Exam (elaborations)
NR 509 TINA JONES NEUROLOGICAL DOCUMENTATION SHADOW HEALTH (GRADED A)
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NR 509 TINA JONES NEUROLOGICAL DOCUMENTATION SHADOW HEALTH (GRADED A)
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10/24/2020 Health History | Completed | Shadow HealthHealth History Results | Turned In
Health Assessment - Fall 2020, NUR 310
Return to Assignment (/assignments/366634/)
Your Results Lab Pass (/assignment_attempts/7816613/lab_pass.pd
Overview
Education & Empathy : 5 of 6 (83.3%)
Transcript
Subjective Data Collection During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below
are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an
Objective Data Collection appropriate response to each opportunity.
Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
Education & Empathy Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements wer
made
Documentation
Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient
Care Plan
Health History Tips and Tricks
Self-Reflection 1 Expression of pain Followed Up
Description: Tina expresses frustration about her level of pain.
Questio
What are stressors to you?
05:03 PM ED
I feel really stressed out right now! Honestly, I didn't realize that I'd be admitted to the hospital for my
foot. I don't want to miss work or school but now it looks like I'll have to. And I want my foot to stop
hurting. I know I need sleep, too.
Empathiz
I know this is difficult, but we will try to get you better as soon as possible.
05:04 PM ED
Aw, thanks.
Model Statement: "I'm sorry to hear that your pain is returning. We want you to be in as little pain
as possible. I can give you some Advil at this time, and in a few hours you can have more tramadol. I
can also walk through some pain management exercises with you that don't involve medication, if you
are interested."
2 Impact of injury on daily life Followed Up
Description: Tina brings up her pain and frustration at how being unable to bear weight on her foot
impacts her life.
Questio
What are stressors to you?
05:03 PM ED
Support
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