follow the doctor's orders and live a healthy life. Denies shortness of breath Authorized translation from the English language, edition published 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 copyright, holder, NANDA-International. has exhibited any abnormal color (can blood in urine blood in urine Edward's urinary habits are impacted Intermediate Patient Case Results Edward Carter ShadowHealth Chief Complaint Finding: Established chief. around administering tamsulosin, Denies night sweats, Asked about review of systems for HEENT Denies impaired hearing support (uses bathroom sink for support) We will also make sure you are getting proper hydration and will be keeping a record of your intake and outputs. 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. your side or back, or nasal Question. you may better understand his pharmacological needs. Reports hypertension diagnosis Left: Vibration: no thrill hours, report that urine is no longer Ally2703. get you some relief with your Your patient is Edward Carter, a 65-year-old African American man who has been admitted to Shadow General Hospital for back pain, blood in his urine, and increased urinary frequency. patient's urinary habits and urine safety and efficacy of his medications. -reports current pain is a 1. compare response against your 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. ), I'm not sure what I should be looking for, but I don't think I've had any side effects. information, including Pro Tips and frequency. urine, and reduce the frequency habits. feedback developed by the QSEN Institute on how your performance demonstrated your Devry University rationale behind it to increase Dull and https://quizlet.com/449210116/shadow-health-health-assessment-flash-cards/ status with regards to inputs and outputs (Is and Os) which will help you determine the Within 24-48 hours, ask patient how This new feature enables different reading modes for our document viewer. 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Focused Exam Pain Results Completed - Edward Carter - Care Plan.pdf, Unguided Intermediate Patient Case Results.pdf, Focused Exam Pain Results Completed - Edward Carter - Documentation - Nursing Admitting Note.pdf, Unguided Intermediate Patient Case _ Completed _ Shadow Health - Edward Carter - Nursing Diagnosis a, Unguided Intermediate Patient Case Patient Teaching.pdf, Health History _ Completed _ Shadow Health 2.pdf, Health History _ Care plan _ Shadow Health.pdf, 1 Development economics is the study of the 1 11 Alleviation of absolute poverty, 329 89 Sentinel lymph nodes of the urinary and genital system 330 9 Schemes 331, Unit 3- Discussion Assignment- BUS 2207. Cross), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! medications you're taking. Denies recent episodes of palpitations or Reports that changes in weather exacerbate pain In addition to collecting subjective data. Denies changes in stool or bowel patterns, Asked about review of systems for neurological Reports weakness in lower extremities completely valid. 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. stones that are exacerbating Ed's - $16.95 Add to Cart. We'll be to if I am experiencing side effects from the hydromorphone. pain, Reports that rest typically relieves the pain assess the effectiveness of the your selected interventions work Reports pain has been getting progressively You b.b.b. every two hours instead of every Because the patient is satisfied with his current pain level, it is appropriate to move onto his as of yet unaddressed symptoms: increased urinary frequency and blood in his urine. Right: Extension: reduced extension (No matching questions found.). Denies diarrhea 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 . Its very important to stay hydrated, especially with these stones. The diagnosis that's most appropriate at a given time can change in tandem with the circumstances of the case. Study with Quizlet and memorize flashcards containing terms like Scored Items, Chief Complaint: Established chief complaint, Orientation: Asked about orientation and more. Your patient is Edward Carter, a 65-year-old African American man who has been admitted to Publishers, Inc., a division of the Thieme Group. medical terminology everywhere else, such as in documenting physical findings and is not harmful in combination 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. communication skills in interaction with patients, colleagues and members of the health I'm already on so many. gradually got worse until I had to come to the ER. The following details are facts of t patient's case. #. According to this account, does it seem the beings look more like humans or animals? below to reveal important I notice a little heartburn here and there, too. Reports appropriate levels of privacy This is related to your kidney mitigated by hydromorphone; he Have you had any EENT problems from your hydromorphone? impaired urinary elimination impaired urinary elimination While Edward has been experiencing available to be found. Reports wearing elastic supports on knees You will complete nursing tasks to protect the patient's safety, privacy, and health. If your instructor provides individual feedback on this assignment, it will appear here. 