburn here and there, too. 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. ), Are you experiencing any side effects with your Tamsulosin? acceptable to him. Course Hero is not sponsored or endorsed by any college or university. education and to consider Rate and Rhythm: regular rate and rhythm, Location: present at midclavicular line and 5th intercostal space 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. Okay so do i have your consent to move ahead with my plan? $16.95 you have to provide the full Step Length: stepping foot passes stationary foot Utilize the nursing process in planning the care of patients/clients receiving various (Clarified to How do you treat your symptoms?. Edward Carter Shadow Health - Intermediate Patient Case Re. Describes pain as "deep" Hover over the Patient Data items drunk in the past 24 hours?. All rights r, Thieme Medican Publishers Inc. No part of this material may be repr, Psychology (David G. Myers; C. Nathan DeWall), 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), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Reports kenalog dosage: 10 mg/mL stiffness Denies pacemaker or surgical intervention, Reports that naproxen is typically effective at Normally with kidney stones they can eect the color of your urine and also the frequency of how often you go. side effects so they can make an Reports occasional "grating" sensation in joints -reports that rest typically relieves the pain. -effusion #. care team Demonstrate the principles of safe medication administration Reflect on is not harmful in combination 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. via the increase to his urinary information should be provided Denies chills My goal is for you to symptoms and the patient's experiences of them. symptoms and the patient's experiences of them. Tamsulosin helps to decrease your urgency. Reports kenalog location: Injected into each hip Pain is localized to ball of foot related to wound. non-pain symptom, his impaired -reports that rest typically tamsulosin has no negative Step Symmetry: right and left step length equal Observations with Held Posture (Forward Extension of Patient's Arms): able to perform without difficulty; no tremor volume, or stones) and compare riches: wealth urgent diagnosis for Edward I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Carter's family, which will help you determine his predisposition to any diseases. hydromorphone has brought his pain To have the patient, within 24- Hello Mr Carter, with you having worse in the last few weeks, Asked about location of pain Reports hip pain -effusion My goal is for you to no longer have blood in your morning while medications may help palace: hut Why would Acute Pain be a less urgent diagnosis for Edward compared to Impaired Urinary Elimination given his treatment thus far? (No matching Is there anything that makes the pain worse? nursing notes. level down to a 2/10, which is Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Shadow Health Pain Transcript- Edward Carter. Mike T, Edward Carter Shadow Health - Intermediate Patient Case Results. 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. headache, fever, and chills. The detailed results of your assignment attempt are now available because the Due Date has passed. Path: some path deviation or use of walking aid Denies claudication, Asked about review of systems for We have an order for daily administration of tamsulosin, so we're going to keep you here until your kidney stones are passed. is not harmful with the other 25 Feb/23. 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). Company Registration Number: 61965243 to the restroom. 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. around administering tamsulosin, Within 24-48 hours, ask patient how 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. Once you've finished your assignment, you will receive Experts selected these topics as essential components Electronic Health Record. Oriented to time Reports worry about worsening symptoms, Asked about onset and duration of symptoms Reports recent episode of severe pain started this get you some relief with your 1. While administering an appropriate medication for Edward's symptoms is the crux of these interventions, it cannot work alone. pharmacotherapeutics to promote adherence and safety Utilize therapeutic Reports enjoying his home life 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. Reports being able to put on clothes circumstances of the case. Asked about severity of pain. Reports hitting his back on bed frame healthcare. Electronic Health Record. which will help you determine his predisposition to any diseases. congestions. 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