Case Study

A 71-year-old Joseph M Hairston with history of chronic kidney disease stage V

Clinical Preparation Worksheet for Joseph M. Hairston SECTION #1: Client Demographics, Admitting Diagnosis & HPI PATIENT DEMOGRAPHICS Patient Initials: JMH Age & Gender: 71 years, Male Allergies: No known allergies reported (NKDA) Code Status: Full Code Advance Directives: Not specified in the provided documentation CHIEF COMPLAINT Gastrointestinal hemorrhage, unspecified type ADMITTING DIAGNOSIS or SURGICAL DIAGNOSIS […]

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Date: February 19th, 2025

NSG528 Medical Surgical Nursing II Care Plan & Client Concept Map Packet

Nursing Care Plan Part I: Basic Conditioning Factors Date: 08/25/2024 A. Patient identifiers: Physician(s): Dr. Emily Carter (Primary Care), Dr. Michael Rodriguez (Endocrinologist) Age: 42 Gender: Female Ht: 5’6″ (168 cm) Wt: 190 lbs (86 kg) Code Status: Full Code Isolation: None Development Stage (Erikson): Generativity vs. Stagnation Rationale: At 42, Sarah is in the […]

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Date: August 25th, 2024

Dickson is a 72-year old female who comes to the clinic with a debilitating headache and neck pain

Focused SOAP Note Patient Information: D, 72-years old female. S. Chief Complaint (CC): Debilitating headache and neck pain HPI: Dickson is a 72-year old female who comes to the clinic with a debilitating headache and neck pain. The patient complains that the problem is not new, but has worsened in the last week and currently […]

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Date: August 24th, 2022

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