COMPLETE PHYSICAL EXAM ABBREVIATIONS: Vital Signs: T (temperature) HR (pulse) RR (respiration rate) BP (systolic/diastolic) SPO2 pulse ox SYSTEM Physical Exam Documentation Detailed Abbreviation Explanation GEN: General NAD‚ AAOX4‚ WDWN (AAM‚ AAF‚ WM‚ WF) No acute distress‚ alert‚ awake‚ and oriented times 4 to name‚ place‚ time‚ purpose‚ Well developed well nourished (African American Male‚ African American Female‚ White Male‚ White Female) HEENT: Head‚ NCAT‚ MMM‚ EOMI‚ PERRLA‚ b/l TM intact & Normocephalic
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Hospital/IU | Cultural/Ethnic Background/Needs: None | Religion: | Did not state | Primary Language: | English | Educational Needs: | Cognitive Impaired | Discharge Planning/Self-Care Needs: Discharged to hospice. Self-care deficit. | Admission Date: | 3/31/13 | Time: 0500 | | Admitted From: (Home‚ ECF or ?) | Nursing Home | Admission DX: | Aspiration related pneumonia | Chief Complaint (“patient’s own words” – PUT IN QUOTES): patient unresponsive due to cognitive impairment. | Medical HX:
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will discuss the importance of the family health nursing for today’s nurses. It will also discuss the importance of understanding the history of the family and how it has changed and evolved. The paper will explore the concept of what constitutes a family today and will include a personal view of family health nursing. Family as an important focus for nurses In the ever-changing world of technology in the healthcare setting‚ it is important not to overlook the family as a very important part of caring
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1. The information for Blocks 1–9 on the CMS-1500 can be obtained from the A. ledger card. B. medical treatment record. C. confidential patient information record. D. fee schedule. 2. If a patient is covered by Medicaid‚ what should you put in Block #9a? A. Nothing B. The 12-digit Medicaid number C. The policy number of other coverage‚ if any D. The patient’s social security number Lessons 2 and 3 Insurance Form Preparation Exam 2 When you feel confident that you have mastered the
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Running head: THE GROWING SPECIALTY OF FAMILY NURSING The Growing Specialty of Family Nursing Stephanie Hursey University of Phoenix Concepts of Family Nursing Theory NUR 464 Mrs. Janice Hess Jan 20‚ 2007 The Growing Specialty of Family Nursing The family’s health has become an important focus on health care today. Nursing research has transitioned from client centered care to viewing the client within the context of the family. Changing family dynamics and functions have made an
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Care Plan Worksheet Student: Date of Care: Age/Gender: Rm Number: Code Status: full Allergy: NKA Admitting Diagnosis : embolic cerebral vascular accident (CVA)‚ right side Current Medical/Surgical Diagnosis: chronic left ventricle thrombus on anticoagulant‚ hypertension‚ chronic kidney disease stage 3 Past Medical/Surgical History: metastasis of prostate cancer‚ primary; bone cancer‚ secondary; cardiomyopathy‚ a central hypertension‚ left bundle branch lock‚ past substance abuse
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Family Nursing Diagnoses Marsha Ruckle Healthy Communities: Theory and Practice/405 November 19‚ 12 Helen Woolf Family Nursing Diagnoses Conducting a family assessment is a challenging and important step in the care of the client. It is essential to identify problems and situations inhibiting a family from practicing healthy behaviors and developing healthy habits
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Nursing Care Plan: Terminal Illness and End-of-Life Lisa White Western Governors University Community and Population Health SZT 2 September 07‚ 2013 Nursing Care Plan: Terminal Illness and End-of-Life Personal Perceptions Quality of life is an individual concept that is different for each person. Personal perception of quality of life may differ from the reality of one’s life. My perception of quality of life and health promotion include a close relationship with spouse and family
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COLLEGE OF NURSING Silliman University Dumaguete City LESSON PLAN ON THE TYPES OF NURSING CARE DELIVERY SYSTEMS Submitted to: Clinical Instructor Submitted by: COLLEGE OF NURSING Silliman University Dumaguete City Vision A leading Christian institution committed to total human development for the well-being of society and environment Mission Infuse into the academic learning the Christian faith anchored on the gospel
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Care Plans. Care plan for a long-standing condition called myxoedema‚ which is a condition I had never come across before. Therefore‚ in order to compile an accurate and comprehensive care plan I had to look into what myxoedema was. Myxoedema is caused by hypothyroidism (under activity of the thyroid gland). Myxoedema refers to the buildup of mucoploysaccharide in the subcutaneous tissues of the skin (Kumar and Clark‚ 1998). Signs and symptoms of myxoedema include oedematous swelling of the
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