Reference no: EM133916654
Questions
1. ?Who is my client? (for example: age, marital status). ? Patient's initials ? Patient's sex and gender ? Patient's age ? Admission date
2. ?State significant events of this hospitalization (admitting diagnosis, surgery, emotional crises, fracture). ? Admission reason ? Pertinent medical and surgical history?Medical Hx?Surgical Hx=
3. ?What are your major concerns for this patient today? Reason for seeking care (history of present illness) . ? Paint a picture of the patient's problem(s), including: ? Discussion of the pathophysiology?
4. Discussion of how the medical and surgical history impacts the current problem(s) ? Impact on normal body function ? Signs and symptoms (and rationale for those signs and symptoms) ? Important laboratory and diagnostic exam results and the significance ? Discuss Common complications experienced because of your patient's problem(s)
5. Patient's current treatment plan (Discuss diet, activity, medications, therapy, etc.) Discuss the nursing plan of care for your patient
• What will you focus on?
• What are your key safety considerations for the day?