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Danielle Young Bear ISBAR Complete Clinical Packet NUR

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Danielle Young Bear ISBAR Complete clinical packet NUR vSim ISBAR Activity Student Worksheet Introduction (Your name, position (RN), unit you are working on) , RN at Clinic Situation Patient� ... ��s name, age, specific reason for visit Danielle Young Bear is a 32-year-old Native American female, came to the clinic today with complaints of a persistent cough and fatigue that have lasted for 2 weeks. It started as a common cold, but she was concerned that it was something more serious since the cough and fatigue have not resolved yet. The signs and symptoms are consistent with the aftermath of a common cold, so this is not a big concern. However, she is taking several different prescription drugs and is also self- medicating with OTC medication and using herbal therapies; I’m concerned about potential drug interactions. Background Patient’s primary diagnosis, date of admission, current orders of patient Primary Diagnosis: Chronic Low back pain Date of Admission: 07/23/2020 Current Order: Obtain Vital Signs Focused on pain assessment of patient’s back pain Assess Neurological Status Reconcile patient’s medication to include all OTC medications, all traditional herbal medications, and all prescription medication order to be taken at home. [Show More]

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