Focused Exam: Infection Results | Turned In
Medical Surgical Nursing: Promoting Wellness in the Older Adult (Los Angeles) - April 2019, NURS 201
Return to Assignment
Shadow Health will be performing planned maintenanc
...
Focused Exam: Infection Results | Turned In
Medical Surgical Nursing: Promoting Wellness in the Older Adult (Los Angeles) - April 2019, NURS 201
Return to Assignment
Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time assignment attempts will be
disabled. Thank you for helping us to improve your Shadow Health experience!
Your Results Lab Pass
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
QSEN Competencies
Documentation
SBAR
Reflections
Started: May 14, 2019 | Patient Exam Time: 57 min
Transcript
Greet
05/14/19 9:38 AM
PDT
Question
05/14/19 9:38 AM
PDT
Empathize
05/14/19 9:42 AM
PDT
Question
05/14/19 9:42 AM
PDT
Interview Questions (57) Statements (42) Exam Actions (46)
Hi Patricia my name is Addie and I will be your nurse today
Hello, dear.
how are you doing today?
I feel so bad. My back and abdomen ache so much. I've got this
burning sensation when I use the bathroom.
i'm sorry you feel this way
Goodness. Thank you.
can you tell me your name
Patricia Young.
thank you
All Lines (145)
Empathize
05/14/19 9:42 AM
PDT
Question
05/14/19 9:42 AM
PDT
Question
05/14/19 9:43 AM
PDT
Empathize
05/14/19 9:43 AM
PDT
Educate
05/14/19 9:43 AM
PDT
Question
05/14/19 9:44 AM
PDT
Question
05/14/19 9:46 AM
PDT
Question
05/14/19 9:46 AM
PDT
I appreciate the support.
what is your date of birth
My birthday is December 29th . . . [Ms. Young reports correct birth
year.]
do you know what the date is today
To be honest, I'm not sure . . . I lose track sometimes.
it's ok.
Thanks. Its certainly hard.
today is may 14, 2019
I see. Thanks for filling me in.
do you know where youre at
My daughter Mary has a knack for finances . . . I think my husband
taught her. I trust her with managing our estate. I don't think she would
ever take advantage of me.
on a scale of 0 to 10, what is your pain
A scale . . . I just don't know.
is the pain sharp
Question
05/14/19 9:47 AM
PDT
Question
05/14/19 9:47 AM
PDT
Question
05/14/19 9:47 AM
PDT
Empathize
05/14/19 9:49 AM
PDT
Question
05/14/19 9:50 AM
PDT
Educate
05/14/19 9:50 AM
PDT
Question
05/14/19 9:50 AM
PDT
It's not a sharp or shooting kind of pain. It's not really like that. There's
a deep ache in my back and stomach, and this burning pain when I
urinate.
what starts the pain (Clarified to What do you think brought on the
pain?.)
I'm not sure what the cause is, I just know it's painful. (Clarified to what
I think caused my pain.)
what are you doing to treat the pain?
It's been constant . . . and I didn't try anything at home.
what makes the pain worse
The pain was there all night, and felt worse this morning. I'm not sure I
could say what makes it worse, I can only tell you how it feels. My
abdomen and back hurt constantly, and the pain when I urinate is
awful.
i'm sorry to hear this
Youre sweet to say that.
how much fluids are you drinking a day
Fluids . . . um . . . I'm not sure . . .
remember drinking 8 to 12 glasses of water is what is expected
Thanks for walking me through that.
do you have a history of uti
Yes, I've had UTIs before . . . maybe once a year . . . but this back
pain . . . it just doesn't make sense.
back pain could also be the reason for the uti
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