What precautions should you take with a patient that is a fall risk?
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What precautions should you take with a patient that is a fall risk?
With a patient in a fall risk, you should have them only get up when there is someone with them, use bed alarm and have them wear a fall risk band.
Statement 03/29/19 2:26 PM EDT
Time to begin.
Good Morning Tina, My name is jenn i will be your nurse today
Greet 03/29/19 2:28 PM EDT
Hey.
Can you tell me your name and date of birth
Question 03/29/19 2:28 PM EDT
My name’s Tina Jones, and my birthday’s February 17th.
Vitals measured
Exam Action 03/29/19 2:29 PM EDT
ON a 010 scale, how would you rate your pain right now tina
Question 03/29/19 2:29 PM EDT
I’d give it a 5 or 6 out of 10 right now.
do you have any problems with your joints
Question 03/29/19 2:30 PM EDT
No, my joints are fine.
do you have any pain in your joints
Question 03/29/19 2:30 PM EDT
My joints don’t hurt.
have you noticed any swelling in your joints
Question 03/29/19 2:31 PM EDT
No, I’ve never had joint problems.
do you have any muscle pain
Question 03/29/19 2:31 PM EDT
My muscles don’t hurt.
do you have any muscle weakness
Question 03/29/19 2:31 PM EDT
No, I wouldn’t say I feel weak.
do you have any bone pain
Question 03/29/19 2:31 PM EDT
My bones aren’t hurting me, no.
have you had any recent injury or trauma to your bones
Question 03/29/19 2:32 PM EDT
I haven’t had anything really serious before. I think my foot right now is the worst injury I’ve had!
are you able o bathe yourself normally (No matching questions found.)
Question 03/29/19 2:32 PM EDT
are you able to bathe yourself
Question 03/29/19 2:32 PM EDT
I’ve been stuck sitting on my butt for the last few days with my foot hurting so much. I could get out of bed, but my walk was basically a hobble so I stayed at home.
have you needed any help pto shower
Question 03/29/19 2:33 PM EDT
I don’t need anything right now, thanks.
do you have chronic health issues
Question 03/29/19 2:33 PM EDT
I’ve had asthma since I was little, and I have sugar diabetes, too.
do you have family history of joint disease (Clarified to Any family member with degenerative joint disorder?.)
Question 03/29/19 2:34 PM EDT
No, I don’t think so. (Clarified to if I have a family history of degenerative joint disease.)
do you have any history of arthritis (Clarified to Has anyone in your family had arthritis?.)
Question 03/29/19 2:34 PM EDT
No, I don’t know about that. (Clarified to if anyone in my family has arthritis.)
do you have a history with arthritis
Question 03/29/19 2:35 PM EDT
No, I don’t have arthritis! I’m a little young for that. . .
do you have any family history of hip replacements (Clarified to Does obesity run in your family?.)
Question 03/29/19 2:35 PM EDT
No, I don’t think so. My brother and my dad are kind of big, but I wouldn’t say they were obese or anything. (Clarified to if obesity runs in my family.)
Have you been able to function normally (Clarified to Can you change positions?.)
Question 03/29/19 2:36 PM EDT
I can sit up and everything, but I’d definitely need some help to stand up or walk since my foot is still hurting so bad. (Clarified to if I can change positions.)
have you been able to do normal activities on your own (Clarified to Have you been able to work?.)
Question 03/29/19 2:36 PM EDT
I’ve had to miss work for sureI’m on my feet all day for my job, and that obviously wouldn’t work with my foot the way it is, if I could even get over there. (Clarified to if I have been able to work.)
Inspected front of neck
Exam Action 03/29/19 2:37 PM EDT
Inspected left side of neck
Exam Action 03/29/19 2:37 PM EDT
Inspected back of neck
Exam Action 03/29/19 2:37 PM EDT
Inspected right side of neck
Exam Action 03/29/19 2:37 PM EDT
Inspected front of neck
Exam Action 03/29/19 2:37 PM EDT
Inspected shoulders from the front
Exam Action 03/29/19 2:37 PM EDT
Inspected left shoulder
Exam Action 03/29/19 2:37 PM EDT
Inspected upper back
Exam Action 03/29/19 2:37 PM EDT
Inspected right shoulder
Exam Action 03/29/19 2:37 PM EDT
Inspected shoulders from the front
Exam Action 03/29/19 2:37 PM EDT
Inspected left arm
Exam Action 03/29/19 2:37 PM EDT
Inspected right arm
Exam Action 03/29/19 2:37 PM EDT
Inspected left elbow
Exam Action 03/29/19 2:38 PM EDT
Inspected right elbow
Exam Action 03/29/19 2:38 PM EDT
Inspected left wrist
Exam Action 03/29/19 2:38 PM EDT
Inspected both wrists
Exam Action 03/29/19 2:38 PM EDT
Inspected right wrist
Exam Action 03/29/19 2:38 PM EDT
Inspected both hands
Exam Action 03/29/19 2:38 PM EDT
Inspected left hand
Exam Action 03/29/19 2:38 PM EDT
Inspected right hand
Exam Action 03/29/19 2:38 PM EDT
Inspected front of hips
Exam Action 03/29/19 2:38 PM EDT
Inspected left side of hips
Exam Action 03/29/19 2:38 PM EDT
Inspected back of hips
Exam Action 03/29/19 2:38 PM EDT
Inspected right side of hips
Exam Action 03/29/19 2:38 PM EDT
Inspected front of thighs
Exam Action 03/29/19 2:39 PM EDT
Inspected left thigh
Exam Action 03/29/19 2:39 PM EDT
Inspected back of thighs
Exam Action 03/29/19 2:39 PM EDT
Inspected right thigh
Exam Action 03/29/19 2:39 PM EDT
Inspected front of knees
Exam Action 03/29/19 2:39 PM EDT
Inspected left knee
Exam Action 03/29/19 2:39 PM EDT
Inspected back of knees
Exam Action 03/29/19 2:39 PM EDT
Inspected right knee
Exam Action 03/29/19 2:39 PM EDT
Inspected front of legs
Exam Action 03/29/19 2:39 PM EDT
Inspected left leg
Exam Action 03/29/19 2:39 PM EDT
Inspected back of legs
Exam Action 03/29/19 2:39 PM EDT
Inspected right leg
Exam Action 03/29/19 2:39 PM EDT
Inspected left ankle
Exam Action 03/29/19 2:40 PM EDT
Inspected both ankles
Exam Action 03/29/19 2:40 PM EDT
Inspected right ankle
Exam Action 03/29/19 2:40 PM EDT
Inspected left foot
Exam Action 03/29/19 2:40 PM EDT
Inspected soles of feet: Right: Laceration and swelling, expected curvature. Left: No visible abnormal findings, expected curvature.
