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Focused Exam Infection SBAR Shadow Health

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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 process. 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 the page. Documentation Review SBAR Student Response Model Documentation 1. Situation Ms. Patricia Young is a 74-year-old White woman admitted today from the ED with a diagnosis of UTI and new onset confusion. 2. Background Ms. Young has a history of frequent UTIs, bladder leakage, hypercholesterolemia, and a cholecystectomy at age 48. Yesterday she showed signs of confusion at home and today became increasingly confused, somnolent, and incontinent of urine, complaining of burning with urination and generalized abdominal discomfort. Her treatment plan is to treat her for UTI and monitor her mental status. She has had labs, a urinalysis, an [Show More]

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