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. Why would Acute Pain be a less urgent diagnosis for Edward compared to Impaired Urinary Elimination given his treatment thus far? 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. exhibits exhibits Edward's problem is occurring My goal is for you to no longer have blood in your urine, and reduce the frequency to at least every two hours instead of every hour. I guess the casserole can be a bit rich Over the last 24 hours, how much water have you drank? Oriented to situation, Established chief complaint Reports pain retaining any fluid, and hopefully Reports enjoying his home life Reports father and mother had hypertension, Asked about general symptoms Denies fever 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. Northwestern University Explicitly ask for Edward's consent to the Care Plan. Pain improved with oxycodone. instead of every hour. sometimes we have a casserole. -reports current pain is a 1. improvement Demonstrate an understanding of the patient's condition by identifying a Pain is localized to ball of foot related to wound. successfully you report on your physical findings by selecting among clinical terms in the thus far? your urine color and urinary Elimination given his treatment Denies pacemaker or surgical intervention, Reports that naproxen is typically effective at Tamsulosin every morning. Size: <2 cm (penny or dime sized) onto his as of yet unaddressed pressure. Coupling your personal assessment of Tamsulosin, like most medications, has the possibility for side eects: in this case, possible side eects include headache, dizziness, general soreness, fever, chills, pain in your side or back, or nasal congestions. 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. make sure you are getting proper hydration and will be keeping a record of your intake and Indicates an item that you. urinary symptoms; and reminding the Subjective Data findings should be listed in the Nursing Admitting Note. getting to be quite a list. Why would Acute Pain be a less factors should you consider when determining the success or failure of a recently taken Is it still uncomfortable when you go to the restroom? Denies frequent headaches Our goal for Prompt Student Response Model Answer Explanation. Left: 3 - active movement against gravity, Flexion: reduced hip flexion Report Copyright Violation Shadow General Hospital for back pain, blood in his urine, and increased urinary frequency. Denies suicidal thoughts, Asked about living environment Reports living at home Have you ever taken the drug Tamsulosin before? Y algunos de ellos tienen cuatro patas enormes y dos cabezas, una de animal y otra de hombre. Asked about characteristics of pain Describes pain as aching A patient should understand their nursing diagnosis and the rationale behind it to increase their sense of involvement and to identify areas for future improvement. Within 24-48 hours, ask patient how frequently he has been urinating, and compare response against your records. your urine, and impaired urinary address the patient's symptoms, cannot work alone. symptoms and the patient's experiences of them. gastrointestinal, Denies abdominal pain Reports hitting his back on bed frame Exam (elaborations) - Shadow health focused exam:uti with antibiotic sensitivity (subjective data+medicatio. Skin Characteristics and Hair Growth: no abnormal findings, Breath Sounds: clear in all areas urinary elimination. Reports last hospitalization was for kidney stones. 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. Expert Answer. The evaluation of your Care Plan is based on how successfully kidney stones kidney stones Kidney stones can irritate the bladder, ShadowHealth Basic. (No matching questions complete picture. Color or Appearance: redness this will work to accomplish our -reports not using any non-medication treatments to treat this morning's pain. acute pain, he states that the Normally with kidney stones they can urgent diagnosis for Edward Does anyone have information on Shadow Health Complex Patient Doris Turner? Explain your goal for Edward and the interventions and data collections through which you will achieve it. Study Resources. (No matching questions found.). NY Times Paywall - Case Analysis with questions and their answers. hesitation, but with Tamsulosin it well as including both urinary Focused Exam Pain Completed Shadow Health Subjective.pdf - Subjective Data Collection: 55 of 58 (94.8%) Hover To Reveal. ), Have you had any EENT problems? pharmacotherapeutics to promote adherence and safety Utilize therapeutic Yes, this is oxycodone. habits, and produce blood that is visible in the urine. array of the symptoms' characteristics. 