ࡱ> LNEFGHIJK bjbj>> TTʭuX X d  vg*&T7"v7v7v7 9 FdL4fffffff$iRlf]+P8" 9+P+Pfv7v7s0g5Y5Y5Y+Pv7v7f5Y+Pf5Y5YrbTcv7JpV(bfFg0vgb2lVNlclc|5Y+P+P+PffAX+P+P+Pvg+P+P+P+Pl+P+P+P+P+P+P+P+P+PX x: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF NURSING  Student: Amber MorinMSI & MSII Patient Assessment Tool .Assignment Date: 2/10/15 ( 1 PATIENT INFORMATION Agency: FHTPatient Initials: ST Age: 60Admission Date: 1/14/15Gender: M Marital Status: Single Primary Medical Diagnosis: Efferent limb obstruction; Cirrhosis Primary Language: EnglishLevel of Education: Bachelors of Chemistry and Zoology Other Medical Diagnoses: (new on this admission)Occupation (if retired, what from?): Clinical Lab TechnicianNumber/ages children/siblings: No children; Brother is 64 and sister is 53.  Served/Veteran: No If yes: Ever deployed? Yes or NoCode Status: Full resuscitation Living Arrangements: Lives by himself; at discharge patient will stay at a skilled nursing facility for 3 weeks, and then return home.Advanced Directives: No If no, do they want to fill them out? No Surgery Date: N/A Procedure: N/ACulture/ Ethnicity /Nationality: White Religion: N/AType of Insurance: Optimum Health Care ( 1 CHIEF COMPLAINT: Nausea, vomiting, and abdominal pain. ( 3 HISTORY OF PRESENT ILLNESS: (Be sure to OLDCART the symptoms in addition to the hospital course of stay) On 1/14/15 patient arrived to the emergency department with nausea, vomiting, and abdominal pain. Pain, nausea, and vomiting have occurred intermittently since his pancreaticoduodenectomy surgery (whipple), performed due to pancreatic cancer, in March of 2012. However, the pain, nausea, and vomiting got progressively worse over the 2 days prior to admission. Nausea, vomiting, and pain most often followed meals, but could occur even when he had not eaten. Patient also reported dark spots in emesis, which was concluded to be partially digested blood from anastomotic ulcer. A CT scan on 1/14/15 revealed a large volume of ascites with cirrhotic changes, and a dilated stomach and duodenum. On 1/15/15, patient underwent a paracentesis that removed 2 liters of fluid. On 2/4/15, an EGD confirmed efferent limb obstruction, diffuse esophagitis, stomach mucosa that was diffusely erythematous, a patent anastomosis of the stomach and jejunum, but a large white ulcer on the site of the anastomosis, and a possible efferent lumen obstruction. Due to vomiting, the patient presented to the ED hypovolemic and hypokalemic. Patient also presented anemic due to altered liver function. The patient had 4 hospitalizations in 2014 due to the same presenting symptoms, the most recent being Christmas day of 2014. On 2/9/15 patient received total parenteral nutrition due to lack of intake. Patient has also experienced two hypoglycemic episodes during hospitalization. ( 2 PAST MEDICAL HISTORY/PAST SURGICAL HISTORY Include hospitalizations for any medical illness or operation; include treatment/management of disease Date Operation or IllnessMarch 2012Pancreatic cancerMarch 2012Pancreaticoduodenectomy surgeryMarch 2012Venous access port implanted12/25/2014 & 3 other hospitalizations in 2014Admission due to N/V and abdominal pain accompanied with dehydration and hypokalemia. 1/14/15Admission to hospital with anemia, electrolyte imbalances (hypokalemia and hypocalcemia), and dehydration1/15/15Paracentesis1/16/15Esophagogastroduodenoscopy ( 2 FAMILY MEDICAL HISTORYAge (in years)Cause of Death (if applicable)AlcoholismEnvironmental AllergiesAnemiaArthritisAsthmaBleeds EasilyCancerDiabetesGlaucomaGoutHeart Trouble (angina, MI, DVT etc.)HypertensionKidney ProblemsMental Health ProblemsSeizuresStomach UlcersStrokeTumorFather88 FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Mother88 FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Brother64 FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Sister53 FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Brother52overdose FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX relationship FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX relationship FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Comments: Include age of onset Still living brother has COPD  ( 1 immunization History (May state U for unknown, except for Tetanus, Flu, and Pna)YesNoRoutine childhood vaccinations FORMCHECKBOX  FORMCHECKBOX Routine adult vaccinations for military or federal service FORMCHECKBOX  FORMCHECKBOX Adult Diphtheria (Date) FORMCHECKBOX  FORMCHECKBOX Adult Tetanus (Date) Is within 10 years? U FORMCHECKBOX  FORMCHECKBOX Influenza (flu) (Date) Is within 1 years? U FORMCHECKBOX  FORMCHECKBOX Pneumococcal (pneumonia) (Date) Is within 5 years? 