Focused Exam: Pain Results | Completed
ICHS - Capstone Spring 2021 - June 2021, nur2811ug
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Overview Transcript
Care Plan : 7.5 of 8 (93.8%)
Subjective Data Collection
Objective Data Collection Education & Empathy QSEN Competencies Documentation
Care Plan
Reflections
Nursing Diagnoses: Definitions & Classifications 2018-2020 © NANDA-International, 2017 used by arrangement with Thieme Medical Publis Inc., a division of the Thieme Group. All rights reserved. Authorized translation from the English language edition published by Thieme Medi Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the copyright holder, NA International. Direct inquires to nanda-i@thieme.com. Link for more information: http://www.nanda.org/.
Status
Student Response Model Answer Explanation Points Ear
exhibits exhibits The correct status for the nursing diagnosis is "exhibits" because Mr. Carter has shown clear signs of chronic pain, rather than a potential to develop the condition. 0.5 out of 0
Diagnosis
Student Response Model Answer Explanation Points Ear
Support
chronic pain chronic pain Per Mr. Carter’s self-report of pain on a standardized pain scale, the Chronic Pain diagnosis is correct. While Mr.
Carter is very likely to have difficulty toileting given his impaired mobility, a Toileting Self-Care Deficit diagnosis would not take priority over a Chronic Pain diagnosis. Similarly, Mr. Carter’s age and pre-existing medical conditions do put him at risk for Impaired Skin Integrity and Peripheral Neurovascular Dysfunction, but the patient’s potential to develop these conditions is not more pressing than the patient’s current, quantifiable experience of pain. 0.5 out of 0
Etiologies
Student Response Model Answer Explanation Points Ear
chronic musculoskeletal condition chronic musculoskeletal condition Mr. Carter’s chronic pain stems from his osteoarthritis (chronic musculoskeletal condition), as well as his advanced age. 0.5 out of 0
Signs & Symptoms
Student Response Model Answer Explanation Points Ear
self-report of pain self-report of pain Mr. Carter does not report dizziness, an impaired ability to transfer, bruising, or emotional distress. He does, however, report a pain level of 9/10 before being medicated, and a sustained 1/10 after medication.
Additionally, he reports a recent inability to do things such as walk and exercise, thereby limiting his activity level. 0.5 out of 0
alteration in activity level alteration in activity level Mr. Carter does not report dizziness, an impaired ability to transfer, bruising, or emotional distress. He does, however, report a pain level of 9/10 before being medicated, and a sustained 1/10 after medication.
Additionally, he reports a recent inability to do things such as walk and exercise, thereby limiting his activity level. 0.5 out of 0
Self Assessment
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Prompt Student Response Model Answer Explanation
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