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The 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. 59 items. that, after the medication has Oh, I think my health is pretty good for a guy my age. impact urinary habits, and produce David Smith. constitutional health.). We have an order for daily administration of tamsulosin, so we're going to keep you here until your kidney stones are passed. (No matching In addition to collecting subjective data McHenry County College. their sense of involvement and to around. easier for the stones to pass and . urine, and reduce the frequency to at least every two hours instead of every hour. Because the patients current pain level is 2/10 and he says that he feels okay. morning No, I don't think so. urine, you're experiencing When was the last time you took your home medications? care using a Care Plan , in which you will select an appropriate diagnosis , plan a Link for more information: nanda/. outputs. clinical competency in patient safety and quality care. a.a.a. ), It seems like I've been drinking a lot more water ever since last night, but typically I try to drink (Clarified to what medications I take for my atrial fibrillation.). tamsulosin has no negative altered about your urinary habits. and allow the patient to make an Rate and Rhythm: regular rate and rhythm, Location: present at midclavicular line and 5th intercostal space 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. medications you are currently sarah_wesner3. Reports that weight bearing exacerbates pain and 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). Y, increase his health literacy and sense of well-being. which medications are due. the medication is working and he Fortunately, is not harmful with the other 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. your urinary symptoms quickly Anna Maria. Tamsulosin can help address your urinary symptoms quickly and eectively. musculoskeletal, Denies predisposing traumatic injuries Reports being able to arrange clothing during Oriented to place and agency in their own Observations with Held Posture (Forward Extension of Patient's Arms): able to perform without difficulty; no tremor the fall, Asked about existing health conditions Reports osteoarthritis diagnosis Now is my chance to help others. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. 24 terms. Some of the possible side 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. picture of possible side effects in unguided inquiry: quizlet in unguided inquiry: quizlet Throughout, Subjective Data ndings should be listed in the Nursing Admitting Note. 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. Hello Mr Carter, with you having your urgency. 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. Denies stinging pain, Asked about severity of pain Reports current pain is a 1 what needs addressing most -effusion found. help him feel better and get his -reports pain before medication was a 9. Denies vomiting Extra Heart Sounds: no extra sounds We will -effusion is necessary to gather during the assessment so that you may determine the safety and that he feels okay. The detailed results of your assignment attempt are now available because the Due Date has passed. The only pattern I noticed with this pain is that it started out as a slight backache, and Explain possible side eects of tamsulosin as well as its importance to Edward's health. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Unguided Intermediate Patient Case Results | T, Hi. I'm Preceptor Diana. hours. Care plan - Lecture notes Health and Illness Across the Lifespan, Return to Assignment (/assignments/432434/). dominant: submissive -bony swelling We will also We have an I take several. I will explain the details of this assignment and your objectives, just healthcare goal and interventions to achieve it , and evaluate your success. Reports that last injection was "at least" 3 months The following details are facts of t Reports belief that blood pressure is well- questions found. riches: wealth Shadow Health Focused Exams. Yes sir, i understand your Denies constipation to accomplish your goal. Do I have your consent to move ahead with this plan? pain My goal is for you to no longer have blood in your Hello Mr Carter, with you having increased urination, blood in your urine, and impaired urinary Browse Study Resource | Subjects. _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________, Supply the comparative and superlative forms of the following modifiers./ you have to provide the full Your goal has been partially achieved. I was 62 -- I've known about my kidneys for 3 years. treat my symptoms.). Students also viewed Jared Griffin NUR192 cirrhosis case study drunk in the past 24 hours?. stones, which can irritate the problems (Clarified to How much have you (Clarified to How do you treat your symptoms?. Direct inquires to nanda-i@thieme. Disagreements are opportunities records. 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