12/25/15 FORMCHECKBOX  FORMCHECKBOX Have you had any other vaccines given for international travel or occupational purposes? Please List FORMCHECKBOX  FORMCHECKBOX  If yes: give date, can state U for the patient not knowing date received ( 1 ALLERGIES OR ADVERSE REACTIONSNAME of Causative AgentType of Reaction (describe explicitly)MedicationsN/AOther (food, tape, latex, dye, etc.)LatexItching, burning dermatitis  ( 5 PATHOPHYSIOLOGY: (include APA reference and in text citations) (Mechanics of disease, risk factors, how to diagnose, how to treat, prognosis, and include any genetic factors impacting the diagnosis, prognosis or treatment)Mechanics of Disease: Obstruction of the efferent or afferent limbs of the gatrojejunal anastomosis is a complication of a pancreaticoduodenectomy or whipple surgery (Kwong, Fehmi, Lowy, & Savides, 2014). Risk Factors: technical errors, edema, malignancy, adhesions, radiation induced strictures, and internal hernias (Kwong, Fehmi, Lowy, & Savides, 2014).How to diagnose: CT scan, abdominal pain, nausea, vomiting, and distension.How to treat: efferent limb obstruction is fixed surgically, with balloon dilation, or stents (Kwong, Fehmi, Lowy, & Savides, 2014).Prognosis: Surgical intervention is normally successful, but considering the malignancy of the pancreatic cancer, many patients still do not live more than 3 months after the surgical correction (Kwong, Fehmi, Lowy, & Savides, 2014). ( 5 Medications: [Include both prescription and OTC; hospital (include IVF) , home (reconciliation), routine, and PRN medication . Give trade and generic name.] Name dextromethorphan (Mucinex) ConcentrationDosage Amount 1 TabRoute POFrequency BIDPharmaceutical class allergy, cold, and cough; antitussiveHome Hospital or BothIndication effective for nonproductive cough; relief of coughs caused by minor upper respiratory tract infections or inhaled irritants. Adverse/ Side effects dizziness, sedation, nauseaNursing considerations/ Patient Teaching May cause dizziness Name furosemide (Lasix) ConcentrationDosage Amount 20mg Route INJ, IVFrequency BIDPharmaceutical class loop diureticsHome Hospital or BothIndication Edema due to hepatic impairmentAdverse/ Side effects erythemia multiform, stevens-johnson syndrome, toxic epidermal necrolysis, dehydration, hypocalcemia, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis, aplastic anemia, agranulocytosisNursing considerations/ Patient Teaching Assess fluid status, monitor BP and pulse, assess patient for skin rash and discontinue at first sign of rash. May be taken with food or milk to minimize gastric irritation. Change positions slowly, eat a high potassium diet. Contact health care provider immediately if rash, muscle weakness, cramps, nausea, dizziness, numbness or tingling of the extremities occur.  Name fluconazole (Diflucon)ConcentrationDosage Amount 200mgRoute INJ, IVFrequency BIDPharmaceutical class antifungalHome Hospital or BothIndication Fungal infections Adverse/ Side effects hepatotoxicity, stevens-johnson syndromeNursing considerations/ Patient Teaching assess patient for rash, monitor LFT before and during therapy (may increase AST, ALT, serum alkaline phosphate, and bilirubin concentrations.  Name insulin lisproConcentrationDosage Amount sliding scaleRoute SubcutFrequency Pharmaceutical class pancreatics Home Hospital or BothIndication Control of hyperglycemia in patients with diabetes mellitusAdverse/ Side effects hypoglycemia, anaphylaxisNursing considerations/ Patient Teaching Assess for symptoms of hypoglycemia; administer 15 minutes before a meal, rotate injections sites. Instruct patient on signs of hypoglycemia; teach patients to carry a form of glucose with them.  Name metoprolol (Lopressor)ConcentrationDosage Amount 12.5mgRoute POFrequency BIDPharmaceutical class beta blockerHome Hospital or BothIndication HTN, anxietyAdverse/ Side effects fatigue, weakness, bradycardia, heart failure, pulmonary edema, Nursing considerations/ Patient Teaching monitor BP, ECG, and pulse frequently; take apical pulse before administering; abrupt withdrawal may precipitate life-threatening arrhythmias, HTN, or myocardial ischemia. Notify health care provider if slow pulse, difficulty breathing, wheezing, cold hands and feet, dizziness, light-headedness, confusion, depression, rash, fever, sore throat, unusual bleeding, or bruising occurs.  Name pancrelipase (Creon)ConcentrationDosage Amount 1 capRoute POFrequency 3 times a dayPharmaceutical class pancreatic enzymes Home Hospital or BothIndication chronic pancreatitis, pancreatectomy, ductal obstruction secondary to tumorAdverse/ Side effects fibrosing colonopathy, abdominal pain, nausea, stomach crampsNursing considerations/ Patient Teaching assess patients nutritional status, monitor stools for high fat content; advise health care professional of symptoms of abdominal pain, distension, vomiting, and constipation Name pantoprazole (Protonix)ConcentrationDosage Amount 40mgRoute IVJ, IVFrequency BID Pharmaceutical class proton pump inhibitorHome Hospital or BothIndication treatment and prevention of GI ulcers and erosive esophagitisAdverse/ Side effects pseudomembranous colitis, abdominal pain, diarrhea, hypomagnesemiaNursing considerations/ Patient Teaching assess for abdominal pain or for blood in stool or emesis.  