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Shadow Health Focused Exam Lucas Callahan Bipolar Disorder (Latest 2021) A Graded

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Shadow Health Focused Exam Lucas Callahan Bipolar Disorder (Latest 2021) A GradedShadow Health Focused Exam; Lucas Callahan - Bipolar Disorder (Latest 2020). A Graded. This reflection activity will help you think more deeply about your performance in the assignment. Use your documentation as you respond to the prompts at the bottom of the p Documentation Review ED Nursing Note Student Response Model Documentation Chief Complaint Patient was brought in by police due to erratic behavior -bouts of depression a 'couple' times of the year Lucas Callahan is a 25-year-old man who was brought to Shadow General Hospital at 11:30 PM; he was taken here policemen who found his behavior erratic. He denies havin illness or a need to be in the hospital. History of Present Illness -Patient reports not sleeping for past 4 days, sleeps only for a 'couple of hours' when patient does sleep -Diagnosed with depression 3 years ago Presents to the ED today after being brought in by local la enforcement. He was found in a grocery store parking lot looking into car windows for what he believes are "governm agents chasing him due to his enlightenment and knowled government secrets.” Mr. Callahan states he is feeling extremely energetic and reports this level of energy for the past week. States he has not slept for the past four nights well. He does occasionally use cocaine, but states he has needed it in the past four days due to his current energy le Denies any exacerbating or relieving factors. Denies taking any medications to aid in sleep or lower his energy level. Mr. Callahan says he currently feels euphoric and extreme energetic, and he has felt this way for a week. He has not for four days, but has also not used any substances in fou days. Mr. Callahan reports frequently having extremely low energy and mood, while at other times having extremely h energy and mood; he reports these changes happening a couple of times a year, with his last depressive period end couple months ago after lasting a long time. Past Medical History -Previous hospitalization 3 years ago from suicide attempt The patient received a diagnosis of depression 3 years ag following a suicide attempt. The psychiatrist who diagnose him prescribed him antidepressants (patient cannot recall name or

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1/13/2020 Focused Exam: Bipolar Disorder | In Progress Attempt | Shadow Health

Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time (/site_notice_dismissals?from_flash=true&site_noti
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Focused Exam: Bipolar Disorder (Part 2 of 2)
Therapeutic Intervention III - Winter 2020, NUR 304
R eturn to Assignment (/assignments/288276/)




Reflections


Activity Description: Reflective writing develops your clinical reasoning skills as you grow and improve as a clinician and gives your instructor insight into your learning proces
This reflection activity will help you think more deeply about your performance in the assignment. Use your documentation as you respond to the prompts at the bottom of the p




Documentation Review

ED Nursing Note
Mental Status
Mental Status Note
Note Student Response Model Documentation

SBAR

Appearance Patience makes direct eye contact, posture is hunched, and Mr. Callahan’s posture is bent and hunched; his clothing i
though clothing is dirty and disheveled, patient otherwise dirty and disheveled, but grooming and self-care are othe
shows adequate self-grooming and care adequate; his eye contact is direct. Throughout the intervi
he sways and fidgets as if feeling energetic.




Attitude Patient displays distrust and evasiveness. Though seemingly
Mr. Callahan displays frequent distrust of healthcare
positive attitude, patient isn't very receptive to health education
professionals, and becomes irritated and evasive toward
and dismisses past concerns of self harm
certain questions, especially those about depression or
suicide.




Speech Patient speaks rapidly, but at an appropriate volume and
Mr. Callahan’s rate of speech is rapid, but at an appropria
shows no difficulty with articulation
volume, and he has no issues with articulation.




Mood and Affect Patient demonstrates frequent mood changes throughout the
Mr. Callahan has frequent minor, but appreciable, mood
interview. He is excessively expansive and cheerful, though
changes from euphoric to irritable; he has an excessively
dismissive of health education.
expansive or cheerful affect.




https://app.shadowhealth.com/assignment_attempts/5918427 1/

, 1/13/2020 Focused Exam: Bipolar Disorder | In Progress Attempt | Shadow Health
https://www.coursehero.com/file/53483876/2-Focused-Exam-Bipolar-Disorder-In-Progress-Attempt-Shadow-Healthpdf/




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