Exam Action 03/29/19 2:40 PM EDT
Inspected right foot
Exam Action 03/29/19 2:40 PM EDT
Tested ROM of neck extension: Expected
Exam Action 03/29/19 2:41 PM EDT
Tested ROM of neck flexion: Expected
Exam Action 03/29/19 2:41 PM EDT
Tested ROM of neck lateral bending: Expected
Exam Action 03/29/19 2:41 PM EDT
Tested ROM of neck rotation: Expected
Exam Action 03/29/19 2:41 PM EDT
Tested ROM of shoulders adduction: Expected
Exam Action 03/29/19 2:41 PM EDT
Tested ROM of shoulders extension: Expected
Exam Action 03/29/19 2:42 PM EDT
Tested ROM of shoulders flexion: Expected
Exam Action 03/29/19 2:42 PM EDT
Tested ROM of elbows flexion and extension: Expected
Exam Action 03/29/19 2:42 PM EDT
Tested ROM of elbows supination and pronation: Expected
Exam Action 03/29/19 2:42 PM EDT
Tested ROM of wrists ulnar and radial deviation: Expected
Exam Action 03/29/19 2:43 PM EDT
Tested ROM of wrists extension: Expected
Exam Action 03/29/19 2:43 PM EDT
Tested ROM of wrists flexion: Expected
Exam Action 03/29/19 2:43 PM EDT
Tested spinal ROM extension: Expected
Exam Action 03/29/19 2:43 PM EDT
Tested spinal ROM flexion: Expected
Exam Action 03/29/19 2:43 PM EDT
Tested spinal ROM lateral bending: Expected
Exam Action 03/29/19 2:44 PM EDT
Tested spinal ROM rotation to the left: Expected
Exam Action 03/29/19 2:44 PM EDT
Tested spinal ROM rotation to the right: Expected
Exam Action 03/29/19 2:44 PM EDT
Tested ROM of hips abduction: Expected
Exam Action 03/29/19 2:44 PM EDT
Tested ROM of hips adduction: Expected
Exam Action 03/29/19 2:45 PM EDT
Tested ROM of hips extension: Expected
Exam Action 03/29/19 2:45 PM EDT
Tested ROM of hips flexion: Expected
Exam Action 03/29/19 2:45 PM EDT
Tested ROM of knees extension: Expected
Exam Action 03/29/19 2:46 PM EDT
Tested ROM of knees flexion: Expected
Exam Action 03/29/19 2:46 PM EDT
Tested ROM of ankles inversion and eversion: Expected
Exam Action 03/29/19 2:46 PM EDT
Tested ROM of ankles dorsiflexion and plantar flexion: Right, reduced dorsi and plantar flexion; Left, expected
Exam Action 03/29/19 2:47 PM EDT
Tested neck strength head down: 5/5
Exam Action 03/29/19 2:47 PM EDT
Tested neck strength head turned to the left: 5/5
Exam Action 03/29/19 2:47 PM EDT
Tested neck strength head tilted to the left: 5/5
Exam Action 03/29/19 2:48 PM EDT
Tested neck strength head turned to the right: 5/5
Exam Action 03/29/19 2:48 PM EDT
Tested neck strength head tilted to the right: 5/5
Exam Action 03/29/19 2:48 PM EDT
Tested right and left shoulder strength: 5/5
Exam Action 03/29/19 2:48 PM EDT
Tested elbow strength during extension: 5/5
Exam Action 03/29/19 2:49 PM EDT
Tested wrist strength during extension down: 5/5
Exam Action 03/29/19 2:49 PM EDT
Tested right and left hand strength with grip test: 5/5
Exam Action 03/29/19 2:49 PM EDT
Tested right and left hip strength: 5/5
Exam Action 03/29/19 2:50 PM EDT
Tested right and left knee strength: 5/5
Exam Action 03/29/19 2:50 PM EDT
Tested right and left ankle strength: Right 4/5, Left 5/5
Exam Action 03/29/19 2:50 PM EDT
Thank you for your time tina
Question 03/29/19 2:51 PM EDT
Alright, thanks.