Concept explainers
To discuss:
Can you identify essential information that must be documented in Mrs. P’s electronic record regarding her cardiac condition and treatment?
Case summary:
Mrs. P is a single, 88-year-old woman, was hospitalized for cardiac problems. She has been at the beginning of dementia. She lives alone in a small home along with her cats. When she was ordered for the discharge, the nursing student worried about Mrs. P’s ability to live safely on her own. The nursing student suggested her about moving to a retirement community or long-term care facility. But Mrs. P refused those options. The nursing student concerns about her safety and reported to the charge nurse. The charge nurse replied that we can do nothing if the patient is not willing to explore the other options.
To discuss:
Why is it considered to be important in documenting the assessment of the patient’s current mental health status?
To discuss:
Could you find any other essential information which supports safe patient care and that should be included in the electronic record?
To explain:
Does the hospital or unit have a program where the patients are called for a follow-up?
To explain:
Would Mrs. P follow up with her primary care provider?
To explain:
What documentation would found to be useful for these teams?

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Chapter 23 Solutions
NU 231 CUSTOM NURSING BUNDLE
- :The Delegtation process: List and identify each step within the delegation process. Define each step using your own words. Select and summarize any recent or hypothetical health care management scenario that illustrates the responsibilities of the health care leader. In the scenario, you may wish to consider the following: Responsibilities of the health care leader Actions taken to complete the identified steps and effectiveness of the decisions made by the health care leaderarrow_forwardHow are the nervous and musculoskeletal systems interrelated? How do central nervous system abnormalities and damage to the musculoskeletal system affect mobility? Please cite in text source and list referencesarrow_forwardMake a nursing care plan Nursing Diagnosis: Acute pain related to post operative surgery as evidenced by guarding and facial grimace Chief Complaints: Hypogastric pain history of present illness2 months prior to consultation the patient complained of abdominal pain associated with discomfort, she was admitted to the ER but was discharged with unrecalled medications. 1 month prior to consultation the patient had moderate to severe dysmenorrhea, a whole abdominal ultrasound was performed and the results indicated the patient to have myoma in her uterus. 2 weeks prior to admission the attending physician was consulted due to the results of the whole abdominal ultrasound hence her admission for a total abdominal hysterectomy bilateral salpingo-oophorectomy. past health history Patient underwent a total thyroidectomy Diagnosis: Myoma Uterine Subjective CuesObective cuesScientific AnalysisSituational AnalysisGoals and ObjectiveShort Term GoalCognitive GoalsAffective…arrow_forward
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- 10 different types of cheeses (most popular chees; comparing them in calories, serving size and Sat. Fat). What are it's benefits of cheese as a diabetic and how cheese can affect a diabetiesarrow_forwarddescribe 3 challenges a healthcare leader may face in a healthcare organization ( negative employee morale, poor customer service, and outdated equipment.arrow_forwardLabel the wavesarrow_forward
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