Consider the items that were chosen by other students to document as components of the subjective and objective data.

Consider the items that were chosen by other students to document as components of the subjective and objective data.

Consider the items that were chosen by other students to document as components of the subjective and objective data. Did any of your peers choose items to document differently than you? How do you account for these differences?  Ask questions of the other students that you respond to in order to promote further thinking and discussion on the topic. Use your personal experience, if it's relevant, to support or debate other students' posts. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.  Please respond to both of these discussions APA format  Intext citations where needed All sources 5 years old or newer Discussion 1 S:      Patient states, "I woke up this morning and my right eye was pink, swollen, burning, and itchy. I had to use a wash cloth to get my eyelids to come apart because they were crusted with some drainage. The drainage went away after I washed my eye but keeps coming back." O: Upon examination the left eye appears WNL, the right eye is red, watery, and has small amounts of purulent drainage. A: During the assessment portion, I would take the time to ask the patient if there have been any recent contact with any other people with the same symptoms, especially little ones in daycare. I would also as what their medical history is and anything pertaining to eye disease or disorders. Medication list would be helpful to cross reference any side effects. Sometimes women do not know proper cleaning technique for removing eye makeup or when to switch mascara brushes, so that would be a good question to ask as well. And lastly if the patient rubs their eyes a lot and how is their hand cleanliness. P:  Knowing the background history and events leading up to the symptoms would help the care team develop what is the best treatment plan for her. Without these details it is hard to make a definitive diagnosis without making assumptions that is why a throughout assessment is required with each and every patient. Alternative documentation style:   Another style very similar to the SOAP method is the APIE method. This is used to draw conclusions and gain an understanding of the problem, what is going to be initiated to help the problem, and weather the treatment or intervention was successful or not. (Barbarito, D'Amico 2016). Reference:  Barbarito B., D'Amico, D. (2016). Health & Physical Assessment in Nursing (3rd ed.). Hoboken, NJ: Pearson Discussion 2 Subjective data from patient  is: “I woke up this morning and my right eye was pink, swollen, burning, and itchy.” “I had to use a wash cloth to get my eyelids to come apart because they were crusted with some drainage.” “The drainage went away after I washed my eye but keeps coming back.” Objective data gathered from the history and physical would be: Right eye red, water, with small amount of purulent drainage; left eye within normal limits. I would ask the patient about level of pain/discomfort to see how well the patient is tolerating with her eye problems. I would ask if she has been around anyone else with the same symptoms to see if others were affected.  I would also ask the patient, since her eye has been itching, has she touched anything and how often she has washed her hands after touching her eye. This question would establish the amount of surface areas possibly affected if patient has a contagious condition. Another style of documentation would be focus documentation. Focus documentation would specify the specific problem along with the symptoms, but would also address the strengths of the patient (D’Amico & Barbarito , 2016, pg. 7). Reference D’Amico, D. and Barbarito, C. (2016).  Health & physical assessment in nursing (3rd ed.).  Boston, MA: Pearson.

ANSWER.

PAPER DETAILS
Academic Level Masters
Subject Area Nursing
Paper Type  Assignment
Number of Pages 1 Page(s)/275 words
Sources 1
Paper Format APA
Spacing Double Spaced

If the sample didn't load click the reload button below
If this is not the paper you were searching for, you can order your 100% plagiarism free, custom written paper now!
   

Item Details

Price: $6.50