Name saccharomyces boulardii (Probiotics)ConcentrationDosage Amount 1 capRoute POFrequency BIDPharmaceutical class antidiarrhealsHome Hospital or BothIndication treatment and prevention of diarrheaAdverse/ Side effects bloating, contripation, fungemiaNursing considerations/ Patient Teaching assess for abdominal distention, presence of bowel sounds, and usual pattern of bowel function ( 5 NUTRITION: Include type of diet, 24 HR average home diet, and your nutritional analysis with recommendations.Diet ordered in hospital? Full liquid Analysis of home diet (Compare to My Plate and Diet patient follows at home? Solids as toleratedConsider co-morbidities and cultural considerations):24 HR average home diet:Breakfast: 1 egg, half a piece of white bread (if he can tolerate it)The patient is low on all food groups. The patient also has a low calorie intake at 765 calories a day. Also, this is on a very good day for the patient. His diet is often not tolerated like this. Some days he may be getting as little as half of the calories. The patient should consider drinking more Ensure shakes since they have high calories and are nutrient dense. Considering the size of his GI tract, it will be difficult to increase his food intake by very much so the shakes will really be beneficial for him. Also, the patient needs to be on vitamin supplements since he is not getting all the vitamins and minerals he needs. Lunch: Half a can of soup (tomato, pea soup)Dinner: Half a small chicken breast, half a cup of broccoli (if tolerated)Lately the patient has not been able to keep most of these foods down without vomiting. Even water has been an issue at home. These are foods he eats when he can tolerate food. Snacks: apple sauce, jello, Liquids (include alcohol): Ensure shakes, water HYPERLINK "http://www.choosemyplate.gov/index.html"  Use this link for the nutritional analysis by comparing the patients 24 HR average home diet to the recommended portions, and use My Plate as a reference.(1 COPING ASSESSMENT/SUPPORT SYSTEM: (these are prompts designed to help guide your discussion)Who helps you when you are ill?How do you generally cope with stress? or What do you do when you are upset?Recent difficulties (Feelings of depression, anxiety, being overwhelmed, relationships, friends, social life) +2 DOMESTIC VIOLENCE ASSESSMENT Consider beginning with: Unfortunately many, children, as well as adult women and men have been or currently are unsafe in their relationships in their homes. I am going to ask some questions that help me to make sure that you are safe. Have you ever felt unsafe in a close relationship? __________No_____________________________________________ Have you ever been talked down to?___No____________ Have you ever been hit punched or slapped? ____No__________ Have you been emotionally or physically harmed in other ways by a person in a close relationship with you? ____________No___________ If yes, have you sought help for this? ___________N/A___ Are you currently in a safe relationship? N/A ( 4 DEVELOPMENTAL CONSIDERATIONS:Eriksons stage of psychosocial development:  FORMCHECKBOX Trust vs.  FORMCHECKBOX Mistrust  FORMCHECKBOX Autonomy vs.  FORMCHECKBOX Doubt & Shame  FORMCHECKBOX Initiative vs.  FORMCHECKBOX Guilt  FORMCHECKBOX Industry vs.  FORMCHECKBOX Inferiority  FORMCHECKBOX Identity vs.  FORMCHECKBOX Role Confusion/Diffusion  FORMCHECKBOX Intimacy vs.  FORMCHECKBOX Isolation  FORMCHECKBOX Generativity vs.  FORMCHECKBOX Self absorption/Stagnation  FORMCHECKBOX Ego Integrity vs.  FORMCHECKBOX DespairCheck one box and give the textbook definition (with citation and reference) of both parts of Ericksons developmental stage for your patients age group: The stage of Generativity vs. self-absorption/stagnation is a period where we establish our careers and families and develop a sense of being a part of the bigger picture (McLeod). During this time, many feel as though they give back to the community by raising their children and being involved in the community. If we do not feel as though we are giving back, we can become stagnant (McLeod). Describe the stage your patient is in and give the characteristics that the patient exhibits that led you to your determination:I believe the patient is in the stage of stagnation. The patient has a history of alcohol abuse, is single, and has no children. He also has a fair amount of guilt about his brothers over dose. The patient feels he cannot thoroughly enjoy his hobby of gardening due to his inability to eat food with high fiber content. Since he has not appeared to give anything back to the community and seems unhappy, the stage of stagnation seems appropriate. Describe what impact of disease/condition or