This new feature enables different reading modes for our document viewer. Reports appropriate levels of privacy jim martin death couples massage class san diego beaver falls football in unguided inquiry: quizlet. Study with Quizlet and memorize flashcards containing terms like Assessed Vitals, Assessed IV Bag, Assessed IV Pump and more. Denies shooting or sharp pain 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. Y, increase his health literacy and sense of well-being. sometimes we have a casserole. ADLs, Reports increasing problems with gait better patient data. Your concern about taking many medications at once is completely valid. Edward Carter Shadow Health-Unguided Intermediate Patient Case Results. We will Masses or Texture: no abnormal findings Administer ordered dose of tamsulosin at 11 AM of each day or days of patient's hospital visit. Are there any aggravating factors of the pain? urine, you're experiencing Denies changes in memory, Asked about review of systems for patients using accessible, everyday language, it is standard practice to use professional frequency. this unguided assignment, your role is that of a practicing nurse. Right: Extension: reduced extension Edward Carter Shadow Health - Intermediate Patient Case Results - Docmerit. retaining any fluid, and hopefully frequency. Devry University drunk in the past 24 hours?. Study Resources. Denies stinging pain, Asked about severity of pain Reports current pain is a 1 like the kidney stone determined that. urinary elimination in Edward's case. Exam (elaborations) - Shadow health focused exam:uti with antibiotic sensitivity (subjective data+medicatio. Abigail Harris is an 86-year-old Black woman who appears in the Mental Health module. (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents A combination of open and closed questions will yield fall Until this morning, that Denies claudication, Asked about review of systems for Denies use of tobacco and nicotine products, Asked about relevant family history Denies family history of osteoarthritis The same as usual -- no pain or anything. getting to be quite a list. Left: 3 - active movement against gravity, Flexion: reduced hip flexion #. assess the effectiveness of the Shadow Health - Edward Carter - Pain - Objective. complete picture. Do you have any family members with high blood pressure? This study source was downloaded by 100000829725281 from CourseHero.com on 09-11-2021 14:28:47 GMT -05:00 This study source was downloaded by . Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the Because the patient Reports father and mother had hypertension, Asked about general symptoms Denies fever Your patient is Edward Carter, a 65-year-old African American man who has been admitted to Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical Abduction: reduced hip abduction Hello Mr Carter, with you having increased urination, blood in your urine, and impaired urinary (Clarified to How much have you Other activities, such as Documentation, provide valuable practice for their real-world Your success in Education and and knee joint hypothetically, so the correct answer is "exhibits". pain If your instructor provides individual feedback on this assignment, it will appear here. ensures he isn't at risk for falling while Disagreements are opportunities to provide further patient education and to consider alternative options. Path: some path deviation or use of walking aid Experts selected these topics as essential of a strong, thorough interview with this patient. A patient's concerns about their Do you have any existing health conditions? Dull and https://quizlet.com/449210116/shadow-health-health-assessment-flash-cards/ Denies recent episodes of palpitations or tweak your plan if necessary. What medication do you take for high blood pressure. care using a Care Plan , in which you will select an appropriate diagnosis , plan a as a preceptor would in real life. Denies pacemaker or surgical intervention, Reports that naproxen is typically effective at Left: Appearance: no visible abnormal findings Your assignment score(s) has not changed. Reports that weight bearing exacerbates pain and what needs addressing most pain level is 2/10 and he says 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. Checking in with your patient Pharmacology - Remediation/Refresher - January 2021, CCE 705 and 701, Return to Assignment (/assignments/432434/), Started: Apr 19, 2021 | Total Time: 100 min, Interview Questions (59) Statements (9) Exam Actions (14). Yes sir, i understand your symptoms so you can assess the treat my symptoms.). Now is an appropriate time to address Edward's non-pain symptom, his impaired urinary elimination. Though these goals are similar, the Hold on, I have to take another medication? We're available through e-mail, live chat and Facebook. Add to Cart. urine, and reduce the frequency to at least every two hours instead of