CramX
RegisterLog in

Understanding the Patient's Chart

This folder includes clinical Q&A on a patient case involving cerebral palsy, medical abbreviations, functional assessments, and gastroenteritis—useful for students in nursing, health science, or medical terminology courses.

Daniel Miller
Contributor
4.7
59
6 months ago
Preview (2 of 5 Pages)
100%
Purchase to unlock

Page 1

Understanding the Patient's Chart - Page 1 preview image

Loading page ...

T h e activityReview the patient's chart as directed below to answer the following questions.Q u e s t i o n sReview the Admission H&P note on the Notes tab in Neveah's chart.On the Notes tab, in the note titled Admission H&P, the "Chief Complaint" is one or twosentences listing either the patient's current symptoms or reason for seeking care. I t issometimes in the patient's own words, enclosed in quotes.1.What does H&P stand for?-H&P stands for History and Physical Exam2-in Neveah's Admission H&P. what is the chief complaint?-acute symptoms of abdominal pain, fever, loose/mucousy diarrhea, loss of appetitedehydrationEHR Go Knowledge Activity: EHR Documentation Standards AK1OO3.8Archetype Innovations LLC ©20221

Page 2

Preview Mode

This document has 5 pages. Sign in to access the full document!

Study Now!

XY-Copilot AI
Unlimited Access
Secure Payment
Instant Access
24/7 Support
Document Chat

Document Details

Subject
Nursing

Related Documents

View all
Class Notes

Laboratory 8 Muscle Soreness Lab Manual

Lab 8: Muscle Soreness & Exercise Injury – Study on delayed onset muscle soreness (DOMS), eccentric exercise effects, fatigue, and recovery using soreness ratings and performance data.

Class Notes

Case Diana

Case study on perimenopausal abnormal uterine bleeding, diagnostics, treatment options, SDoH factors, and patient education for Diana, a 48-year-old woman with obesity and irregular menses.

Solved Assignments

Identifying a Local Healthcare Economic Issue

Examines nurse burnout as a critical local healthcare economic issue, linking staff shortages and rising workloads to decreased care quality and increased medical errors.

Solved Assignments

Dashboard Metrics Evaluation 1 Dashboard Metrics E

An evaluation of dashboard metrics at Verde Valley Medical Center, highlighting their role in meeting CMS benchmarks, improving care quality, and securing funding through data-driven decisions.

Class Notes

NRP 563 DQ 2

NPs foster LGBTQIA+ inclusivity with non‑discrimination policies, safe‑space signage, inclusive “partnered” forms; support older adults’ sexual health amid hormonal shifts, mental health, and age‑related changes.

Solved Assignments

NRP 563 DQ 7

Overview of GI, GU, MSK and gynecologic pelvic pain diagnosis: appendicitis, UTIs, muscle sprains, abortion, ectopic pregnancy, IBS, Crohn’s – clinical tests and criteria.

Solved Assignments

Clinical Supervision Report Week 2

Clinical Supervision Report on duty to warn: Counselor addresses Gad’s credible threat to ex-partner Teresa, balancing client confidentiality with ethical and legal obligations to protect third parties.

Past Exams

NU 185 Exam 5 Final

NU 185 Final Exam – Key topics include pituitary disorders, Cushing's, pheochromocytoma, diabetes care, lipodystrophy, and infection risks. Focuses on symptoms, labs, and patient education.

Solved Assignments

NURS FPX 4010 Assessment 3

Interdisciplinary Nursing Proposal – Capella NURS-FPX 4010. Focuses on nurse retention, new grad integration, staffing ratios, and teamwork to enhance care quality and reduce burnout in healthcare settings.

Class Notes

Strategies for Difficult Venipuncture

A phlebotomy team collaboration hub featuring real‑world case logs of venipuncture challenges, dispatch communication, coworker support tactics, and workflow protocols to optimize patient draws, difficult sticks, and team coordination.