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Nervous System (Cognitive/PainSensory Alterations NO 34 positive PERRLA short and long-term memory WNL speech and voice pamer dear, no visual or vision changes, hearing WVL no auditory ads taste, bouch and emell VN PHK of Glaucoma well oled with Timolol maleate 0 20% ophthairic slution I ghs to both eyes 012 hours and Plocepine 1% ophthalmic solution 2 yts to both eyes Q12 hours cranial nerves intact Speech clear, Memory shorthong tem excelent no neurological changes Prioc surgery with chronic al Knees Onset of Wind (Ang SP xycodone angry avice Current pain rating 2 out of 10 patent Curent ons Cele 100mg PO BID and Palent stones pain much beter now than behavior earlier in dey-states she denly pa out of 10 PO few hours later patient aquest pein marly the states that's a dumb rule displayed some tes pain much better than bedon moet 1-2 tabe PO Q4 hours prn pain Endocrine System Bicarbonate 22, weight 100 e Pudent states her appete is excelente Hc of Gil veror endoorine problems, no lesions or lymph node papable Patert states ipo wel sepe night rely nape during the day Patient wed Size and shape of extremes to left and rights Namal stengt and impaired Estranities eym ROM in kn WNL and movement present sensation and indlor What moves all extremdes put has significant in afected mobily and overall quality of her eam finally getting better and looking Mer surgery paties 25 with PT ed to going home CMP dacontund. Celetinex 100mg PO OD
Gastrointestinal Flat, nondistanded, postrve bowel sounds auscutated in a quadrants Abdomen so no masses noted with palpation Surgical scar noted on right war anpect of abdomen y mucosa pink enost, gumis pink ro swelling or lesions, teeth present in good condition no one caries observed. Patient is on a regular del appethe well ate 100% of dinner. Total oral in 1004 Last M Wednesday 1045, brown, formed and soft Continent of stoal Prior to surgery patient complaining of constipation was given magnum hydroxide with good us on Wednesday Coface 100mg PO daly Genitourinary Reproductive Systems Continent of urine Wednesday total output 1160m amber, clear viding Westmal penit and unthral meatus WNL Patent no longer sexually active but remain physically close Integument System Prior to surgery skin war, dry and intact, no lesions noted turgor elastic, no tenting Condition of her and nas tener coarse gray hair consistent with race, nais uncoec clean without sione iammation. After surgery temovas removed with 250ml drainage, incision to left in w approated staples intact no redness noted, slight swelling around incision site Dressing CDI dressing changed GO and PRIN Tempe No signs or symptoms of infection ned or observed
en 7-Final Care Plan Folder Final Care Plen Casey ( Lesson 7-Final NCP A DUE May Dwd a BE SURE TO TAKE ADVANTAGE OF THE FEEDBACK YOU RECEIVED ASSONMENTS 718 for Gateway Name document L Mills RATT smy