ago, Asked about medication administered in ER Reports receiving morphine My back pain hasnt gotten better at all. Once the maintenance window concludes, assignments will be available again. Conduct and document a comprehensive pain assessment, using appropriate pain assessment tools Conduct and document a comprehensive pain assessment, using appropriate pain assessment tools Determining a comfort-function goal involves an enormous array of considerations and strategies. Reports limited range of motion in joints Focused Exam: Pain | Completed | Shadow Health, ICHS - Capstone Spring 2021 - June 2021, nur2811ug, (/site_notice_dismissals?from_flash=true&site_noti, Shadow Health will be undergoing scheduled maintenance on September 24th, 2021 between 07:00 AM ET and 07:30 AM. Reports using range of motion exercises for knee Lab Pass (/assignment_attempts/10630026/lab_pass. Denies constipation Denies edema Denies loneliness, Asked about feeling safe at home Reports feeling safe at home, Asked about bathing Reports being able to bathe independently and "needing to rest much more than usual" bilaterally to treat this morning's pain The pain is sharp and burning, and it tingles sometimes. The following details are facts of t Established chief complaint and reason for admittance, Reports chronic lower back pain resulting from work injury, Reports wanting a prescription for opioids, Reports sustaining injury thirteen weeks ago, Reports injury occurred after lifting a heavy box, Reports pain onset immediately after injury, Reports being driven to hospital immediately after injury, Reports hospital exams could not diagnose the type of back injury, Reports being told at the hospital to attend physical therapy, Asked about frequency, duration, and timing of pain, Reports back injury and pain have not healed since onset, Reports pain fluctuates in and out throughout the day at irregular intervals, Asked about additional symptoms of injury, Reports exertion such as walking, bending, or lifting aggravate pain, Reports at-home physical therapy exercises aggravated pain, discouraging attendence of physical therapy, Asked about nonmedicational treatment and relieving factors of pain, Reports shifting positions when sitting or lying down can slightly relieve pain, Descibes pain as usually sharp and burning, Reports sometimes pain is not present or low, or 0-2, Reports sometimes pain is moderate to severe, or 4-7, Asked about other existing health conditions, Asked about relevant family medical history, Reports mother has depression and is an alcoholic, Reports currently taking testosterone enanthate for gender-affirmation therapy, Reports previously taking ibuprofen for back pain, Reports previously taking opioid analgesics for back pain, Reports testosterone is in injection form, Reports dosage is 100 milligrams per week, Reports having taken testosterone for two years, Reports most recent dose of testosterone was yesterday, Reports buying over-the-counter ibuprofen to avoid the hassle of filling a prescription, Reports having taken two 200 milligram ibuprofen pills at a time, Reports having taken ibuprofen every four hours, Reports ibuprofen was ineffective as an analgesic, Reports having been given opioids leftover from his friends surgery, Reports the opioids were a combination of 325 milligrams acetaminophen and 5 milligrams hydrocodone, Reports having taken the opioids twice daily, morning and night, Reports the opioids were effective as an analgesic, Reports having started ibuprofen 13 weeks ago just after hospitalization and stopping 11 weeks ago, Reports stopping ibuprofen 11 weeks ago to more safely use alcohol as a stronger analgesic, Reports stopping alcohol use 1 week ago to more safely use opioids as a stronger analgesic, Reports having taken the opioids for a week until running out this morning, Reports steady but low income as a theatre director, Reports transgender (female to male) identity, Reports wearing a chest binder to masculinize appearance, Reports increasing alcohol use for its slight efficacy as an analgesic, Reports drinking 1-2 servings of alcohol a month before injury, Reports now drinking 3 servings of alcohol a day, Reports spreading alcohol servings throughout the day, Asked about intoxication during risky activities, Denies intoxication during risky activities. SHADOW HEALTH Patricia Young Infection Pain Care Plan. What is Shadow Health Chest Pain Subjective Data. fall ADLs, Reports increasing problems with gait information (surveymonkey/r/TN9CMB5). Reports father and mother had hypertension, Asked about general symptoms Denies fever morning Click here for more ()(/site_notice_dismissals?from_flash=true&site_noti information (https://www.surveymonkey.com/r/TN9CMB5), Nursing Care of Older Adults - Summer 2021, NUR 3031, ()Return to Assignment (/assignments/373040/), () Reopen (/assignment_attempts/10105927/reope. Im sorry that its been so difficult to find a proper treatment plan for your pain and that you havent always received enough relief. KershawHealth Medical Center. The patients name is Patricia Young. The pain is worst when Im