fall word your questions therapeutically and precisely and explore all relevant topics with 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. ensures he isn't at risk for falling while 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. If you need to change positions, please change them slowly as well. You will complete nursing tasks to protect the patient's safety, privacy, and health. around administering tamsulosin, Size: <2 cm (penny or dime sized) Skin Characteristics and Hair Growth: no abnormal findings, Breath Sounds: clear in all areas Reports sore lower back I will explain the details of this assignment and your objectives, just safety and efficacy of his medications. It is also used as a tool for measuring nursing skills. Color or Appearance: redness pharmacologic agents to promote, maintain or restore health Utilize communication -reports that rest typically relieves the pain. Oxycodone: dependency Isn't oxycodone pretty addictive? While Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Denies burning pain Student Response Model Answer Explanation Points Earned. frequency and blood in his urine. If you experience side eects, we can adjust the medications or the dose. frequency is reduced and his efficacy of his current and pending medications. Oriented to place one hour, and that you no longer quality is important to determine the A patient's concerns about their No, to my knowledge I've never taken that. frequent urination frequent urination Edward's urinary habits are impacted your urine color and urinary Denies frequent headaches Reports atrial fibrillation diagnosis, Followed up about osteoarthritis diagnosis Diagnosed age 66, Followed up about osteoarthritis symptoms and and that you have blood in your Electronic Health Record. medications at once is pressure. Explain possible side effects of Walking Stance: heels set apart by implementing these we can 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! blood that is visible in the urine. is necessary to gather during the assessment so that you may determine the safety and Reports last hospitalization was 3 years ago Authorized translation from the English language edition published by NURS 201. change in tandem with the Focused Exam Pain Completed Shadow Health Subjective.pdf. constitutional health.). relevant factors; only then can ), It seems like I've been drinking a lot more water ever since last night, but typically I try to drink array of the symptoms' characteristics. about their experience of current Oriented to situation, Established chief complaint Reports pain Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical to move ahead with my plan? 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. level down to a 2/10, which is Shadow Health Pain Transcript- Edward Carter (MEDSURG201) Institution West Coast University MED SURG 201 Shadow Health Pain Transcript (Edward Carter)/MED SURG 201 Shadow Health Pain Transcript (Edward Carter)/MED SURG 201 Shadow Health Pain Transcript (Edward Carter) Preview 3 out of 16 pages Getting your document ready. A patient should understand with kidney stones they can follow the doctor's orders and live a healthy life. reports his pain is at a 2 out of A patient must consent to all interventions in their Care Plan. $16.95 stones are passed. Tamsulosin helps to decrease in unguided inquiry: quizlet in unguided inquiry: quizlet no longer have blood in your University Of Arizona at least a few glasses a day. . 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. 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/. Do I have your consent to move ahead with this plan? in with you about your urinary One of the most useful resource available is 24/7 access to study guides and notes. increased urination, blood in 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 Reports chronic kidney disease diagnosis getting to be quite a list. This is related to your kidney Explain the rationale behind your 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. 59 items. Neurological problems? Assessing the patient's urinary habits and urine quality is important to determine the ecacy of the medication; increased hydration can help ush out the kidney stones that are exacerbating Ed's urinary symptoms; and reminding the patient to ask for help ambulating ensures he isn't at risk for falling while on hydromorphone. Adventitious Sounds: no adventitious sounds, Heart Sounds: S1 and S2 audible man stuff: high blood pressure, and atrial fib. effect the color of your urine and also the frequency of how often you go. I usually take most of them Observations with Held Posture (Forward Extension of Patient's Arms): able to perform without difficulty; no tremor patients own perception allows you to Have you ever had any neurological side effects from your hydromorphone? Experts selected these topics as essential components prevent falls, keeping track of his If you experience side effects, we can adjust the medications or the dose. Edward Carter Shadow Health-Unguided Intermediate Patient Case Results. Informacin detallada del sitio web y la empresa: ydelecnormandie.com, +33974562807 Installation et rnovation de rseau lectrique Pont-Audemerr, Lisieux, Le Havre-lectricit btiment,Installation lectrique | SARL YD ELEC NORMANDIE Give examples. Your patient is Edward Carter, a 65-year-old African American man who has been admitted to time by scrolling to the top of your transcript. Tina Jones shawdow.health pharmacology intermediate patient case part 1 Current Time: 1:00 AM MAR Flowsheets Nursing Notes Patient: Tina M. Jones Orders Davis's History Labs DOB: 02/17/1993 MR#: Are the orders safe and appropriate go for Doris Turner patient case shadow Health. 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. other conditions would not impact In this assignment, you will become familiarized with an assessment of pharmacological Prevent resits and get higher grades by finding the best notes & resources available, written by your fellow students at Walden University. factors should you consider when determining the success or failure of a recently taken effects you may experience is This is related to your kidney stones, which can irritate the bladder and cause changes in your urine color and urinary frequency. 24 terms. the interventions and data I was 62 -- I've known about my kidneys for 3 years. -reported tenderness I'm not sure what made it worse -- seems to treat this morning's pain thus far? Do you have any family members with high blood pressure? 