Hello, I am doing a concept map but before starting, I need to answer some questions, can you please help me with them? Concep: ELIMINATION Case Study While you are working as a nurse on a GI/GU floor, you receive a call from your affiliate outpatient clinic notifying you of a direct admission, ETA (estimated time of arrival) 60 minutes. She gives you the following information: A.G. is an 87-year-old woman with a 3-day history of intermittent abdominal pain, abdominal bloating, and N/V. A.G. moved from Italy to join her grandson and his family only 2 months ago and she speaks very little English. All information was obtained through her grandson. PMH: colectomy for colon CA 6 years ago, hernia repair 2 years ago. No hx of CAD, DM, or pulmonary disease. She takes only ibuprofen occasionally for mild arthritis. Allergies include sulfa drugs and meperidine. A.G.’s tentative diagnosis is small bowel obstruction (SBO). A.G. is being admitted to your floor for diagnostic work-up. Her VS are stable, she has an IV of D5 1⁄2 NS with 20 mEq KCl at 100 mL/h, and 3 L O2 per NC. The firts question is: Assessment (Recognizing Cues) Which client information is relevant? What client data is most important? Which client information is of immediate concern? Consider signs and symptoms, lab work, client statements, H & P, and others. Consider subjective and objective data. Thank you in advance!

Case Studies In Health Information Management

3rd Edition

ISBN:9781337676908

Author:SCHNERING

Publisher:SCHNERING

Chapter4: Revenue Management

Section: Chapter Questions

Problem 4.9.1C

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Hello,

I am doing a concept map but before starting, I need to answer some questions, can you please help me with them?

Concep: ELIMINATION

Case Study

While you are working as a nurse on a GI/GU floor, you receive a call from your affiliate

outpatient clinic notifying you of a direct admission, ETA (estimated time of arrival) 60 minutes.

She gives you the following information: A.G. is an 87-year-old woman with a 3-day history of

intermittent abdominal pain, abdominal bloating, and N/V. A.G. moved from Italy to join her

grandson and his family only 2 months ago and she speaks very little English. All information

was obtained through her grandson.

PMH: colectomy for colon CA 6 years ago, hernia repair 2 years ago. No hx of CAD, DM,

or pulmonary disease. She takes only ibuprofen occasionally for mild arthritis. Allergies

include sulfa drugs and meperidine.

A.G.’s tentative diagnosis is small bowel obstruction (SBO). A.G. is being admitted to your floor

for diagnostic work-up. Her VS are stable, she has an IV of D5 1⁄2 NS with 20 mEq KCl at 100

mL/h, and 3 L O2 per NC.

The firts question is:

Assessment (Recognizing Cues)

Which client information is relevant? What client data is most important? Which client information is of immediate concern? Consider signs and symptoms, lab work, client statements, H & P, and others. Consider subjective and objective data.

Thank you in advance!

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Follow-up Question

Evaluation (Evaluating Outcomes)

What signs point to improving/declining/unchanged status? What interventions were effective? Are there other interventions that could be more effective? Did the client’s care outlook or status improve?

Thank you so much for all the help!

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Follow-up Question

Analysis (Analyzing Cues)

Which client conditions are consistent with the cues? Do the cues support a particular client condition? What cues are a cause for concern? What other information would help to establish the significance of a cue?

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Follow-up Question

Implementation (Take actions)

How should the intervention or combination of interventions be performed, requested, communicated, taught, etc.? What are the priority interventions? (Mark with asterisk)

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