doing something. stiffness morning The following details are facts o Oriented to person Oriented to place Oriented to time Oriented to situation, Reports pain Reports recent fall Reports worry about worsening symptoms, Reports recent episode of severe pain started this morning Reports pain has been getting progressively worse in the last few weeks, Describes pain as aching Describes pain as "deep", Reports occasional "grating" sensation in joints, Reports current pain is a 1 Reports pain before medication was a 9, Asked about non-medication relieving factors of pain, Reports that rest typically relieves the pain Reports not using any non-medication treatments to treat this morning's pain Reports occasional use of moist heat as treatment, on hips Reports using range of motion exercises for knees Reports wearing elastic supports on knees, bilaterally Denies use of ice as treatment, Reports that exercise exacerbates pain and stiness Reports that weight bearing exacerbates pain and stiness Reports that pain and stiness are worse in the morning Reports that changes in weather exacerbate pain and stiness, Reports falling getting out of bed Reports hitting his back on bed frame Denies dizziness, syncope, or vertigo at time of, fall Denies substance use that could have related to the fall, Reports osteoarthritis diagnosis Reports hypertension diagnosis Reports chronic kidney disease diagnosis Reports atrial fibrillation diagnosis, Followed up about osteoarthritis diagnosis, Followed up about osteoarthritis symptoms and ADLs, Reports increasing problems with gait Reports increasing problems with exercise, Diagnosed at age 55 Reports belief that blood pressure is well-, controlled Reports typical blood pressure as 130/85 Reports eating a low sodium diet, Followed up about atrial fibrillation diagnosis, Diagnosed at age 61 Denies recent episodes of palpitations or problems, Denies pacemaker or surgical intervention, Reports medication for osteoarthritis Reports medications for atrial fibrillation Reports medication for hypertension Denies medication for chronic kidney disease Denies pain medication at home Denies taking vitamins Denies taking herbal supplements, Reports using a pillbox to organize medications Denies missing doses of medication Denies missing doses of medication because of, side eects Denies diculty obtaining medications because of nances Denies diculty obtaining medications because of transportation, Followed up on last dose of home medications, Reports taking naproxen at 5 am this morning to try to relieve pain Denies taking other medications today, Followed up on anticoagulant medication for atrial fibrillation, Reports taking apixaban Reports apixaban dosage: 2.5 mg Reports apixaban frequency: 1x daily Denies apixaban side eects, Followed up on calcium channel blocker medication for atrial fibrillation, Reports taking verapamil Reports verapamil dosage: 80 mg Reports verapamil frequency: 3x daily Denies verapamil side eects, Followed up on combination ARB / diuretic for hypertension, Reports taking Hyzaar (losartan and hydrochlorothiazide combination) Reports Hyzaar dosage: 100 losartan /25 mg hydrochlorothiazide Reports Hyzaar frequency: 1x daily Denies Hyzaar side eects, Followed up on oral medication for osteoarthritis, Reports taking naproxen Reports naproxen dosage: 220 mg Reports naproxen frequency: 2x daily Denies naproxen side eects, Reports that naproxen is typically eective at reducing pain Reports that naproxen is OTC, Followed up on injections for osteoarthritis, Reports injections are kenalog (triamcinolone) Reports kenalog dosage: 10 mg/mL Reports kenalog frequency: 4 times per year Reports kenalog location: Injected into each hip, and knee joint Denies side eects Reports that injections are eective in reducing, pain Reports that last injection was "at least" 3 months ago, Asked about medication administered in ER, Reports receiving morphine Reports morphine has been eective, Asked about substance use Denies recent alcohol use Denies illicit drug use Denies use of tobacco and nicotine products, Asked about relevant family history Denies family history of osteoarthritis Denies family history of kidney stones Denies family history of chronic kidney disease Denies family history of atrial fibrillation Reports father and mother had hypertension, Denies fever Denies chills Denies night sweats, Denies impaired hearing Denies vision problems, Asked about review of systems for respiratory, Denies cough Denies shortness of breath Denies dyspnea on exertion Denies wheezing, Asked about review of systems for cardiovascular, Denies chest pain Denies palpitations Denies edema Denies claudication, Asked about review of systems for gastrointestinal, Denies abdominal pain Denies diculty swallowing Denies nausea Denies vomiting Denies constipation Denies diarrhea Denies changes in stool or bowel patterns, Asked about review of systems for neurological, Reports weakness in lower extremities Reports sore lower back Denies frequent headaches Denies numbness or tingling Denies changes in coordination Denies changes in memory, Asked about review of