Focused Exam: Pain Results | Turned In
Gerontology Simulations - Spring 2020
Return to Assignment (/assignments/318214/)
Your Results
Reopen (/assignment_attempts/6932397/reopen
Lab Pass (/assignment_
...
Focused Exam: Pain Results | Turned In
Gerontology Simulations - Spring 2020
Return to Assignment (/assignments/318214/)
Your Results
Reopen (/assignment_attempts/6932397/reopen
Lab Pass (/assignment_attempts/6932397/lab_pass.p
Overview
Transcript
Subjective Data Collection Objective Data Collection Education & Empathy QSEN Competencies
Transcript
Started: May 22, 2020 | Total Time: 109 min
All Lines (204) Interview Questions (123) Statements (0) Exam Actions (81)
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05/22/20 11:51 PM E
Documentation Hello.
SBAR
Reflections
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Yes -- I'm Edward Carter.
what is your date of birth?
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Questio
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Thank you. I'm ready. [AUDIO COMING SOON]
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Assessed vitals Assessed IV bag Assessed IV pump
Assessed IV site: Dressing dry and intact
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Inspected head and face Inspected mouth
Inspected front of hips: visible edema Inspected left hip: visible edema Inspected back of hips: visible edema
Inspected right hip: visible edema
Exam Actio
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Exam Actio
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Inspected front of hips: visible edema Inspected front of thighs
Inspected left thigh Inspected back of thighs Inspected right thigh Inspected front of thighs Inspected left thigh Inspected back of thighs
Inspected front of knees: Valgus deformity Inspected left knee: visible swelling Inspected back of knees: Valgus deformity Inspected front of lower legs
Inspected left lower leg Inspected back of lower legs Inspected right lower leg
Inspected front of neck and face Inspected chest and abdomen Inspected front of right hand Inspected front of left hand Inspected front of legs
Inspected top of feet
Exam Actio
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Inspected top of left hand Inspected left leg
Inspected left side of left foot
Inspected lower back: visible redness Inspected left hand palm
Inspected right hand palm Inspected back of legs Inspected heels
Inspected right shoulder and right side of neck Inspected top of right hand
Inspected right leg
Inspected right side of right foot Auscultated carotids
Auscultated heart sounds
Auscultated breath sounds in anterior right upper lobe Auscultated breath sounds in anterior left upper lobe
Auscultated breath sounds in anterior left mid-chest (upper lobe) Auscultated breath sounds in anterior right middle lobe
Auscultated breath sounds in anterior right lower lobe
Auscultated breath sounds in anterior left lower lobe Auscultated breath sounds in posterior left upper lobe
Exam Actio
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Auscultated breath sounds in posterior right upper lobe
Auscultated breath sounds in posterior right mid-back (lower lobe) Auscultated breath sounds in posterior left mid-back (lower lobe) Auscultated breath sounds in posterior left lower lobe
Auscultated breath sounds in posterior right lower lobe
Auscultated breath sounds in posterior right lower lobe on side Auscultated breath sounds in posterior left lower lobe on side Auscultated breath sounds in posterior right lower lobe near spine Auscultated breath sounds in posterior left lower lobe near spine Palpated PMI
Palpated right knee: reported tenderness, effusion, bony swelling, and crepitus, popping, or clicking
Palpated left knee: reported tenderness, effusion, bony swelling, and crepitus, popping, or clicking
Palpated posterior tibial pulse Palpated dorsalis pedis pulse
Tested fine motor skills
Exam Actio
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Tested cognition
Tested strength of hips - no resistance: Active movement against gravity
Exam Actio
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Tested strength of knees against gravity: Active movement against gravity
Tested ROM of hips - flexion: Reduced hip flexion
Tested ROM of hips - extension: Reduced hip extension
Tested ROM of hips - abduction: Reduced hip abduction
Tested ROM of hips - adduction: Reduced hip adduction
Tested ROM of knees - flexion: Reduced knee flexion
Tested ROM of knees - extension: Reduced knee extension
Tested skin turgor
Tested capillary refill
Tested gait: Hesitancy, steps clear floor, and greater than 12 seconds to complete
Tested gait: Hesitancy, steps clear floor, and greater than 12 seconds to complete
Exam Actio
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Questio
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Assessed vitals
Exam Actio
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