hospitalization has had on your patients developmental stage of life:Not being able to do the activities he enjoys would certainly affect his developmental stages, leading to stagnation. +3 CULTURAL ASSESSMENT: What do you think is the cause of your illness?The patient does not think anything caused his illness. What does your illness mean to you?Patient said that it does not mean anything to him. +3 SEXUALITY ASSESSMENT: (the following prompts may help to guide your discussion)Consider beginning with: I am asking about your sexual history in order to obtain information that will screen for possible sexual health problems, these are usually related to either infection, changes with aging and/or quality of life. All of these questions are confidential and protected in your medical recordHave you ever been sexually active?____Yes________________________________________________________________ Do you prefer women, men or both genders? ________women_____________________________________________________ Are you aware of ever having a sexually transmitted infection?__No_____________________________________________ Have you or a partner ever had an abnormal pap smear?_________No______Have you or your partner received the Gardasil (HPV) vaccination? _______No____________________________________ Are you currently sexually active? __No________If yes, are you in a monogamous relationship? ______N/A_____When sexually active, what measures do you take to prevent acquiring a sexually transmitted disease or an unintended pregnancy? ____condoms______________________________ How long have you been withyour current partner?__N/A_____________________________ Have any medical or surgical conditions changed your ability to have sexual activity? __abdominal pain and N/V__________________ Do you have any concerns about sexual health or how to prevent sexually transmitted disease or unintended pregnancy? No 1 SPIRITUALITY ASSESSMENT: (including but not limited to the following questions) What importance does religion or spirituality have in your life? _______________N/A_______________________________________________________________________________________ ______________________________________________________________________________________________________ Do your religious beliefs influence your current condition? ____________No__________________________________________________________________________________________ ______________________________________________________________________________________________________ +3 Smoking, Chemical use, Occupational/Environmental Exposures:1. Does the patient currently, or has he/she ever smoked or used chewing tobacco? Yes No If so, what?How much?(specify daily amount)For how many years? N/A X years(age thru )Pack Years: N/AIf applicable, when did the patient quit? N/ADoes anyone in the patients household smoke tobacco? If so, what, and how much? NoHas the patient ever tried to quit? N/A If yes, what did they use to try to quit? N/A2. Does the patient drink alcohol or has he/she ever drank alcohol? Yes No What? Liquor How much? Patient responded with too muchFor how many years?Volume:(age 20 thru 55 )Frequency: Used to be everyday If applicable, when did the patient quit? 20103. Has the patient ever used street drugs such as marijuana, cocaine, heroin, or other? Yes No If so, what? Marijuana How much? unknownFor how many years?(age 20 thru present ) Is the patient currently using these drugs? Yes NoIf not, when did he/she quit?4. Have you ever, or are you currently exposed to any occupational or environmental Hazards/RisksX-ray exposure when working in healthcare. 5. For Veterans: Have you had any kind of service related exposure?N/A ( 10 Review of Systems Narrative GastrointestinalImmunologic FORMCHECKBOX  Nausea, vomiting, or diarrhea (no diarrhea) FORMCHECKBOX  Chills with severe shakingIntegumentary FORMCHECKBOX  Constipation  FORMCHECKBOX  Irritable Bowel FORMCHECKBOX  Night sweats FORMCHECKBOX  Changes in appearance of skin (edema has caused weeping of skin) FORMCHECKBOX  GERD  FORMCHECKBOX  Cholecystitis FORMCHECKBOX  Fever FORMCHECKBOX  Problems with nails FORMCHECKBOX  Indigestion  FORMCHECKBOX  Gastritis / Ulcers FORMCHECKBOX  HIV or AIDS FORMCHECKBOX  Dandruff FORMCHECKBOX  Hemorrhoids  FORMCHECKBOX  Blood in the stool FORMCHECKBOX  Lupus FORMCHECKBOX  Psoriasis FORMCHECKBOX  Yellow jaundice  FORMCHECKBOX  Hepatitis FORMCHECKBOX  Rheumatoid Arthritis FORMCHECKBOX  Hives or rashes FORMCHECKBOX  Pancreatitis FORMCHECKBOX  Sarcoidosis FORMCHECKBOX  Skin infections FORMCHECKBOX  Colitis FORMCHECKBOX  Tumor FORMCHECKBOX  Use of sunscreen SPF: FORMCHECKBOX  Diverticulitis FORMCHECKBOX  Life threatening allergic reactionBathing routine: Every other day FORMCHECKBOX Appendicitis FORMCHECKBOX  Enlarged lymph nodesOther: FORMCHECKBOX  Abdominal AbscessOther: FORMCHECKBOX  Last colonoscopy? 