mental-health-case-linda-waterfall-documentation-assignments-answered-latest-2021

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• Document your findings related to the focused assessments of Ms. Waterfall’s signs and symptoms of respiratory and/or cardiac distress. Include her responses to your assessment. • Ms. Waterf... alls respiration was assessed, 24 breaths per minute and breathing equally was reported. I also checked her pulse ox which was 100%. Her pulse was at 110 beats per minute with her blood pressure at 150/80 mmHg. Throughout these initial assessments she kept insisting that her heart was racing and that he could not stay still. She was asked if she had any breathing issues and her response was that she feels like she is going to die, that she cannot catch her breath that it feels like a heart attack. When I asked about her pain, patient stated that she is going to die anyhow. When I auscultated her heart, she stated that she was very nervous. The results of auscultation was that she had normal heart sounds. • Document your findings related to the focused assessment of Ms. Waterfall’s signs and symptoms of acute anxiety. Include her responses to your assessment. 0:52 You asked the patient: Is it OK for your cousin to be here, while we talk? It was correct to let the patient give her consent for letting her cousin be a part of the interview. 1:07 The patient said: Alice! Don't leave me! Nurse, she said she wanted some coffee.\nYou answered: Mrs. Waterfall, I will stay with you if Alice wants to get some coffee. \nYou used the therapeutic technique of offering self. 2:44 You asked the patient: Do you have any difficulty with your breathing? 3:06 The patient said: I feel like I'm going to die. I can't catch my breath, and I feel like I'm having a heart attack.\nYou answered: You are safe here. I'm going to sit with you while we take several deep breaths together. \nYou used the therapeutic technique of offering self, using simple direct words. A patient with panic-level anxiety should never be left alone. 4:54 You asked the patient: Can you tell me a little bit more about what's going on with you today? It was appropriate to ask the patient what was going on with her to get an understanding of this. 5:16 The patient said: I had a horrible morning! I could not find my bag, then I broke a glass, and I could not get in touch with my father. My life is falling apart!\nYou answered: You must be feeling as if everything is out of your control. \nYou used the therapeutic technique of translating to feelings. 5:17 You asked the patient: Over the past year, when did you feel your best? It was appropriate to ask the patient about when she felt her best. 5:35 The patient said: You are trying to kill me by making me go through this surgery without it. All of you are out to get me. You want me to die!\nYou answered: Ms. Waterfall, I am your nurse and I'm here to help you. \nYou used the therapeutic technique of giving information. 5:37 You asked the patient: Do you have any difficulty with your breathing? The patient said: Yes. I feel I can't breathe. 5:43 You asked the patient: Do you have chest pain? The patient said: No, I don't have chest pain. 5:49 You asked the patient: Do you have any pain? The patient said: No. 5:54 You asked the patient: On a scale of 0 to 10, how would you rate your level of distress? 6:10 The patient said: I can't think straight until I find my medicine bundle.\nYou answered: This medicine bundle means a great deal to you. \nYou used the therapeutic technique of reflection. 6:44 You asked the patient: Tell me about any changes you have had in your sleep over the past few weeks? The patient said: When I am anxious I have a hard time sleeping. Recently this has been the case. 7:10 You asked the patient: Do you have any trouble falling asleep? The patient said: Sometimes I have trouble falling asleep when my thoughts are racing. 7:43 You asked the patient: Do you have energy to do the normal activities necessary to get through the day? The patient said: Yes, I have no trouble with energy once I get up in the morning. 8:15 You asked the patient: I would like to ask you a series of questions about how you are feeling to help me better understand how together we can start to plan your care. These are questions I ask all of the patients I see. May I ask you these questions? 8:44 The patient said: All of this talking, it's just a waste of time.\nYou answered: Do you feel that no one understands your feelings? \nYou used the therapeutic technique of verbalizing the implied. [Show More]

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