Focused History Advanced Pathophysiology and Pharmacology
Document a focused history, physical exam, nursing diagnoses, and nursing process of a case study from NUR-641E: Advanced Pathophysiology and Pharmacology for Nurse Educators and compare the differences with a complete assessment. At least 3-4 references
Case Study
A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:
Test Result Normal levels
pH7.57.35 – 7.45
PaCO240 mm Hg35-45 mm Hg
PaO295 mm Hg80-100 mm Hg
SaO2 97%95-100%
HCO3- 32 meq/liter22-26 meq/liter
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If you are a patient in the hospital, it is important that you provide a complete history. You may be asked to provide this information during your visit or at some point after leaving the hospital. In addition, many times your physician will want more information about your condition when making treatment decisions. This post will explain what a focused history means and how it can help improve patient care by ensuring accurate and complete information is provided during examinations and consultations with physicians and nurses alike!
A focused history is a brief, structured interview that aims to elicit information that will help you make decisions. It’s also called an “open-ended” or “concordant” interview because it allows the patient to tell their story without being interrupted by questions from the provider. The goal of this type of interview is to get as much information about your patient as possible so you can act appropriately and efficiently in order to help them improve their condition.
This type of interaction is important because it helps determine how much attention needs to be paid once treatment begins—and what kind of treatment should happen next!
The course will teach you the basic principles of history taking, including how to take a complete history, focused history and differential. You will also learn how to take a family history.
You will learn about what is important in each type of patient and how we can use this information when making recommendations for treatment or referrals. Once you have completed this course it should be straightforward for you to apply these techniques when looking after patients in your practice or hospital setting
You can find more information about Focused History Advanced Pathophysiology and Pharmacology by visiting our website or calling us at (800) 723-3430.
You can also email us at focusedhistory@aol.com. If you prefer to write your questions in a letter, please feel free to use the following address:
Focused History Advanced Pathophysiology and Pharmacology
c/o Physician Assistant Program Manager
Department of Emergency Medicine and Intensive Care Unit
School of Medicine
University of Southern California
We hope we’ve given you an idea of the kind of content you can expect from our course. We know that some people might be nervous about taking a history class, especially if they don’t have much experience with medical professionals or hospitals. However, we believe that by learning more about your health and what is happening in your body, as well as understanding how medications work within those systems, it will help improve your overall health and wellness.
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