2012HEENTOther:Hematologic/Oncologic FORMCHECKBOX  Difficulty seeing (need new prescription)Genitourinary FORMCHECKBOX  Anemia FORMCHECKBOX  Cataracts or Glaucoma FORMCHECKBOX  nocturia FORMCHECKBOX  Bleeds easily FORMCHECKBOX  Difficulty hearing  FORMCHECKBOX  dysuria FORMCHECKBOX  Bruises easily FORMCHECKBOX  Ear infections FORMCHECKBOX  hematuria FORMCHECKBOX  Cancer (pancreatic) FORMCHECKBOX  Sinus pain or infections FORMCHECKBOX  polyuria FORMCHECKBOX  Blood Transfusions FORMCHECKBOX Nose bleeds  FORMCHECKBOX  kidney stonesBlood type if known: FORMCHECKBOX  Post-nasal dripNormal frequency of urination: x/dayOther: FORMCHECKBOX  Oral/pharyngeal infection FORMCHECKBOX  Bladder or kidney infections  FORMCHECKBOX  Dental problemsPatient complains of dribbling and pressure occasionally. Metabolic/Endocrine FORMCHECKBOX  Routine brushing of teeth 1 x/day FORMCHECKBOX  Diabetes Type: FORMCHECKBOX  Routine dentist visits x/year FORMCHECKBOX  Hypothyroid /Hyperthyroid FORMCHECKBOX Vision screening FORMCHECKBOX  Intolerance to hot or cold (from anemia)Other: FORMCHECKBOX  OsteoporosisOther:Pulmonary FORMCHECKBOX  Difficulty Breathing; COPDCentral Nervous System FORMCHECKBOX  Cough - dry or productiveWomen Only FORMCHECKBOX  CVA FORMCHECKBOX  Asthma FORMCHECKBOX  Infection of the female genitalia FORMCHECKBOX  Dizziness  FORMCHECKBOX  Bronchitis FORMCHECKBOX  Monthly self breast exam FORMCHECKBOX  Severe Headaches FORMCHECKBOX  Emphysema FORMCHECKBOX  Frequency of pap/pelvic exam FORMCHECKBOX  Migraines FORMCHECKBOX  Pneumonia Date of last gyn exam? FORMCHECKBOX  Seizures FORMCHECKBOX  Tuberculosis FORMCHECKBOX  menstrual cycle regular irregular FORMCHECKBOX  Ticks or Tremors FORMCHECKBOX  Environmental allergies FORMCHECKBOX  menarche age? FORMCHECKBOX  Encephalitis FORMCHECKBOX last CXR? FORMCHECKBOX  menopause age? FORMCHECKBOX  MeningitisOther:Date of last Mammogram &Result:Other:Date of DEXA Bone Density & Result:CardiovascularMen OnlyMental Illness FORMCHECKBOX Hypertension FORMCHECKBOX  Infection of male genitalia/prostate?  FORMCHECKBOX  Depression FORMCHECKBOX  Hyperlipidemia FORMCHECKBOX  Frequency of prostate exam? FORMCHECKBOX  Schizophrenia FORMCHECKBOX  Chest pain / Angina Date of last prostate exam? FORMCHECKBOX  Anxiety FORMCHECKBOX Myocardial Infarction FORMCHECKBOX  BPH FORMCHECKBOX  Bipolar FORMCHECKBOX  CAD/PVD FORMCHECKBOX Urinary RetentionOther: FORMCHECKBOX CHFMusculoskeletal FORMCHECKBOX Murmur FORMCHECKBOX  Injuries or FracturesChildhood Diseases FORMCHECKBOX  Thrombus FORMCHECKBOX  Weakness FORMCHECKBOX  Measles FORMCHECKBOX Rheumatic Fever FORMCHECKBOX  Pain FORMCHECKBOX  Mumps FORMCHECKBOX  Myocarditis  FORMCHECKBOX  Gout FORMCHECKBOX  Polio FORMCHECKBOX  Arrhythmias FORMCHECKBOX  Osteomyelitis FORMCHECKBOX  Scarlet Fever FORMCHECKBOX  Last EKG screening, when? 12/2015 FORMCHECKBOX Arthritis FORMCHECKBOX  Chicken PoxOther:Other:Other:General Constitution  FORMCHECKBOX  Recent weight loss or gain How many lbs? 35lbs Time frame? 3 years Intentional? No, from nausea, vomiting, and stomach pain. How do you view your overall health? Not very good. Patient obviously thinks it is a concern that he cannot eat very much due to vomiting.  Is there any problem that is not mentioned that your patient sought medical attention for with anyone? Ascites, cirrhosis, and an inguinal hernia. Any other questions or comments that your patient would like you to know?The patient asked me to tell the nurse that he has an inguinal hernia.  10 PHYSICAL EXAMINATION: General Survey: 60 y/o male; sunken in face due to weight loss; flat affect Height: unknown Weight 60kg BMI: unknown Pain: (include rating and location) 4 out of ten in abdomen. Pulse 109 Blood Pressure: (include location) 113/92 brachial Respirations 24 Temperature: (route taken?) 97.9 oral SpO2 99 Is the patient on Room Air or O2 Overall Appearance: [Dress/grooming/physical handicaps/eye contact] FORMCHECKBOX  clean, hair combed, dress appropriate for setting and temperature, maintains eye contact, no obvious handicapsOverall Behavior: [e.g.: appropriate/restless/odd mannerisms/agitated/lethargic/other] FORMCHECKBOX  awake, calm, relaxed, interacts well with others, judgment intactSpeech: [e.g.: clear/mumbles /rapid /slurred/silent/other] FORMCHECKBOX  clear, crisp dictionMood and Affect:  FORMCHECKBOX  pleasant  FORMCHECKBOX  cooperative  FORMCHECKBOX  cheerful  FORMCHECKBOX  talkative  FORMCHECKBOX  quiet  FORMCHECKBOX  boisterous  FORMCHECKBOX  flat FORMCHECKBOX  apathetic  FORMCHECKBOX  bizarre  FORMCHECKBOX  agitated  FORMCHECKBOX anxious  FORMCHECKBOX tearful  FORMCHECKBOX withdrawn  FORMCHECKBOX aggressive  FORMCHECKBOX hostile  FORMCHECKBOX loud Other:Integumentary FORMCHECKBOX  Skin is warm, dry, and intact  FORMCHECKBOX  Skin turgor elastic (fair)  FORMCHECKBOX  No rashes, lesions, or deformities (edema) FORMCHECKBOX  Nails without clubbing  FORMCHECKBOX  Capillary refill < 3 seconds  FORMCHECKBOX  Hair evenly distributed, clean, without verminIf anything is not checked, then use the blank spaces todescribe what was assessed in the physical exam thatwas not WNL (within normal limits) FORMCHECKBOX  Central access device Type: 20 gage Location: upper arm Date inserted: 2/4/15 Fluids infusing?  