NR 509 / NR509 MINE Priority and planning Tina WOUND Transcript

History Assignment Results | Completed Advanced Health Assessment - Chamberlain, NR509-October-2018 Return to Assignment Your Results Turn In Each relevant diagnosis is scored on a four-point scale: Priority (1 poin ...

History Assignment Results | Completed Advanced Health Assessment - Chamberlain, NR509-October-2018 Return to Assignment Your Results Turn In Each relevant diagnosis is scored on a four-point scale: Priority (1 point): the correct priority of the diagnosis was chosen Evidence (up to 2 points): the strength of the patient cue(s) selected as evidence for the identified diagnosis Required Evidence: selecting at least one cue that directly indicates the presence of a problem or risk is worth 2 points Supporting Evidence: selecting at least one cue that is a contributing factor or cause of a problem or risk, without the presence of Required Evidence, is worth 1 point Planning (1 point): the plan proposed to address the diagnosis includes at least one correct component 1. Acute pain of the foot 44 ooff 44 ppooiinnttss Relevant Diagnoses Priority 1 / 1 Student Response: High Correct Priority: High Priority Pro Tip: Managing acute pain is an immediate high priority, because other health concerns cannot be effectively addressed while a patient experiences severe pain. Evidence 2 / 2 Relevant "Once the pain pills wear off, and I can't take another one for awhile, the pain gets really bad and starts to throb." RReeqquuiirreedd EEvviiddeennccee "I mean, the last two days I couldn't walk on my foot, so it's gotten in the way of everything -- I had to basically stay home and off my foot. I didn't think it could get to the point where it Evidence Pro Tip: Tina reports intense pain and rates her pain on a numerical scale. She also reports characteristics of the pain, including its duration of one week; this timespan defines her pain as acute. Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Information Processing Health History Tips and Tricks Self-Reflection Information Processing : 26 of 40 (65.0%) Lab Pass 2. Local infection of skin and subcutaneous tissue of the foot 44 ooff 44 ppooiinnttss caused so many problems." RReeqquuiirreedd EEvviiddeennccee "... I'd say a 7. It hurts a lot, and the pain pills haven't kicked in yet." RReeqquuiirreedd EEvviiddeennccee Irrelevant "Usually I can handle pain just fine, but my foot has really been killing me." Planning 1 / 1 Relevant Intervene - Prescribe: Prescribe medications to treat pain. Educate - Medication: Educate the patient on medications used for pain relief. Educate - Medication: Educate the patient on non-pharmaceutical methods to reduce pain intensity. Irrelevant (None provided) Planning Pro Tip: Intervene to reduce the pain by prescribing an appropriate analgesic and educating the patient on its effective use and potential side effects. Provide the patient with options for nonpharmacological pain relief, such as RICE (rest, ice, compression, elevation). Priority 1 / 1 Student Response: High Correct Priority: High Priority Pro Tip: Treating this infection is a high priority, as failure to treat the infection may lead to it spreading to surrounding tissues or systemically. Treating the infection can prevent adverse events such as osteomyelitis and bacteremia. Evidence 2 / 2 Relevant "Temperature: 101.1 F" RReeqquuiirreedd EEvviiddeennccee "I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it's looking pretty nasty. And the pain is killing me!" SSuuppppoorrttiinngg EEvviiddeennccee "I mean, it's all red and swollen, and there's pus, it feels hot, it hurts like hell... It's got all that going on." RReeqquuiirreedd EEvviiddeennccee Irrelevant (None provided) Evidence Pro Tip: Tina presents with an open wound on the plantar surface of the foot. The wound is red, swollen, warm, and produces purulent discharge. Tina reports that the appearance and level of discomfort have worsened with time- all of these factors support a diagnosis of acute infection. Planning 1 / 1 Relevant Assess - Integumentary: Assess wound parameters (size, depth). Planning Pro Tip: Assess the wound directly and obtain a culture so that the infectious organism may be identified, then clean and re-dress the wound. Regional lymph nodes may be swollen. Because the