Case
NR 351 SBAR Documentation for Anna Sink Assessment & Recommendation (GRADED A)
- Course
- NR 351
- Institution
- Chamberlain College Of Nursing
NR 351 SBAR Documentation for Anna Sink Assessment & Recommendation (GRADED A)
[Show more]
Content preview
NR305 Week 6 Anna Sink iHuman VirtualPatient Encounter Worksheet
Name: Lindsey Childresss
1. Situation, Background, Assessment, Recommendations (SBAR) Documentation
Write a focused SBAR note summarizing Anna Sink’s assessment for calling report to
social services. Include appropriate information in each section. Include all key findings
in each section. Data should be well-organized and concise. Documentation should be
professional with correct spelling.
This is a focused assessment SBAR; your summary should include a brief review of
pertinent findings. Type the appropriate information in each section below to develop your
focused SBAR note for end-of-shift documentation.
S Situation Anna Sink a 32-year-old African American, female teacher who
came to the ER with complaints of chest tightness, palpitations,
Concise statement and shortness of breath. This episode started when she heard
of the purpose of the the weather forecast was changing- delaying Anna 2 days from
communication her travel. Came into the ER and was given 2mg of PO
Lorazepam which helped the patient's anxiety a little.
B Background Anna's symptoms have continued 1-2x a week for 6 months.
She is feeling distressed from prolonged symptoms and
Brief information persistent feelings of doom. She always feels like something
related to the clinical bad is going to happen to her and has been having trouble
background of the concentrating. Anna takes Tylenol and Advil for headaches, and
situation. it seems to work. The patient has been going to therapy for 3
months “off and on” but is not sure if it has been effective.
Client stated, “I just feel like something bad is going to happen.”
A Assessment A&Ox4
No Allergies noted
Brief analysis and Drug toxicology test –
consideration of Anxiety 6/10
options No medical/surgical history.
Vital signs:
Temp: 98.6
HR: 98, regular.
Respirations: 18, regular, nonlabored.
Blood Pressure: 126/79
© 2023. Chamberlain University LLC. All rights reserved.
1
6.13.23
This study source was downloaded by 100000884024057 from CourseHero.com on 11-01-2024 04:00:38 GMT -05:00
https://www.coursehero.com/file/235535472/SBAR-Documentation-for-Anna-Sink-Assessment-Recommendations/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ProfGoodlucK. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
66579 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now