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Make a SBAR about self care deficit

Make a SBAR about self care deficit The SBAR is to be comprehensive and include: o Which health care team member(s) you are communicating with (e.g., social worker, dietitian, nurse practitioner, physician, etc.) o The details you are communicating o The request / recommendation you are making as the nurse providing care for the patient/client with rationale for why you are making the request / recommendation The SBAR is NOT to be a change of shift hand off report. Client Profile : Kasumi Bai is a 42-year-old female, one day post op total abdominal hysterectomy. Kasumi Bai’s primary language is Hachijō, she has a fair understanding of English. Subjective Data • States her pain level is 4 out of 10 after pain medication is administered • Lives alone • 20 years ago, Kasumi Bai’s mother had a hysterectomy resulting in her death 10 days later from surgical complications Objective Data • Abdominal dressing is stained with dried dark red drainage • V/S at 1200: T – 37.2 °C, P – 82, R – 22, BP – 130/76, O2 sat – 96 % • Fine crackles audible in lower bases of lung fields • Foley removed at 0600, at 1400 voided 400 ml Collaborative Care • Medications o Morphine sulfate 5 mg IV Q3H PRN for pain • V/S Q4H • Activity: Ambulate to bathroom with assistance • Diet: Clear liquids • An incentive spirometer is at the bedside At 1800 Kasumi Bai states her pain level is 8 out of 10. You take out an ampule labeled hydromorphone 10 mg/mL and administer 0.5 ml SCIENCE HEALTH SCIENCE NURSING NURS 123456

 
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