SOLVED1234
Need for safety LOC: Consciousness in normal range Orientation: The patient knows who he is, where he is, and the time. Siderails: Down Call bell: In patient reach at all times, the patient doesn’t use the call bell; patient checks on regularly. Allergies: NSAIDS, SERTRA, Quetiapine, IV dye Immune status: COPD, Acute Pulmonary Embolus Teaching: Educate on condition, medication, CT scan, and safety precautions. Other factors affecting safety. (anxiety, depression, pain…) The patient has pain, depression, and anxiety. Age: 71 Diagnosis: COPD, Acute Pulmonary Embolus History: The patient came in with a cough and sputum that had been progressively worse for over a week, leading to a COPD diagnosis. Living Arrangements: The patient lives at home with his family. Previous Medical History: Chronic back pain secondary to spinal stenosis, hypertension, type 2 diabetes, Obstructive sleep apnea, CKD (chronic kidney disease), GERD (Gastroesophageal Reflux Disease), BPH (Benign Prostatic Hyperplasia), mood disorder, Fibromyalgia. subjective and objective data
SCIENCE
HEALTH SCIENCE
NURSING
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