RNSG 1261 Medical-Surgical Nursing Patricia Young- Infection Pain- Focused Exam Nursing Notes.

RNSG 1261 Medical-Surgical Nursing Patricia Young- Infection Pain- Focused Exam Nursing Notes. Focused Exam: Infection (Part 2 of 2) Gerontology - Fall 2021, RNSG 1261 Return to Assignment (/assignments//) Shadow Health will be undergoing scheduled maintenance on September 13th, 2021 between 07:00 AM ET and 07:30 AM (/site_notice_dismissals?from_flash=true&site_notic ET. Attempts will be disabled during this time period. Once the maintenance window concludes, assignments will be available again. Reflections Activity Description: Reflective writing develops your clinical reasoning skills as you grow and improve as a clinician and gives your instructor insight into your learning proc This reflection activity will help you think more deeply about your performance in the assignment. Use your documentation as you respond to the prompts at the bottom of th page. Documentation Review ED Nursing Note Student Response Model Documentation Chief Complaint Patient reports aching pain in her back and burning sensation when she urinates. Patient reports frequent pain during urination, abdominal back pain, and periods of confusion. Orientation Patient is oriented x3. She is oriented to place, person and somewhat of the situation. She does not know the date or time. Oriented to person. Only somewhat oriented to situation; oriented to place or time. History of Present Illness Patient states the pain started yesterday and has increased this morning. States the pain has been constant. No known aggrevating factors. Not currently on any medication for the current issue. Reports feeling feverish. Ms. Patricia Young is a 74-year-old White woman with a h of frequent UTIs and bladder leakage. She is postmenop and presents today to the ED with new onset confusion, generalized abdominal pain, CVA tenderness, and burnin urination. She reports lethargy and loss of appetite. Allergies No known medication allergies. No known food allergies. Denies latex or environmental allergies. No general allergies. NKA / NKDA Past Medical History Has history of high cholesterol, diagnosed at 58. Has history of UTIs. Has sought medical attention for prior UTIs. Received antibiotics for the UTIs previously. Issues with incontinence. Hypercholesterolemia, since age 58 Frequent UTIs, 2-3 per year Postmenopausal, bladder leakage 6 pregnancies/4 live births.