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SHADOW HEALTH FOCUSED EXAM: PEDIATRIC TRAUMATIC BRAIN INJURY (DAM ... $11.00 Add to Cart
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Download Documentasked guardian about onset/duration
{Ans: reports pt headache, confusion, dizziness, and light sensitivity lasting at least since he came home
reports pt lost consciousness for about a minute
reports the fall happened 2 hours ago}
confirm guardian relationship to pt
{Ans: reports he is step dad}
intervention & evalueation
{Ans: fully complete}
asked guardian about hx of present illness
{Ans: reports pt falling at skatepark after
asked guardian about neurological system
{Ans: reports pt is speaking slightly slower than normal
reports pt responding to questions and instructions
reports pt seems "a little out of it"
denies noticing gait or balance problems}
Explain your goal for Damien and the interventions and data collections through which you will achieve it.
{Ans: Ok, Damien, here's the plan. I am going to have a conversation with you and your stepfather about my proposed interventions to help treat your acute confusion. All of us will work together in this discussion, and I will explain what interventions I recommend to treat you. Our goal today is to reorient you to person, place, and time by the end of your hospital stay.}
asked guardian about musculoskeletal system
{Ans: denies muscle spasms/muscle weakness}
Short term goal
{Ans: the pt will verbalize his orientation to person, place, and time by the end of his hospital stay}
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