FORMCHECKBOX  no  FORMCHECKBOX  yes - what?HEENT:  FORMCHECKBOX  Facial features symmetric  FORMCHECKBOX  No pain in sinus region  FORMCHECKBOX  No pain, clicking of TMJ  FORMCHECKBOX  Trachea midline FORMCHECKBOX  Thyroid not enlarged  FORMCHECKBOX  No palpable lymph nodes  FORMCHECKBOX  sclera white and conjunctiva clear; without discharge  FORMCHECKBOX  Eyebrows, eyelids, orbital area, eyelashes, and lacrimal glands symmetric without edema or tenderness  FORMCHECKBOX  PERRLA pupil size 3 / mm  FORMCHECKBOX  Peripheral vision intact  FORMCHECKBOX  EOM intact through 6 cardinal fields without nystagmus FORMCHECKBOX  Ears symmetric without lesions or discharge  FORMCHECKBOX  Whisper test heard: (not necessary) right ear- inches & left ear- inches FORMCHECKBOX  Nose without lesions or discharge  FORMCHECKBOX  Lips, buccal mucosa, floor of mouth, & tongue pink & moist without lesionsDentition:Comments: Pulmonary/Thorax:  FORMCHECKBOX  Respirations regular and unlabored  FORMCHECKBOX Transverse to AP ratio 2:1  FORMCHECKBOX Chest expansion symmetric  FORMCHECKBOX Percussion resonant throughout all lung fields, dull towards posterior bases  FORMCHECKBOX Sputum production: thick thin Amount: scant small moderate large Color: white pale yellow yellow dark yellow green gray light tan brown redLung sounds:RUL clear LUL clearRML diminished LLL diminished RLL diminished CL Clear; WH Wheezes; CR Crackles; RH Rhonchi; D Diminished; S Stridor; Ab - AbsentCardiovascular:  FORMCHECKBOX No lifts, heaves, or thrills Heart sounds:  FORMCHECKBOX  S1 S2 audible  FORMCHECKBOX Regular  FORMCHECKBOX  Irregular  FORMCHECKBOX No murmurs, clicks, or adventitious heart sounds  FORMCHECKBOX No JVD Rhythm (for patients with ECG tracing tape 6 second strip below and analyze)  FORMCHECKBOX  Calf pain bilaterally negative  FORMCHECKBOX Pulses bilaterally equal [rating scale: 0-absent, 1-barely palpable, 2-weak, 3-normal, 4-bounding] Apical pulse: Carotid: Brachial: Radial: +2 Femoral: Popliteal: DP: +2 PT:  FORMCHECKBOX No temporal or carotid bruits Edema: +4 [rating scale: 0-none, +1 (1-2mm), +2 (3-4mm), +3 (5-6mm), +4(7-8mm) ] Location of edema: pitting non-pitting  FORMCHECKBOX Extremities warm with capillary refill less than 3 seconds; feet were cold, but pulses and color were good. Rest of extremities were warm. GI  FORMCHECKBOX Bowel sounds active x 4 quadrants; no bruits auscultated  FORMCHECKBOX No organomegaly  FORMCHECKBOX Percussion dull over liver and spleen and tympanic over stomach and intestine  FORMCHECKBOX Abdomen non-tender to palpation; slightly tender Last BM: (date 2 / 9 / 15 ) Formed Semi-formed Unformed Soft Hard Liquid Watery Color: Light brown Medium Brown Dark Brown Yellow Green White Coffee Ground Maroon Bright Red  FORMCHECKBOX  Nausea  FORMCHECKBOX emesis Describe if present: Genitalia:  FORMCHECKBOX Clean, moist, without discharge, lesions or odor  FORMCHECKBOX Not assessed, patient alert, oriented, denies problems Other Describe: GU Urine output:  FORMCHECKBOX Clear  FORMCHECKBOX Cloudy Color: Previous 24 hour output: mLs N/A  FORMCHECKBOX Foley Catheter  FORMCHECKBOX Urinal or Bedpan  FORMCHECKBOX Bathroom Privileges without assistance or with assistance  FORMCHECKBOX CVA punch without rebound tenderness Musculoskeletal: ( Full ROM intact in all extremities without crepitus  FORMCHECKBOX Strength bilaterally equal at ___5____ RUE ____5___ LUE __4_____ RLE & ____4___ in LLE [rating scale: 0-absent, 1-trace, 2-not against gravity, 3-against gravity but not against resistance, 4-against some resistance, 5-against full resistance]  FORMCHECKBOX vertebral column without kyphosis or scoliosis  FORMCHECKBOX Neurovascular status intact: peripheral pulses palpable, no pain, pallor, paralysis or paresthesia Neurological:  FORMCHECKBOX Patient awake, alert, oriented to person, place, time, and date  FORMCHECKBOX Confused; if confused attach mini mental exam  FORMCHECKBOX CN 2-12 grossly intact  FORMCHECKBOX Sensation intact to touch, pain, and vibration  FORMCHECKBOX Rombergs Negative  FORMCHECKBOX Stereognosis, graphesthesia, and proprioception intact  FORMCHECKBOX Gait smooth, regular with symmetric length of the stride; difficulty walking due to weakness. DTR: [rating scale: 0-absent, +1 sluggish/diminished, +2 active/expected, +3 slightly hyperactive, +4 Hyperactive, with intermittent or transient clonus] Triceps: Biceps: Brachioradial: Patellar: Achilles: Ankle clonus: positive negative Babinski: positive negative  10 PERTINENT LAB VALUES AND DIAGNOSTIC TEST RESULTS (include pertinent normals as