systems for musculoskeletal, Denies predisposing traumatic injuries Reports limited range of motion in joints Denies muscle spasms, Asked about review of systems for psychological, Denies mood change Denies suicidal thoughts, Reports living at home Reports living with wife Reports appropriate levels of privacy Reports enjoying his home life Denies loneliness, Reports being able to bathe independently Reports being able to reach all parts of his body Reports being able to get out of shower safely by, Reports being able to retrieve clothing Reports being able to put on clothes Denies diculty with buttons and zippers Denies diculty tying shoes, Reports being able to get up from the toilet with support (uses bathroom sink for support) Reports being able to arrange clothing during toileting Reports being able to clean genital area without help, Reports diculty getting out of bed in the morning, Reports some diculty getting out of chairs Reports occasional use of cane to transfer, Reports full control over bowels Reports full control over bladder, Reports being fully able to eat and feed himself Reports being fully able to get food from plate to mouth Reports being able to prepare food, Reports that sleep is good Denies insomnia Denies frequent waking Denies oversleeping, Denies previous falls Denies dizziness, syncope, or vertigo, Reports some problems with gait Denies bedrest Denies use of wheelchair Reports occasional use of cane to walk Reports occasional use of furniture as support, while walking Reports occasional problems with balance because of arthritis pain, Reports that his skin seems thin Denies open wounds Denies rashes or lesions Denies bruising (may have bruising on back from, fall, but it hasn't appeared yet) Denies pruritus, Denies tooth problems and dental pain Denies issues with mouth, jaw, or gums Reports no issues with being able to chew food, Denies changes in appetite Denies feeling full quickly, Asked about eects of health on social activity, Reports that social activity has remained the same, although he has to sit through some events Reports feeling worried about reduced mobility and independence, Asked about patient's perception of health, Asked about tiredness, energy levels, and fatigue, Reports increased fatigue and low energy Describes fatigue as "having hardly any energy", and "needing to rest much more than usual" Reports fatigue occurs in the afternoons Reports fatigue for the last 3 months, Asked about recent ER visits or hospitalizations, Denies ER visits or hospitalization in the last 3 months Reports last hospitalization was 3 years ago Reports last hospitalization was for kidney stones, Help Desk (https://support.shadowhealth.com/) Terms of Service (/static/terms_of_service) Privacy Policy (/static/privacy_policy) Patents (800) 860-3241 | ()| | | (https://www.shadowhealth.com/patents), Focused Exam: Pain | Completed | Shadow Health, https://app.shadowhealth.com/assignment_attempts/9122494, Nursing Care of Older Adults - Spring 2021, NUR 260, The detailed results of your assignment attempt ar, Experts selected these topics as essential components, A combination of open and closed questions will yield, better patient data. Document Content and Description Below. . Patricia. : an American History, ATI System Disorder Template Heart Failure, Death Penalty Research Paper - Can Capital Punishment Ever Be Justified, Skomer Casey, Civ Pro Flowcharts - Civil Procedure Flow Charts, Request for Approval to Conduct Research rev2017 Final c626 t2, Lesson 9 Seismic Waves; Locating Earthquakes, ECO 201 - Chapter 5 Elasticity and Its Applications, TB-Chapter 16 Ears - These are test bank questions that I paid for. (/site_notice_dismissals?from_flash=true&site_noti During this time assignment attempts will be disabled. Reports last hospitalization was for kidney stones. Gerontology infection shadow health Patricia Young. though alcohol has been effective for you as a back pain reliever it is dangerous substance that could damage your health and behaviors. Now, every little thing hurts. Ive been in way too much pain to miss doses. I just couldnt find anything that worked. Hover over the Patient Data | Course Hero West Coast University NURS NURS 201 Focused Exam Pain Completed Shadow Health Subjective.pdf - Subjective Data Collection: 55 of 58 94.8% Hover To Reveal. thank you, https://www.studypool.com/documents/5775812/infection-transcript-pdf-1-, Shadow Health Abdominal Assessment TranscriptNRS-434VN v Credit Based 35 Patricia Young Focused Exam: Infection Results Question 06/04/18 3:17 PM My, https://baww.marvand.nl/shadow-health-abdominal-assessment-transcript.html, Focused Exam Cough All Shadow Health Patient: Danny Rivera NUR 677 Patricia Young Focused Exam: Infection Results Question 06/04/18 3:17 PM My right, https://asco.nauczycielpracujeglosem.pl/shadow-health-focused-exam-cough.html, Shadow health comprehensive assessment. Reports not using any non-medication treatments support (uses bathroom sink for support) musculoskeletal, Denies predisposing traumatic injuries 37 terms. 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