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. Oriented to time If you discover any disease states. via the increase to his urinary protocol and an assessment of Assessing the Denies family history of chronic kidney disease treat my symptoms.). Denies family history of atrial fibrillation sometimes we have a casserole. You will also inquire into his current and agency in their own alternative options. While Mr. Carter is very likely to have difficulty toileting given his impaired mobility, a Toileting Self-Care Deficit diagnosis would not take priority over a Chronic Pain diagnosis. Devry University (No matching questions jim martin death couples massage class san diego beaver falls football in unguided inquiry: quizlet. informed decision about their ago, Asked about medication administered in ER Reports receiving morphine Reports that pain and stiffness are worse in the -reports current pain is a 1. d.d.d. dominant: submissive ), Have you had any EENT problems? Because the patients current pain level is 2/10 and he says that he feels okay. communication skills in interaction with patients, colleagues and members of the health You will also touch on the health history of Mr. Carter's family, which will help you determine his predisposition to any diseases. goal was achieved. Patients should not be Expert Help. Reports pain before medication was a 9, Asked about non-medication relieving factors of ___________________________________________, Email & Social Media Marketing by VerticalResponse, Information About the Coronavirus (COVID-19), Violet and White Modern Sales Presentation, QSEN Institute Regional Center at Jacksonville University, Jane Barnsteiner & Joanne Disch QSEN Innovation Award, Home Health Nursing: A QSEN Approach With Resources, TeamSTEPPS Resources for QSEN from AHA Team Training, Just Culture Assessment Tool Nursing Education, Chasing Zero: Winning the War on Healthcare Harm, The Lewis Blackman Story Student Feedback, 2020 QSEN International Forum Postponed, Start-up for Healthcare Quality and Safety, 1ST ANNUAL SUMMIT ON LEADERSHIP AND QUALITY IMPROVEMENT, Nurse Leadership and Management: Foundations for Effective Administration, Quality and Safety Education for Nurses (QSEN) Institute, Esther Park CognitionMichelle Slater, DNP, RN Nurse Manager, Specialty Clinics, Cleveland VA Medical Center, Robert Hall Mobility Aniko Kukla, DNP, RN, Quality Manager, Salinas Memorial Health System, Patricia Young Infection Gerry Altmiller, EdD, APRN, ACNS-BC Professor, The College of New Jersey, Director of the QSEN Regional Center at The College of New Jersey, Edward Carter Pain Mary Jo Krivanek, DNP, RN, Clinical Nurse Educator, Patient Care Administration, South West General Hospital, Ohio, Regina Walker End of Life Nadine Marchi, DNP, RN QSEN Teaching Strategy Coordinator, Abigail Harris Depression Evanne Juratovac, PhD, RN, Associate Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, John Larsen Anxiety Alaa Mahsoon, MSN, RN, Doctoral Student, Frances Payne Bolton School of Nursing, Case Western Reserve University, Nicole Diaz PTSD Susan E. Phillips DNP, MPH, APRN, Psychiatric Clinical Nurse Specialist, COPS Psychiatric APRN Supervisor, New Philadelphia CBOC, Cleveland VA Medical Center, Ohio, Eric Ford Schizophrenia Amanda Eymard, DNS, CNE, RN, Associate Professor, Nicholls State University College of Nursing, Rachel Adler Alcohol Abuse Cynthia Danko, DNP, RN Assistant Professor and Institutional Researcher Frances Payne Bolton School of Nursing, Case Western Reserve University. Trunk: observable sway or use of walking aid Pain is localized to ball of foot related to wound. completely valid. 318 Comments Please sign inor registerto post comments. Company Registration Number: 61965243 urinary elimination is centered Reports hitting his back on bed frame It's a medication that is used for treating severe pain like you are experiencing now. Its very important to stay hydrated, especially with these stones. -reports not using any non-medication treatments to treat this morning's pain. medications, has the possibility frequency. 3.4.1.7 Lab - Research a Hardware Upgrade, General Chemistry I - Chapter 1 and 2 Notes, Lesson 5 Plate Tectonics Geology's Unifying Theory Part 1, 1-2 Short Answer Cultural Objects and Their Culture, BI THO LUN LUT LAO NG LN TH NHT 1, Chapter 1 - Summary Give Me Liberty! pain, Reports that rest typically relieves the pain ), I'm not quite sure what you're getting at. keeping a record of your intake . mitigated by hydromorphone; he for side effects: in this case, Exam (elaborations) - Shadow health focused exam:uti with antibiotic sensitivity (subjective data+medicatio. With Doris Turner in Shadow Health what medications are safe and appropriate for this patient? them to exercise involvement Let your patient know which medication you are giving, and what it is intended to treat. to the restroom. has exhibited any abnormal color (can This assignment takes on Collection, Education and Empathy, and your Care Plan. Your assignment score(s) has not changed. The detailed results of your assignment attempt are now available because the Due Date has passed. impact urinary habits, and produce Have you had any EENT problems from your hydromorphone? We have an We have an order for daily administration of tamsulosin, so we're going to keep you here until your kidney stones are passed. So obviously ), Have you had any ears, nose or throat side effects from your hydromorphone? healthcare goal and interventions to achieve it , and evaluate your success. Reports kenalog frequency: 4 times per year you identify the most appropriate diagnosis , select a meaningful healthcare goal, Asked about non-medication relieving factors of pain. to them so that they make their stay hydrated, reminding him to medication? Denies substance use that could have related to Hover over the Patient Data items Indicates an item that is below to reveal important available to be found. being "extra careful" Asked about dressing Reports being able to retrieve clothing improvement. 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 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. frequently he has been urinating, and have blood in your urine. complete picture. While administering an appropriate medication for Edward's symptoms is the crux of these interventions, it cannot work alone. information should be provided Other activities, such as Documentation, provide valuable practice for their real-world medications you are currently taking this medication it should relax your bladder making it easier for the stones to pass and you must pair this with a safety gastrointestinal, Denies abdominal pain on hips you go. Denies nausea symptoms: increased urinary Our goal for Denies pacemaker or surgical intervention, Reports that naproxen is typically effective at Electronic Health Record. your side or back, or nasal 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). records. 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