well as abnormals, include rationale and analysis. List dates with all labs and diagnostic tests):Pertinent includes labs that are checked when on certain medications, monitored for the disease process, need prior to and after surgery, and pertinent to hospitalization. Do not forget to include diagnostic tests, such as Ultrasounds, X-rays, CT, MRI, HIDA, etc. If a lab or test is not in the chart (such as one that is done preop) then include why you expect it to be done and what results you expect to see. Lab Dates Trend Analysis ALT H 76 2/4/15 This was the only value listed. Assesses liver function. The normal range for a 60 year old male is 10-40 units/L. ALT is increased in cirrhosis, pancreatitis, AIDS, hepatic carcinoma, and chronic alcohol abuse (Van Leeuwen, Poelhuis-Leth, & Bladh, 2013). Na L 129, L 133, 135 2/9, 2/8, 2/7 respectively On 2/7, the patients Na was WNL. The Na has trended downwards. Assesses sodium which is related to hydration levels and disorders such as diarrhea and vomiting, and to monitor diuretic use (Van Leeuwen, Poelhuis-Leth, & Bladh, 2013). Decreased in excessive use of diuretics, hepatic failure, hypoproteinemia, and insufficient intake (Van Leeuwen, Poelhuis-Leth, & Bladh, 2013). K 3.9, 4.0, L 3.3 2/9, 2/8, 2/7 respectively The patients potassium levels have been fluctuating. Used to assess potassium levels which is related to disorders such as acidosis, renal failure, and dehydration. Decreased in alcoholism, alkalosis, vomiting, diarrhea, nasogastric sunction, hyperaldoteronism, and sweating (Van Leeuwen, Poelhuis-Leth, & Bladh, 2013). Cl L 93, L 95, L 96 2/9, 2/8, 2/7 Patients chloride level has been trending downward. Used to assess chloride level which is related to water balance, digestion, and acid-base balance (Van Leeuwen, Poelhuis-Leth, & Bladh, 2013). Decreased in DKA, HF, excessive sweating, vomiting, diarrhea, nasogastric suction, alkalosis, and overhydration (Van Leeuwen, Poelhuis-Leth, & Bladh, 2013). Ca C 6.9, L 7.2, L 7.3 2/9, 2/8, 2/7 Calcium is trending downwards. Calcium is involved in coagulation, neuromuscular conduction, intracellular regulation, glandular secreation, and control of skeletal and cardiac muscle (Van Leeuwen, Poelhuis-Leth, & Bladh, 2013). Decreased in pancreatitis, alcoholism, alkalosis, renal failure, cirrhosis, hypoalbuminemia, inadequate nutrition, and renal tubular disease (Van Leeuwen, Poelhuis-Leth, & Bladh, 2013). Alkaline Phosphatase H 151 2/4/15 This was the only value listed To assist in the diagnosis of liver cancer and cirrhosis (Van Leeuwen, Poelhuis-Leth, & Bladh, 2013). Increased in liver disease and bone disease (Van Leeuwen, Poelhuis-Leth, & Bladh, 2013). CT 1/14/15 No trend CT scan revealed a large volume of fluid and dilation of the GI tract. Paracentesis 1/15/15 No trend This patient had removal of 2 L of fluid. EGD 2/4/15 No trend The EGD revealed an efferent limb obstruction and an ulcer TPN 2/9/15 No trend Given due to malnutrition and GI narrowing and efferent limb obstruction. +2 CURRENT HEALTHCARE TREATMENTS AND PROCEDURES: ACHS, Full liquid diet, Physical Therapy, Occupational Therapy, Case Management ( 8 NURSING DIAGNOSES (actual and potential - listed in order of priority) 1. Electrolyte imbalance r/t vomiting aeb hypokalemia, hypocalcemia, and hyponatremia 2. Deficient fluid volume r/t vomiting aeb hypotension, tachycardia, and electrolyte imbalances 3. Imbalanced nutrition: less than body requirements r/t nausea, vomiting, abdominal pain, and cirrhotic changes aeb efferent limb obstruction, cirrhosis, electrolyte imbalances, significant weight loss, and ascites 4. Activity intolerance r/t imbalanced nutrition, edema, and nausea aeb musculoskeletal weakness 5. Constipation r/t decreased fluid and food intake aeb less bowel movements, abdominal pain, and abdominal distension  15 CARE PLAN Nursing Diagnosis: Electrolyte imbalance r/t vomiting aeb hypokalemia, hypocalcemia, and hyponatremia Patient Goals/OutcomesNursing Interventions to Achieve GoalRationale for Interventions Provide ReferencesEvaluation of Goal on Day Care is ProvidedThe patient will maintain a normal sinus rhythm with a regular rate. Monitor vital signs and heart rhythm. Electrolyte imbalances can lead to orthostatic hypotension, bradycardia, tachycardia, respiratory depression, and EKG changes (Ackley & Ladwig, 2011, p. 343). The patient maintained a normal sinus rhythm with a regular rate. The patient will maintain normal serum potassium, sodium, calcium, and pH. Review laboratory data and report deviations to provider. Lab data can include serum electrolytes, serum pH, comprehensive metabolic panel, and atrial natriuretic peptide (Ackley & Ladwig, 2011, p. 343). Lab data was reviewed regularly but, the patient had low sodium and calcium. Monitor the effects of diuretics and heart medications. These medications can have an adverse effect on electrolyte