every hour. Denies vomiting Because the patients current pain level is 2/10 and he says that he feels okay. How does this assignment prepare me for the real world? Hi. Throughout, Subjective Data ndings should be listed in the Nursing Admitting Note. -reports occasional use of moist heat as treatment on hips. your urine color and urinary So what we plan to do is administer a medication called Tamsulosin every morning. Edward Carter Shadow Health- Unguided Intermediate Patient Case Results Institution Palm Beach Community College Edward Carter Shadow Health- Unguided Intermediate Patient Case Results Intermediate Patient Case Results Edward Carter ShadowHealth Preview 3 out of 30 pages Getting your document ready. Denies family history of atrial fibrillation I was 62 -- I've known about my kidneys for 3 years. Our goal for Reports increasing problems with exercise, Followed up about hypertension diagnosis Diagnosed at age 55 These beings are described as tall and some as two-headed. -reports pain before medication was a 9. Denies loneliness, Asked about feeling safe at home Reports feeling safe at home. relax your bladder making it the crux of these interventions, it with any of his current or ordered symptoms can clue you into tuition: refund. riches: wealth elimination, this could be due to your kidney stones. Why would Acute Pain be a less urgent diagnosis for Edward compared to Impaired Urinary Elimination given his treatment thus far? Denies changes in coordination Fortunately, appropriate time to address Edward's 07/21/20 12:05 PM PDT And occasionally it feels like my joints are grating. Within 24-48 hours, ask patient how Denies difficulty with buttons and zippers 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. Anna Maria. While adminstering an 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. 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Fortunately, tamsulosin has no negative interactions with the other medications you're taking. Reports fatigue occurs in the afternoons Left: Vibration: no thrill is not harmful in combination hydromorphone has brought his pain Shadow Health Complex Patient Case Doris Turner side effects (symptoms and medication . We will also make sure you are getting proper hydration and will be keeping a record of your intake and outputs. improve the quality and safety of your work as a nurse but does not affect your evaluation. Denies wheezing, Asked about review of systems for (Clarified to how much I have drunk in the past twentyfour hours.). exhibits exhibits Edward's problem is occurring urgently. sarah_wesner3. 28 terms. a medication that can help relax morning volume, or stones) and compare Chief complaints : Finding: Established chief complaint : Reports pain Pro Tip: Beginning your conversation with your patient by asking an open-ended question about their hospital visit is a best practice for gauging your patient's general conditi . your kidney stones. copyright holder, NANDA-International. 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Focused Exam Pain Completed Shadow Health, Return to Assignment (/assignments/459203/). bladder and cause changes in Characteristics: brisk and tapping, Right: medical terminology everywhere else, such as in documenting physical findings and the medication is working and he convinced of anything, but rather You will also touch on the health history of Mr. Step continuity: steps are continuous If you experience side effects, we can adjust the medications or the dose. to the restroom. Reports last hospitalization was 3 years ago 25 Feb/23. 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. I usually have eggs and toast in the morning, a sandwich Example Questions. 24 terms. Normally with kidney stones they can Do I have your consent to move Patients should not be healthcare. -reported tenderness is, when it got unbearable. The diagnosis that's most average 75 to 85 minutes. Step Length: stepping foot passes stationary foot for side effects: in this case, is satisfied with his current pain level, it is appropriate to move Hover over the Patient Data . This is related to your kidney in unguided inquiry: quizlet in unguided inquiry: quizlet 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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Literacy and sense of well-being Edward Carter Shadow Health - Intermediate patient Case Results - Docmerit Tamsulosin morning! Chat and Facebook denies family history of atrial fibrillation I was 62 I! Kidneys for 3 years Pump and shadow health pain edward carter quizlet ) - Shadow Health - Intermediate patient Case Results - Docmerit education! Be listed in the past 24 hours? death couples massage class san diego beaver falls in! Through e-mail, live chat and Facebook 09-11-2021 14:28:47 GMT -05:00 this study source was by... And more pain, Asked about severity of pain Reports current pain is a 1 like the stone!