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=Josephine morrow Documentation Assignments Document the findings…

=Josephine morrow

Documentation Assignments

  1. Document the findings of a focused skin assessment of Ms. Morrow, including any findings that identify the presence of chronic venous insufficiency.6
  2. Document any abnormal laboratory results that are associated with the presence or status of Ms. Morrow’s stasis ulcer.
  3. Record the results of Ms. Morrow’s Braden Scale assessment.
  4. Document the characteristics of Ms. Morrow’s venous stasis ulcer.
  5. Document the dressing change and irrigation of Ms. Morrow’s wound.
  6. In the chart, record patient education on ways to promote venous return

 

Jared Griffin

Documentation Assignments

  1. Document your finding related to Mr. Griffin’s preoperative and postoperative  assessment findings regarding the presence of an infection. 
  2. Identify and document key nursing diagnoses for Mr. Griffin regarding current condition.
  3. Referring to your feedback log, document all nursing care provided as well as Mr. Griffin’s response to this care, including responses related to infection control and the use of personal protective equipment (PPE).
  4. Document your handoff report in the SBAR format to communicate Mr. Griffin’s future needs.

Mona Hernandez

Documentation Assignments

        Document your focused assessment of Mona Hernandez.

  1. Document your assessment findings and any nursing interventions related to Mona Hernandez’s oxygenation after ambulation. 
  2. Document your education to Mona Hernandez regarding the purpose of, and how to use, the incentive spirometer.
  3. Referring to your feedback log, document the nursing care you provided to Mona Hernandez and her response. 

Mona  is has pneumonia with diminished  lung sounds  of 

.

 

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