balance such as depleting or increasing potassium levels (Ackley & Ladwig, 2011, p. 344). Medication effects were monitored. Review the patients medical and surgical history. Certain conditions and surgeries such as this patients cirrhosis and whipple surgery, can effect electrolyte balance. Periods of fluid loss can lead to loss of electrolytes (Ackley & Ladwig, 2011, p. 344). The patients history was reviewed. Complete pain assessment.Muscle cramps, parathesias, abdominal cramps, and tetany can be symptoms of electrolyte imbalance and dehydration (Ackley & Ladwig, 2011, p. 344).Pain assessments were completed. Administer parenteral fluids as ordered and monitor effects. Fluids may be necessary to restore intravascular volume, hemodynamic stability, and tissue perfusion. Excess fluid replacement can lead to electrolyte imbalances (Ackley & Ladwig, 2011, p. 344). Fluids were administered when needed. The patient will have a decrease in edema.Monitor for abdominal distension and discomfort. Fluid and electrolyte imbalances can cause changes in GI mucosal perfusion and GI tract edema, which leads to pain (Ackley & Ladwig, 2011, p. 344). The patient was monitored for these symptoms and did experience them. 2 DISCHARGE PLANNING: (put a * in front of any pt education in above care plan that you would include for discharge teaching) Consider the following needs: %SS Consult %Dietary Consult %PT/ OT %Pastoral Care %Durable Medical Needs %F/U appointments %Med Instruction/Prescription % are any of the patient s medications available at a discount pharmacy? %Yes % No %Rehab/ HH %Palliative Care  15 CARE PLAN Nursing Diagnosis: Imbalanced nutrition: less than body requirements r/t nausea, vomiting, abdominal pain, and cirrhotic changes aeb efferent limb obstruction, cirrhosis, electrolyte imbalances, significant weight loss, and ascites Patient Goals/OutcomesNursing Interventions to Achieve GoalRationale for Interventions Provide ReferencesEvaluation of Goal on Day Care is ProvidedThe patient will progressively gain weight toward goal. Provide the patient with small quantities of energy-dense and protein-enriched food. Since the patient has narrowing of the GI tract, small meals will be necessary to maintain nutrition (Ackley & Ladwig, 2011, p. 577). The patient was only able to tolerate a liquid diet, but was given high protein drinks. Monitor state of oral cavity. Provide good oral hygiene. Poor oral hygiene interferes with food intake. The oral mucosa must be moist, with adequate salvia production to aid in digestion (Ackley & Ladwig, 2011, p. 577). The patients oral hygiene was assessed. Consult with a dietician regarding the use of liquid product that contains an increased amount of protein and calories. The patient has a minimally functioning GI tract and is malnourished. The patient drank these supplement drinks. The patient will be free of signs of malnutrition. Monitor for signs of malnutrition: brittle hair, dry skin, pale skin and conjunctiva, muscle wasting, rash over lower extremities, and disorientation. Monitoring for signs of malnutrition can help understand the patients nutrition state (Ackley & Ladwig, 2011, p. 577). Goal not met. Review laboratory results such as serum albumin, prealbumin, serum total protein, hemoglobin, hematocrit, and electrolytesAn albumin level of less than 3.5 is considered poor nutritional status (Ackley & Ladwig, 2011, p. 576). These laboratory results were not listed in the patients chart. Watch for signs of symptoms of infection. Protein-energy malnutrition is associated with decrease in immunity (Ackley & Ladwig, 2011, p. 577). No infection signs or symptoms were observed. 2 DISCHARGE PLANNING: (put a * in front of any pt education in above care plan that you would include for discharge teaching) Consider the following needs: %SS Consult %Dietary Consult %PT/ OT %Pastoral Care %Durable Medical Needs %F/U appointments %Med Instruction/Prescription % are any of the patient s medications available at a discount pharmacy? %Yes % No %Rehab/ HH %Palliative Care  References Ackley, B. J., & Ladwig, G. B. (2011). Nursing diagnosis handbook: An evidence-based guide to planning care (9th ed.). St. Louis, Missouri: Mosby, Inc., an affiliate of Elsevier Inc. Kwong, W. T., Fehmi, S. M., Lowy, A. M., & Savides, T. J. (2014). Enteral stenting for gastric outlet obstruction and afferent limb syndrome following pancreaticoduodenectomy. Annals of Gastroenterology, 27(4), 413-417. McLeod, S. A. (2008). Erik Erikson. 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H., Sanoski, C. A., & Deglin, J. H., & Mansell, H. G. (2014). Daviss Drug Guide for Nurses (13th ed.). F.A. Davis Company. Van Leeuwen, A. M., Poelhuis-Leth, D. J., & Bladh, M. L. (2013). Daviss Comprehensive Handbook of Laboratory and Diagnostic Tests with Nursing Implication. F.A. 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