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Mental Health Case: George Palo Documentation Assignments. Questions and Answers

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Mental Health Case: George Palo Documentation Assignments 1. Document your findings related to the focused assessment regarding Mr. Palo’s possible cognitive decline and depression. Include his re ... sponses to your assessment. 2. Document your findings related to the assessment of Mr. Palo associated with the Geriatric Depression Scale screening tool. Include his responses to your assessment. 3. Referring to your feedback log, document all nursing care provided and Mr. Palo’s response to this care. 4. Document all patient teaching regarding assessments and safety issues provided to Mr. Palo, and his response to the teaching. 5. Document your handoff report in the SBAR format to communicate Mr. Palo’s future needs. S: Mr. George Palo is a 90 year-old male who reports that he sometimes does not know where he is or what is happening. He expresses a lack of motivation, and his daughter Maggie has noticed weight loss. He feels he doesn’t have anything else to live for since the passing of his wife and more recently, his dog. He does not have any intent on hurting himself. B: Mr. George Palo’s daughter, Maggie, contacted the nurse in concern of her father who is presenting worsening signs of depression and confusion since the passing of his dog, Max. He also has lost weight and suffers from mild hypertension. A: My assessment is that Mr. Palo is grieving. He shows sign of depression but answered “no” to feeling hopeless on the Geriatric Depression Scale screening test. He had a score of 4 on his Mini Cog test, recalling 2/3 words from short term memory. He drew a clock with the correct time asked and numbers in appropriate places. His BP is 140/88 mm Hg, HR strong, 78/min, SaO2 96%, Temp 98.6 F, no signs of dehydration, lungs sound clear bilaterally. He responded positively to support groups. [Show More]

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