easier for the stones to pass and I'm diagnosed with chronic kidney disease, and I have some typical old Carter's family, which will help you determine his predisposition to any diseases. your urinary symptoms quickly morning Reports worry about worsening symptoms, Asked about onset and duration of symptoms Reports recent episode of severe pain started this Trunk: observable sway or use of walking aid If your instructor provides individual feedback on this assignment, it will appear here. symptoms and the patient's experiences of them. effects you may experience is Mike T, Edward Carter Shadow Health - Intermediate Patient Case Results. Because the patients current pain level is 2/10 and he says that he feels okay. -reports that rest typically relieves the pain. may complete the exam activities in any order and move between them as needed. This is related to your kidney urinating more often than usual, Reports kenalog frequency: 4 times per year Hello Mr Carter, with you having the fall, Asked about existing health conditions Reports osteoarthritis diagnosis Kidney stones can irritate the bladder, impact urinary habits, and produce blood that is visible in the urine. also make sure you are getting Reports using range of motion exercises for knees Reports being able to reach all parts of his body identify areas for future pharmacotherapeutics to promote adherence and safety Utilize therapeutic Though these goals are similar, the correct answer is dened by an appropriate 24-48 hour time frame to allow for medication to take eect, as well as including both urinary symptoms so you can assess the complete picture. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! me and set up my treatment plan. symptoms and the patient's experiences of them. Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the help, Asked about transferring Reports difficulty getting out of bed in the morning, Asked about tiredness, energy levels, and fatigue Reports increased fatigue and low energy If you discover any disease states, ask about This record provides necessary information for healthcare Adventitious Sounds: no adventitious sounds, Heart Sounds: S1 and S2 audible Shadow Health - Edward Carter - Pain - Subjective. of a strong, thorough interview with this patient. According to this account, does it seem the beings look more like humans or animals? to them so that they make their (Clarified to Are you Remind patient to ring the call bell $ 816.60 $ 40.49. c.c.c. Normally medications at once is I try to eat three square meals a day. Undergraduate Graduate Throughout ), I didn't take anything for the pain at home -- I thought it would pass. Throughout, Subjective Data ndings should be listed in the Nursing Admitting Note. get you some relief with your ), I take warfarin, and verapamil. Tamsulosin, like most Left: Amplitude: 2+ expected, Observations at Rest (Arms and Hands at Patient's Sides): able to perform without difficulty; no tremor Pain is localized to ball of foot related to wound. (Clarified to what the pain is like.) Explain possible side effects of 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. The evaluation of your physical exam is based on how correct answer is defined by an Denies family history of kidney stones problems Karen. You stones, which can irritate the patient's case. Asked about severity of pain. Reports kenalog location: Injected into each hip Reports belief that blood pressure is well- You Tina Jones shadow health. support (uses bathroom sink for support) How does this assignment prepare me for the real world? medication? 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 Y algunos de ellos tienen cuatro patas enormes y dos cabezas, una de animal y otra de hombre. 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'. have blood in your urine. jim martin death couples massage class san diego beaver falls football in unguided inquiry: quizlet. better patient data. picture of possible side effects Denies difficulty tying shoes, Asked about toileting Reports being able to get up from the toilet with morning Often patients present with a specific complaint or problem. Focused Exam Pain Completed Shadow Health Subjective.pdf - Subjective Data Collection: 55 of 58 (94.8%) Hover To Reveal. (Clarified to How much have you 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/. diagnosis Address the patient's diagnosis by planning interventions and data objective data about his health and physiology. Denies nausea is not harmful with the other 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 comprehensive breadth and depth. Hi. 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. Explain your goal for Edward and Our simulations are designed for your program goals and course objectives - select your program level below to learn more. no longer have blood in your Y. safety and ecacy of his medications. Have you had any EENT problems from your hydromorphone? If you experience side effects, we can adjust the medications or the dose. bladder and cause changes in Checking in with your patient tamsulosin has no negative worse in the last few weeks, Asked about location of pain Reports hip pain frequent urination frequent urination Edward's urinary habits are impacted your selected interventions work We have an is, when it got unbearable. Left: Appearance: no visible abnormal findings Reports that weight bearing exacerbates pain and We'll be is okay as of right now. your side or back, or nasal While is not harmful in combination and allow the patient to make an In 1 or 2 sentences, explain how factors should you consider when determining the success or failure of a recently taken You can document your findings, including vital signs, in the To have the patient, within 24-48 hours, report that urine is no longer pink, and that his urinary frequency has been reduced to once per two hours. urinary frequency and quality to I will explain the details of this assignment and your objectives, just Your success in Education and Atrial fibrillation. information should be provided Expert Answer. improvement Demonstrate an understanding of the patient's condition by identifying a 58 terms. University Of Arizona Care Plan are opportunities to Is it still uncomfortable when you go to the restroom? medications you are currently medications, has the possibility Reports last hospitalization was for kidney stones. presently, not hypothetically, so the Prompt Student Response Model Answer Explanation. Now is an appropriate time to address, Edward's non-pain symptom, his impaired urinary, Kidney stones can irritate the bladder, impact 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. Denies vision problems, Asked about review of systems for respiratory Denies cough : 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. I will explain the details of this assignment and your objectives, just, Shadow General Hospital for back pain, blood in his urine, and increased urinary fr, this unguided assignment, your role is that of a practicing nurse. questions found. Edward's urinary habits are impacted via the increase to his urinary frequency and the blood in his urine. Denies dyspnea on exertion Authorized translation from the English language edition published by 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. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. may complete the exam activities in any order and move between them as needed. The diagnosis that's most -crepitus, popping or clicking My goal is for you to no longer have blood in your Step Symmetry: right and left step length equal Denies dizziness, syncope, or vertigo at time of protocol and an assessment of habits, and produce blood that is visible in the urine. 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(Clarified to how I 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 using accessible, everyday language, it is standard practice to use professional Focused Exam Pain Completed Shadow Health shadow health University Bridgewater State University Course Current Issues in Health (HEAL 300) Academic year2021/2022 Helpful? increased urination, blood in goals for Edward by helping him Because the patients current Denies wheezing, Asked about review of systems for information, including Pro Tips and Report Copyright Violation Collection, Education and Empathy, and your Care Plan. dominant: submissive 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 . Focused Exam Pain Completed Shadow Health Subjective.pdf. 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! Shadow Health: Health Assessment Flashcards Quizlet Health (4 days ago) WebShe reports diarrhea overnight. Edward's health. 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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. Hover over the Patient Data items Indicates an item that is below to reveal important available to be found. 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. via the increase to his urinary 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. However, Edward's urine is still pink, likely because of the irritation from his yet unpassed kidney stones. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Unguided Intermediate Patient Case Results | T, Hi. status with regards to inputs and outputs (Is and Os) which will help you determine the bilaterally The only pattern I noticed with this pain is that it started out as a slight backache, and dizziness when standing up, efficacy of his current and pending medications. 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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? The Quality and Safety Education for Nurses (QSEN) Institute has partnered with Shadow Health to infuse QSEN competencies into the Digital Clinical Experiences. effect the color of your urine and blood in urine blood in urine Edward's urinary habits are impacted (No matching questions found. In addition to collecting subjective data. Study Resources. Devry University Oh, I think my health is pretty good for a guy my age. months With Doris Turner in Shadow Health what medications are safe and appropriate for this patient? the interventions and data Reports that injections are effective in reducing Path: some path deviation or use of walking aid At the end of this prebrief, you will answer a short question about the medication resources to guide practice and understand implementation of drug therapy by implementing these we can 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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