Description
Shadow Health: Endocrine System Hourly Rounds Fatima Khan
Assignment Description: This assignment provides the opportunity to conduct an endocrine-related visit with a patient in a medical surgical setting. You will interview and examine the patient, document your findings, and complete nursing care activities.
Solution:Shadow Health: Endocrine System Hourly Rounds Fatima Khan
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.
Patient Check In
Finding:
Asked about patient status
Finding:
Reports feeling ill
(Found)
Pro Tip: Asking a patient about their comfort level and current needs ensures a patient’s right to have their basic physical care and comfort needs met.Example Question:
How are you doing?
Finding:
Asked about orientation
Finding:
Not oriented to place
(Found)
Pro Tip: Asking a patient to orient themselves in time and space will help you assess their current condition and determine if any immediate interventions would be required.Example Question:
Do you know where you are?
Finding:
Not oriented to time
(Available)
Pro Tip: Asking a patient to orient themselves in time and space will help you assess their current condition and determine if any immediate interventions would be required.Example Question:
Do you know what time it is?
Finding:
Oriented to person
(Available)
Pro Tip: Asking a patient to orient themselves in time and space will help you assess their current condition and determine if any immediate interventions would be required.Example Question:
What is your name?
Finding:
Not oriented to situation
(Available)
Pro Tip: Asking a patient to orient themselves in time and space will help you assess their current condition and determine if any immediate interventions would be required.Example Question:
Do you know why you are here?
Finding:
Asked about pain level
Finding:
Denies current pain
(Found)
Pro Tip: Asking a patient about their comfort level and current needs ensures a patient’s right to have their basic physical care and comfort needs met.Example Question:
Are you in any pain?
Finding:
Asked about cultural or spiritual needs
Finding:
Reports requiring halal foods and medications
(Found)
Pro Tip: Asking a patient about their comfort level and current needs ensures a patient’s right to have their basic physical care and comfort needs met.Example Question:
Do you have any spiritual needs I can assist with?
Finding:
Reports preferring right hand for contact
(Found)
Pro Tip: Asking a patient about their comfort level and current needs ensures a patient’s right to have their basic physical care and comfort needs met.Example Question:
Do you have any spiritual needs I can assist with?
Medications
Finding:
Asked about last dose of insulin
Finding:
Reports giving recent bolus to insulin pump
(Found)
Pro Tip: Asking questions about the patient’s current diabetes medication regimen and management will help you coordinate care and promote the patient’s health and well-being.Example Question:
When did you last give yourself insulin?
Review of Systems
Finding:
Asked about constitutional health
Finding:
Denies fever
(Found)
Pro Tip: Asking about a patient’s different bodily systems and whether any symptoms are occurring allows you to understand how disease processes or other factors are affecting a patient’s health.Example Question:
Do you have a fever?
Finding:
Denies chills
(Available)
Pro Tip: Asking about a patient’s different bodily systems and whether any symptoms are occurring allows you to understand how disease processes or other factors are affecting a patient’s health.Example Question:
Do you have the chills?
Finding:
Denies fatigue
(Available)
Pro Tip: Asking about a patient’s different bodily systems and whether any symptoms are occurring allows you to understand how disease processes or other factors are affecting a patient’s health.Example Question:
Do you feel fatigued?
Finding:
Reports feeling sweaty
(Available)
Pro Tip: Asking about a patient’s different bodily systems and whether any symptoms are occurring allows you to understand how disease processes or other factors are affecting a patient’s health.Example Question:
Do you feel sweaty?
Finding:
Asked about cardiovascular system
Finding:
Reports rapid heartbeat
(Found)
Pro Tip: Asking about a patient’s different bodily systems and whether any symptoms are occurring allows you to understand how disease processes or other factors are affecting a patient’s health.Example Question:
Is your heart beating fast?
Finding:
Asked about neurological system
Finding:
Reports feeling shaky
(Found)
Pro Tip: Asking about a patient’s different bodily systems and whether any symptoms are occurring allows you to understand how disease processes or other factors are affecting a patient’s health.Example Question:
Do you feel shaky?
Finding:
Reports feeling confused
(Found)
Pro Tip: Asking about a patient’s different bodily systems and whether any symptoms are occurring allows you to understand how disease processes or other factors are affecting a patient’s health.Example Question:
Do you feel confused?
Finding:
Asked about gastrointestinal system
-
Finding:
Denies gastrointestinal symptoms
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Related: (Completed) Shadow Health: Perioperative Care Hourly Rounds Sonia Best
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