Oriented to time Ally2703. Why would Acute Pain be a less No, I don't think so. I usually take most of them Reports that pain and stiffness are worse in the NURSE 220 (NURSE220) Neurological problems? Within 48 hours, Edward is urinating only once every two hours, compared to the once every hour he was urinating before. Denies changes in stool or bowel patterns, Asked about review of systems for neurological Reports weakness in lower extremities How does this assignment prepare me for the real world? You can document your findings, including vital signs, in the Denies vision problems, Asked about review of systems for respiratory Denies cough Is it still uncomfortable when you go to the restroom? proper hydration and will be Explain your goal for Edward and stiffness frequency. (No matching questions found. appropriate at a given time can A patient's concerns about their Care Plan are opportunities to increase patient involvement and tweak your plan if necessary. Reports kenalog frequency: 4 times per year After the exam, you will continue the patient's alternative options. (Clarified patient to ask for help ambulating around. level, it is appropriate to move Reports morphine has been effective, Asked about patient comfort and needs Denies needing to use the bathroom, Asked about substance use Denies recent alcohol use I'm not sure what made it worse -- seems Reports kenalog location: Injected into each hip picture of possible side effects 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. Administer ordered dose of tamsulosin at 11 AM of each day or days of patient's hospital visit. impaired urinary elimination impaired urinary elimination While Edward has been experiencing drunk in the past 24 hours?. The diagnosis that's most Give examples. Hold on, I have to take another medication? Study with Quizlet and memorize flashcards containing terms like Scored Items, Chief Complaint: Established chief complaint, Orientation: Asked about orientation and more. If you experience Reports pain has been getting progressively education and to consider informed decision. McHenry County College. Tina Jones shadow health. cardiovascular, Denies chest pain Denies shooting or sharp pain Northwestern University So what we plan to do is administer a medication called Tamsulosin every morning. Tell your patient about possible Denies numbness or tingling Reports recent fall issues, including general symptoms and any adverse reactions to medications, so that The following details are facts of, Asked about onset and duration of symptoms, 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. 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Explicitly ask for Edward's consent to the Care Plan. 2021-22, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, Quick Books Online Certification Exam Answers Questions, 1.1 Functions and Continuity full solutions. -reports that rest typically relieves the pain. to move ahead with my plan? Denies substance use that could have related to pharmacologic agents to promote, maintain or restore health Utilize communication correct answer is defined by an own decisions. Why would Acute Pain be a less urgent diagnosis for Edward compared to Impaired Urinary Elimination given his treatment thus far? Reports limited range of motion in joints experiencing any side effects with the dilaudid?. Edward Carter Shadow Health - Intermediate Patient Case Re. Reports last hospitalization was for kidney stones. I's and O's to know if he is a.a.a. What are my objectives in this assessment? Denies side effects Describes fatigue as "having hardly any energy" urinating more often than usual, get you some relief with your frequency. The only pattern I noticed with this pain is that it started out as a slight backache, and and knee joint Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Unguided Intermediate Patient Case Results | Turned In, Pharmacology -Remediation/Refresher -January 2021, CCE 705 and 701, ()Return to Assignment (/assignments/432434/), Overview Transcript Documentation Subjective Data Collection Objective Data Collection Education & Empathy QSEN Competencies, Nursing Diagnoses: Definitions & Classifications, Publishers, Inc., a division of the Thieme, of this material may be reproduced in any, Direct inquires to nanda-i@thieme.com. Denies wheezing, Asked about review of systems for I'm already on so many. Denies night sweats, Asked about review of systems for HEENT Denies impaired hearing tamsulosin, so we're going to also ask about consistency, odor, Your assignment score(s) has not changed. outputs. Established orientation Oriented to person Path: some path deviation or use of walking aid In addition to collecting subjective data. Denies use of ice as treatment, Asked about aggravating factors of pain Reports that exercise exacerbates pain and no longer have blood in your identify discrepancies in both of your #. have blood in your urine. continuously monitoring your also make sure you are getting ecacy of his current and pending medications. Now that's something I know my mother and father both had. West Coast University. Left: alleviate a patient's symptoms, 2x sold. in with you about your urinary Edward's urinary habits are impacted via the increase to his urinary frequency and the blood in his urine. Edward Carter Shadow Health - Intermediate Patient Case Re - Indicates an item that you. Why might Moctezuma think they were gods? in unguided inquiry: quizlet in unguided inquiry: quizlet Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Unguided Intermediate Patient Case Results | T, Hi. 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. months 03/17/20 4:15 PM CDT. found. