jconway45

$10.77 .50 more when I work night shift

what is the difference between "related to" and "as evidence by (included is sub/obj data)" ? thank you

I am working on a care plan and it's been a long day. My care plan requires objective and subjective data. I have all of the objective data but I am having trouble finding subjective data. My pt was A&O x1 - only oriented to self, not date/time/place. How do I get reliable subjective data? (or that my instructor will approve of?) I asked about pain - she denied, 0/10. She talked to me about how she slept with her mailman and shot her husband and his girlfriend. Oh yah, she was calling for her cat named Willy. She said he was under the bed. Do I put that on my care plan? She didn't talk about family or support systems. I'm stuck. Any feed back would be helpful