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Exam (elaborations)

New Patients Swift river med surg covid New Patients Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe

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New Patients Swift river med surg covid New Patients Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe

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New Patients Swift river med surg
lOMoAR cPSD




covid New Patients Charlie
Raymond , John Duncan, Carlos
Mancia, kenny barrett, Tim Jones,
Julia Monroe

, lOMoAR cPSD| 7327774




**New Patients from 2020, Post- Covid-19 Update:**

**Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim
Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec,
Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose
Martinez, Mary Barkley Charlie Raymond (for older swift river patients
see other pdf files loaded at the bottom of this file)




Preston Wright Room 301
Preston Wright, 73- year old male, patient of Dr. Greene, status
post CVA 4 weeks ago. He has been readmitted for a red spot on
his sacrum of 1 cm and a 2 cm blister on his right heel. IV fluids of
D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Mr.
Wright is pleasant and cooperative, but needs to be reminded to
avoid pressure on his heel and sacrum. He has orders for
dressing changes q daily, and pain medications prior to the
dressing change.

, lOMoAR cPSD| 7327774




You responded correctly to 6 out of 6 evaluations:
Your
respons
Category e Explanation
Education Increased Mr. Wright needs further understanding of why it is
al Needs acuity important to stay off of the increased pressure areas.

Fall Risk Increased Due to Mr. Wright’s age and diagnosis, as well as
acuity optional pain medications, he is at risk for falling.

Health Increased Due to the compromise in Mr. Wright’s skin condition,
change acuity he is more susceptible to infection and further injury.

Neurologi Normal He is awake, alert, and cooperative.
cal acuity

Pain level Increased Normal, rationale: Patient states the pain has subsided
acuity

Psycholog Normal Mr. Wright does not present with any psychological
ical Needs acuity needs currently.

You correctly diagnosed 10 out of 12 options:
Physiological
Your
Respon
Description se Explanation
Acute Pain TRUE Related to tissue destruction and
exposure of nerves.
Altered Body TRUE Related to skin healing
Image misconfiguration.
Constipation FALSE Patient does not complain of
constipation at this time.

, lOMoAR cPSD| 7327774




Impaired FALSE no evidence of impaired
Communication communication.
Impaired TRUE Related to wound location.
Physical
Mobility
Impaired Tissue TRUE Due to altered circulation and altered
Integrity physical mobility.
Ineffective FALSE Patient has no evidence of breathing
Airway problems.
Clearance
Ineffective FALSE Patient has no evidence of breathing
Breathing problems.
Pattern
Risk for FALSE Mr. Wright needs increased protein
Imbalanced for healing of pressure injuries.
Nutrition
Safety
Your
Respon
Description se Explanation
Isolation FALSE Patient is not in isolation.
Precaution

Risk for TRUE Related to physical immobility,
Infection shearing forces, precautions at this
time.

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