On the 0700–1500 shift you are caring for Ms. Julia Smith, a 44-year-old woman who has a cast on her left arm. Your supervisor is Sarah Johnson, RN. You are required to assist Ms. Smith with a bed bath and help her into a clean dressing gown. Although Ms. Smith can independently brush her teeth and wash her face, she needs constant reminders and encouragement. Before assisting Ms. Smith with her routine bed bath, you take a set of vitals as it is at the start of your shift. Ms. Smith’s vitals are as follows: BP: 155/82 T: 36.8 degrees Celsius R: 18 bpm HR: 78 bpm When you help undress your client for her bath, you notice that the cast feels wet and smells foul. You also notice that Ms. Smith looks sad, a little upset, and is not engaging in conversation as she normally does. When you ask how she is feeling, Ms. Smith replies that she is “not good” and that the fingers on her left arm feel “fuzzy and cold”. make progress report using DAR
On the 0700–1500 shift you are caring for Ms. Julia Smith, a 44-year-old woman who has a cast on her left arm. Your supervisor is Sarah Johnson, RN. You are required to assist Ms. Smith with a bed bath and help her into a clean dressing gown. Although Ms. Smith can independently brush her teeth and wash her face, she needs constant reminders and encouragement.
Before assisting Ms. Smith with her routine bed bath, you take a set of vitals as it is at the start of your shift. Ms. Smith’s vitals are as follows:
BP: 155/82 T: 36.8 degrees Celsius R: 18 bpm HR: 78 bpm
When you help undress your client for her bath, you notice that the cast feels wet and smells foul. You also notice that Ms. Smith looks sad, a little upset, and is not engaging in conversation as she normally does. When you ask how she is feeling, Ms. Smith replies that she is “not good” and that the fingers on her left arm feel “fuzzy and cold”.
make progress report using DAR
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