Personal Impact Paper
Nurs/427 Health and Chronic Disease Management
01 October 2011
Personal Impact Paper
|Student: |Boone Thomas | |Date of Care: |28 September 2011 |
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|Patient | | | | | |
|Gender: |Male |Age: |82 |Number of Days in Hospital: |3 |
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Most of the extreme symptoms he exhibited on admission had mostly been resolved. He did however still have moderate edema in his lower extremities. His lungs sounds were also drastically improved although they were slightly decreased with coarse crackles in the bases. He complained of shortness of breath. His oxygen saturation was 95% on 2 liters oxygen via nasal cannula. The patient complained of exertional fatigue and dizziness upon sitting up. He had full sensation in his upper extremities, but some numbness in his feet due to long standing diabetic neuropathy. He was alert and oriented to time, place, person. Pupils were equal and reactive to light and accommodated. Bowel sounds were present in all four quadrants. His abdomen was slightly distended, and he complained of a loss of appetite. He stated he was having mild myalgia but within his pain comfort goal of 3/10. Peripheral pulses were strong in upper extremities with thready pedal pulses bilaterally. Capillary refill was appropriate in all extremities. He has normal heart sounds with a systolic murmur. Vital signs taken by the PCT were reported as: BP 107/56, HR 75, RR 16, Temp 36.9C, SaO2 90% 2L O2 via nasal