Relevant data from present problem |
Clinically significant |
Sleep disturbance, |
PTSD |
Frequent flash backs of the past |
|
Sitting alone at home |
|
Not interacting with anyone |
|
Anxiety |
|
Suicidal thoughts |
Depression |
Relevant data from social history |
Clinically significant |
3 children and wife constitute the family |
Adequate support from family but has to support 3 children |
Significant disability after the blast |
He lost eye sight of left eye, injury to left leg and abdomen |
Alcohol use but abstinent for 1.5 years |
|
Relevant data in vitals |
Clinically significant |
Vitals normal |
|
Only pain on left leg with a severity of 5 out of 10 |
Pain is continues and ache type |
SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Marcus Jackson is a...
SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Marcus Jackson is a 34-year-old African American male who served four combat tours of duty in Iraq and Afghanistan He came to the Veterans Administration (VA) today for an outpatient appointment because he has not slept more than two hours a night for the past week. This is his fourth clinic visit over the past year with the same symptoms: inability to sleep nightmares, increasing anxiety, and isolation....
SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Marcus Jackson is a 34-year-old African American male who served four combat tours of duty in Iraq and Afghanistan. He came to the Veterans Administration (VA) today for an outpatient appointment because he has not slept more than two hours a night for the past week. This is his fourth clinic visit over the past year with the same symptoms: inability to sleep, nightmares, increasing anxiety, and isolation....
SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Marcus Jackson is a 34-year-old African American male who served four combat tours of duty in Iraq and Afghanistan. He came to the Veterans Administration (VA) today for an outpatient appointment because he has not slept more than two hours a night for the past week. This is his fourth clinic visit over the past year with the same symptoms: inability to sleep, nightmares, increasing anxiety, and isolation....
SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Marcus Jackson is a 34-year-old African American male who served four combat tours of duty in Iraq and Afghanistan. He came to the Veterans Administration (VA) today for an outpatient appointment because he has not slept more than two hours a night for the past week. This is his fourth clinic visit over the past year with the same symptoms: inability to sleep, nightmares, increasing anxiety, and isolation....
I need help with question 1 and 3 and the interpretation of relevant history and clinical lab finding. The patient was a 23-year-old male with a 3-year history of pain and itching of the toes of both feet and his left palm and fingers. Small raised, red lesions were visible on his left fingers. Peeling and scaling were observed on his feet and left palm. In the past 3 months, he had lost the nail from his great toes. Otherwise...
FUNDAMENTAL Reasoning: STUDENT Cirrhosis I. Developing Nurse Thinking by Identifying Clinical Relevance/Significance History of Present Problem: John Richards is a 45-year-old male who presents to the emergency department (ED) with abdominal pain, and increasing nausea and vomiting the past 3 days that has not resolved. He is also feeling more fatigued and has had a poor appetite. He denies any ETOH intake the past week, but admits to episodic binge drinking on most weekends. John weighs 150 pounds and is...
Neurological Disorders Case Study History of Present Problem: CV is a 68 year-old male was admitted to the skilled nursing care facility after a middle cerebral artery ischemic stroke. He was at City Center Hospital for 3 days and is coming for rehabilitation with physical therapy, occupational therapy and speech therapy. He presents with right sided weakness, difficulty speaking and swallowing. He has a history of hypertension, atherosclerosis, and smoked a pack of cigarettes a day for the last 40...
i need help with this page. Diabetic Ketoacidosis I. Data Collection History of Present Problem: Diana Humphries is a 45-year-old woman who missed her scheduled hemodialysis treatment yesterday and has been feeling increasingly nauseated the past 12 hours. She has had a harsh, productive cough of yellow sputum the past 3 days. She checked her blood glucose before going to bed last night and it was 382, but then she fell asleep early and missed her bedtime dose of Lantus...
what is the clinical significance to the present problems History of Present Problem: Jessica is a 16-year-old high school student who lives with her parents and younger brother Jonathan (11 years old) in a middle-class neighborhood. Both Mr. and Mrs. Morris work in the community where they live. Jessica has had diabetes mellitus type 1 insulin- dependent diabetes mellitus [IDDM]) since the age of 7, which has been well controlled with morning and evening injections of NPH Humulin insulin, diet,...
History of Present Illness A 17 y.o. male presents saying, “I have a lump in my testicle!” He noticed a mass while showering the previous night, and his mother called to have him seen today. He denies any associated pain but says it feels as if he has “grown a third testicle.” He has heard that teens are at heightened risk for testicular cancer and seems concerned for that. He is athletic and is in the midst of the soccer...