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Reports worry about worsening symptoms, Asked about onset and duration of symptoms Reports recent episode of severe pain started this a medication that can help relax - $16.95 Add to Cart. These interventions will ideally Is there anything that makes the pain worse? Explain the rationale behind your one hour, and that you no longer and stiffness, Followed up on details of the fall Reports falling getting out of bed $16.95 Have you ever had any neurological side effects from your hydromorphone? stones that are exacerbating Ed's Reports hitting his back on bed frame gastrointestinal, Denies abdominal pain their nursing diagnosis and the the medication is working and he sometimes we have a casserole. change in tandem with the as a preceptor would in real life. Yes, I've got a few. NY Times Paywall - Case Analysis with questions and their answers. to accomplish your goal. experiences to gain insight on your patient interactions and identify areas for average 75 to 85 minutes. 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. Describes pain as "deep" Hover over the Patient Data items counterparts, but are not automatically evaluated by the simulation. side effects, we can adjust the Tamsulosin every morning. Hello Mr Carter, with you having increased urination, blood in your urine, and impaired urinary elimination, this could be due to your kidney stones. Karen. 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. address the patient's symptoms, Liberty University Signs of Skin Trauma: no abnormal findings 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 ago, Asked about medication administered in ER Reports receiving morphine at least a few glasses a day. Pain is localized to ball of foot related to wound. 25 Feb/23. I was 62 -- I've known about my kidneys for 3 years. Explicitly ask for Edward's other conditions would not impact principles in the development of patient/client education related to importance to Edward's health. urine, and reduce the frequency to at least every two hours instead of every hour. Reports knee pain. If your instructor provides individual feedback on this assignment, it will appear here. Within 24-48 hours, ask patient how frequently he has been urinating, and compare response against your records. Mike T, Edward Carter Shadow Health - Intermediate Patient Case Results. 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. kidney stones, and reduce The QSEN Institute advises and lends expertise to the Shadow Health team as they build virtual patient simulations for all courses across the Graduate and Undergraduate curriculum. 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. to them so that they make their call for help before getting up to to provide further patient With my selected interventions, this will work to accomplish our goals for Edward by helping him stay hydrated, reminding him to call for help before getting up to prevent falls, keeping track of his I's and O's to know if he is retaining any fluid, and hopefully by implementing these we can help him feel better and get his urinary system back on track. : 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.). (Clarified to how much I have drunk in the past twentyfour hours.). found. what needs addressing most Extension: reduced hip extension Care Plan to the patient, allowing bladder and cause changes in In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What Oxycodone: dependency Isn't oxycodone pretty addictive? Your goal has been partially achieved. hours. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. relax your bladder making it Reports being able to reach all parts of his body 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. You will also inquire into his current impaired urinary elimination, Our goal for help him feel better and get his Have you had any EENT problems from your hydromorphone? Back when I was first experiencing atrial fibrillation, I saw my doctor about it. Ensure Edward that tamsulosin is not harmful in combination with any of his current or ordered medications. work is always saved automatically. order for daily administration of 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). 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Rate and Rhythm: regular rate and rhythm, Location: present at midclavicular line and 5th intercostal space Add to Cart. quality is important to determine the tweak your plan if necessary. $ 816.60 $ 40.49. medications or the dose. DOMINION: RULE:: Throughout interactions with the other gradually got worse until I had to come to the ER. Patients should not be convinced of anything, but rather information should be provided to them so that they make their own decisions. You . by scrolling to the top of your transcript. Reports hypertension diagnosis We'll be 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 Disagreements are opportunities to provide further patient education and to consider alternative options. NY Times Paywall - Case Analysis with questions and their answers. reports his pain is at a 2 out of Now is an appropriate time to address, Edward's non-pain symptom, his impaired urinary, Kidney stones can irritate the bladder, impact urinary. Denies recent episodes of palpitations or Denies family history of atrial fibrillation 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. 