include great night sleep in this note During this shift,

include great night sleep in this note During this shift, the patient was evaluated and found to be alert, oriented, and maintaining good eye contact. She is calm, cooperative, and actively engaged in the unit. The patient denies having any suicidal or homicidal thoughts, as well as visual or auditory hallucinations, and has agreed to a safety contract. She reports experiencing moderate anxiety and depression. Her vital signs are stable, and she is adhering to her medication regimen, including PRN Robaxin 500 mg and Tylenol 500 mg for myalgias. She interacts appropriately with staff and peers and reports having a strong appetite, which is a positive indicator of her physical health. This positive indicator of her physical health gives us reason to be optimistic about her overall well-being. Oral fluids are offered and encouraged. The patient denies experiencing constipation and reports adequate urination. Nursing staff continue to support the development of positive coping skills and safety checks are performed according to the unit’s protocol.

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