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NR 305 Week 7 Assignment; Anthony James iHuman Virtual Patient Encounter Worksheet
- Course
- NR301 (NR305)
- Institution
- Chamberlain College Of Nursing
NR 305 Week 7 Assignment; Anthony James iHuman Virtual Patient Encounter Worksheet
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NR305 Week 7 Anthony James iHuman VirtualPatient Encounter Worksheet
Name:
1. Situation, Background, Assessment, Recommendations (SBAR) Documentation
Write a focused SBAR note summarizing Anthony James’ assessment for the
end of shift report. 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 Anthony James has been brought in by his daughter for
comfort care.
Concise statement
of the purpose of
the communication
B Background PMH: HTN, COPD, Bladder Cancer
Brief information
related to the
clinical background
of the situation
A Assessment He is only responsive to pain and will not respond to
questions verbally or follow motor command.
Brief analysis and Tachycardia, Tachypnea, Hypotension.
consideration of
options
R Recommendation Continue to keep patient comfortable with continuous
morphine drip as well as bolus doses PRN for
Suggestion of what breakthrough pain.
you believe the
client needs
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1
6.13.23
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