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- Make a Discharge Planning Diagnosis: Impaired comfort related to tissue trauma and edema in the episiotomy site as evidenced by right mediolateral episiotomy, 1 cm of edema and ecchymosis around her episiotomy site, Patient is pale and tired,droopy/hanging eyelids, has dark circles under the eyes, pale skin, are indicative of both sleep deprivation and looking fatigue. Reports of dizziness and light-headedness when standing up, feeling disturbed with the episiotomy as verbalized I'm scared cause the stitch might rip if I forced it” Reports pain "I'm scared cause the stitches hurt and might be rippen." I. Specific Objectives 1. 2. 3. 4. 5. II. Health Teaching 1. Knowledge a. b. c. d. e.DISCHARGE PLANNING Given the case scenario, can you please give me health teachings to the client about: PERSONAL HYGIENE (3 or more) and ACTIVITIES OF DAILY LIVING (3 or more) Patient A.P.. 40 years old, married and a teacher, was admitted to the hospital last June 11, 2021 because of difficulty of breathing and fever. He was diagnosed to have Bronchial Asthma and subsequently tested positive with COVID 19. He was admitted for 2 weeks and undergone diagnostic and laboratory tests like Chest x-ray which revealed result of pneumonia, CBC, urinalysis, fecalysis, and blood chemistry tests with results of high cholesterol level and normal blood sugar and was managed with intravenous fluids to maintain his hydration, medications for his asthma and pneumonia and high cholesterol level - steroids, antibiotics, pulmo-aide inhalation, cholesterol medication and multivitamins and O2 at 2L/min via nasal cannula. He's on full diet and encouraged to increase fluid intake and rest. and was placed…Complete a referral form and schedule a mammogram appointment for the patient below. Scenario: Georgia Thompson needs to have her first mammogram appointment scheduled for her. She has transportation arrangements for Tuesdays and Thursday from 9:00am – 1:00pm. Her diagnosis is right breast – Cyst of breast and unspecified breast disorder – calcification. Georgia's last menstrual period was 05/27/XX. Copies of her mammogram need to be sent to Dr. Smith at 2121 College Drive, Suite 450, Middleton California, 55456. (916) 555-4321. - Patient Demographics: DOB: 05/28/1955 Name: Georgia Thompson Insurance: Cigna Phone # (209) 555-1234 ID #: U26183656 02 CPT: 77055 ICD10: N60.01, R921 Authorization #: 135674
- an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…