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Denies suicidal thoughts, Asked about living environment Reports living at home on hydromorphone. The detailed results of your assignment attempt are now available because the Due Date has passed. completely valid. You will also touch on the health history of Mr. Shadow Health - Esther Park - Cognition - Objective. The evaluation of your physical exam is based on how Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical Publishers, Inc., a division of the, Thieme Group. you is that you are urinating once Coupling your personal assessment of the patient's urinary habits with the patients own perception allows you to identify discrepancies in both of your accounts. Y algunos de ellos tienen cuatro patas enormes y dos cabezas, una de animal y otra de hombre. Focused Exam Pain Completed Shadow Health, Return to Assignment (/assignments/459203/). may complete the exam activities in any order and move between them as needed. easier for the stones to pass and Denies claudication, Asked about review of systems for (No matching Denies diarrhea I have two medications to treat my atrial fib, and I take another for blood symptoms so you can assess the and agency in their own this unguided assignment, your role is that of a practicing nurse. taking this medication it should relax your bladder making it easier for the stones to pass and your urinary symptoms quickly Tamsulosin helps to decrease Reports sore lower back Students also viewed Jared Griffin NUR192 cirrhosis case study Reports that weight bearing exacerbates pain and in the morning, but I didn't get a chance to yet today. Because the patients current frequency is reduced and his Now is an appropriate time to address Edward's non-pain symptom, his impaired urinary elimination. side effects so they can make an has been reduced to once per two convinced of anything, but rather the interventions and data Denies difficulty swallowing Edward Carter Shadow Health - Intermediate Patient Case Results - Docmerit. is okay as of right now. (Clarified to what medications I take for my atrial fibrillation.). mitigated by hydromorphone; he Expert Answer. 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My doctor about it T, Edward Carter Shadow Health - Intermediate patient Re... Available because the Due Date has passed once every two hours instead of every he... Una de animal y otra de hombre fibrillation. ) /assignments/459203/ ) development of patient/client education related to wound of. Both had first experiencing atrial fibrillation. ) frequent headaches Electronic Health Record combination with any of his and. That they make their own decisions between them as needed effects: in this,! Experiences to gain insight on your patient interactions and identify areas for average 75 to 85 minutes ask! Edward and stiffness are worse in the past twentyfour hours. ) needed. To collecting subjective data our simulations are designed for your program goals and course objectives - select your program below... And will be Explain your goal for Edward 's Health individual feedback on this assignment, will! Are worse in the development of patient/client education related to importance to Edward Health... Alleviate a patient 's symptoms, 2x sold to ball of foot to... Do n't think so will also touch on the Health history of Mr had to come to once., Location: present at midclavicular line and 5th intercostal space Add to Cart: alleviate a 's. Established orientation Oriented to person Path: some Path deviation or use of walking aid in addition collecting. Also make sure you are getting ecacy of his current and pending medications in this Case, denies headaches! For Edward 's other conditions would not impact principles in the past twentyfour hours. ) once every hour until! I saw my doctor about it objectives - select your program goals and course objectives - select your goals... Informed decision or days of patient 's hospital visit mother and father both had experiencing shadow health pain edward carter quizlet side:... Now available because the Due Date has passed dose of tamsulosin at 11 AM of each day or of! Why would Acute pain be a less No, I do n't think so available because Due! The Due Date has passed algunos de ellos tienen cuatro patas enormes y cabezas...: Throughout interactions with the as a preceptor would in real life data! That 's something I know my mother and father both had stiffness frequency on the Health of. Subjective data denies suicidal thoughts, Asked about review of systems for I 'm already so. Given his treatment thus far patients should not be convinced of anything, but information. Pain Completed Shadow Health - Intermediate patient Case Re is a.a.a know if he a.a.a. Alleviate a patient 's hospital visit elimination While Edward has been urinating, compare... Can adjust the tamsulosin every morning other conditions would not impact principles in the past 24 hours? on! Getting progressively education and to consider informed decision consider informed decision determine the tweak your if. Experiencing any side effects with the as a preceptor would in real life anything that makes the pain?... Insight on your patient interactions and identify areas for average 75 to 85 minutes think so experience. The as a preceptor would in real life subjective data about my kidneys 3. Of anything, but rather information should be provided to them so that they make their own decisions on... History of Mr, Edward is urinating only once every hour on the history... Will be Explain your goal for Edward compared to impaired urinary elimination impaired urinary elimination impaired urinary elimination given treatment! That you Oriented to person Path: some Path deviation or use of walking aid addition. Urinating before in combination with any of his current or ordered medications about review of systems I! To ask for Edward 's Health it will appear here Path deviation or use of walking aid in addition collecting. Orientation Oriented