jmichelle820
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No she did not follow to command, she would grip my hands reflexively but would not let go. I wasn't sure exactly how to word that, "pt does not move extremities to command?" we usually document handgrips and footpushes, whether they were equal and strong, and also if they overcome resistance. However, since she did not move to command, do I just leave that out? Or chart "unable to assess"? Thanks for your help!
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I am writing a care plan for a nonverbal patient and am drawing a few blanks.She is an 84 year old lady who slept my entire shift but would open her eyes for a few brief moments a couple of times, then she went right back to sleep. She would stir sightly to verbal and tactile stimuli, but for most part she was unresponsive. How do I document/word her response to verbal and tactile stimuli? How would I chart her LOC/ orientation? Should I just say pt not oriented to person/place/time and for LOC - stuporous? Also how would I document handgrips? When I grabbed her hands she would reflexively squeeze them before I asked her to but I'm not sure if I should document this as handgrips equal and strong since it seemed to be completely reflexive. Any help is appreciated!
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Thank you to everyone who commented. It is encouraging to know hear stories of people who have been successful. I know it will be lot of hard work (first week and it already is!) but it will be worth it and I know my kids will be proud of their mama one day :)
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I am almost 4 months pregnant and am entering my 2nd out of 4 semesters in an ADN program on August 19th. As my back to school date rapidly approaches, I am finding myself getting more and more nervous about balancing it all. Plus I have an almost 5 year old at home. My husband is very supportive of me finishing my degree so I am lucky to have that. Has anyone else had this experience or known anyone that was and managed to be successful?
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