Paraphrase in medical terms include Prn Robaxin 500 mg and

Paraphrase in medical terms include Prn Robaxin 500 mg and Tylenol 500 mg given Patient seen for assessment and medication this shift. Patient alert oriented, good eye contact. Patient Calm, and cooperative, visible on unit, Patient Denies suicidal ideation, homicidal ideation; denies visual and auditory hallucinations, able to contract for safety. Patient reports moderate level anxiety and depression. Patient vitals signs are stable. Patient complaint with medications regimen. Patient Interacting appropriately with Staff and Peers. Patient reports Good appetites. Po fluids offered and encouraged. Patient denies constipation, voiding quantity sufficient. Nursing Continue to support positive coping skills and Safety checks maintained as per Unit’s Protocol.

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