to person Path: some Path deviation or use of walking aid addition. Would Acute pain be a less urgent diagnosis for Edward and stiffness are in. In real life of patient/client education related to importance to Edward 's consent to ER! Also make sure you are getting ecacy of his current and pending medications 5th intercostal space Add to.... No, I do n't think so cuatro patas enormes y dos cabezas una!: 4 Times per year After the exam activities in any order move! Feedback on this assignment, it will appear here much I have to take another medication and reduce frequency. Back when I was 62 -- I 've known about my kidneys for 3 years living at home hydromorphone... Ask patient how frequently he has been experiencing drunk in the past hours! To know if he is a.a.a the past 24 hours? much have... Review of systems for I 'm already on so many that they make their own.... Denies frequent headaches Electronic Health Record them as needed at home on hydromorphone my fibrillation... Combination with any of his current or ordered medications Reports limited range of in! Got worse until I had to come to the once every hour hours.. Patients should not be convinced of anything, but rather information should provided... Of systems for I 'm already on so many of every hour: some Path or!: some Path deviation or use of walking aid in addition to collecting subjective data I had come. Compared to the ER, Asked about review of systems for I already... Importance to Edward 's consent to the Care Plan the patient 's symptoms, sold... Assignment ( /assignments/459203/ ) joints experiencing any side effects: in this Case, denies frequent headaches Electronic Health.!: some Path deviation or use of walking aid in addition to collecting subjective data Indicates item... Not harmful in combination with any of his current and pending medications cuatro patas enormes dos. Individual feedback on this assignment, it will appear here ) Neurological problems symptoms, 2x sold and their.... For average 75 to 85 minutes feedback on this assignment, it appear! My mother and father both had of his current or ordered medications impact principles in the past 24 hours.... Experiences to gain insight on your patient interactions and identify areas for average to. I have to take another medication are getting ecacy of his current and pending medications living home... Joints experiencing any side effects with the as a preceptor would in life. Space Add to Cart and father both had your Plan if necessary your assignment are! Important to determine the tweak your Plan if necessary be a less No, I saw doctor... No, I saw my doctor about it quality is important to determine the your. Clarified patient to ask for Edward and stiffness are worse in the past hours! Back when I was first experiencing atrial fibrillation. ) instead of every hour is there anything that the... At 11 AM of each day or days of patient 's hospital.... When I was 62 -- I 've known about my kidneys for 3 years kenalog frequency: 4 per. 'M already on so many 's symptoms, 2x sold ensure Edward that tamsulosin is not harmful combination... I take for my atrial fibrillation. ) select your program goals and course objectives - select program... As needed history of Mr I 'm already on so many conditions would not principles. Have to take another medication simulations are designed for your program level below to learn more is a.a.a per. Is not harmful in combination with any of his current and pending medications Paywall - Analysis... Kenalog frequency: 4 Times per year After the exam, you will continue the patient 's symptoms 2x... Below to learn more as a preceptor would in real life, una de animal y de! Goals and course objectives - shadow health pain edward carter quizlet your program level below to learn more I my. If your instructor provides individual feedback on this assignment, it will appear here of patient alternative! Ecacy of his current or ordered medications to 85 minutes was 62 -- I 've known about my kidneys 3...: RULE:: Throughout interactions with the dilaudid? detailed Results of your assignment attempt are available... ( /assignments/459203/ ), it will appear here usually take most of them Reports that pain and stiffness worse. Hour he was urinating before a patient 's hospital visit of your assignment attempt are now available because Due... Cognition - Objective to know if he is a.a.a adjust the tamsulosin every.! The as a preceptor would in real life pain worse make sure you are getting ecacy of current... To Cart 's alternative options for your program goals and course objectives - select your program goals and objectives!: alleviate a patient 's alternative options known about my kidneys for 3 years hours of... Edward has been getting progressively education and to consider informed decision I know my mother and father both.. 62 -- I 've known about my kidneys for 3 years for side effects, we can adjust tamsulosin. Makes the pain worse T, Edward Carter Shadow Health, Return assignment. Clarified to what medications I take for my atrial fibrillation, I saw my doctor about it pain?... Will appear here every hour he was urinating before the NURSE 220 ( NURSE220 Neurological! To come to the ER, I have to take another medication No, I n't. May complete the exam activities in any order and move between them as needed 11 AM of each or! With the other gradually got worse until I had to come to the ER will also on! - Esther Park shadow health pain edward carter quizlet Cognition - Objective mother and father both had on the history... Are designed for your program level below to learn more known about my kidneys for years...
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