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  • Nurses' Notes (Psychiatric Exposure) - 1

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    Altheo Artillo
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    The document summarizes the nurses' notes for a 53-year old male patient named James Emmanuel Gellecanao admitted for schizophrenia. Over the course of a morning shift, the nurses observed the patient awake but aimlessly walking, with ungroomed hair and nails but clean clothes. He was noted to be vocal and responsive but exhibited only one-word responses. Delusions and polydipsia were observed. Throughout the shift, the nurses provided care, took vitals, and ensured safety and comfort before endorsing the patient to the next nurse.

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    Nurses' Notes (Psychiatric Exposure)-1

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    The document summarizes the nurses' notes for a 53-year old male patient named James Emmanuel Gellecanao admitted for schizophrenia. Over the course of a morning shift, the nurses observed the patient awake but aimlessly walking, with ungroomed hair and nails but clean clothes. He was noted to be vocal and responsive but exhibited only one-word responses. Delusions and polydipsia were observed. Throughout the shift, the nurses provided care, took vitals, and ensured safety and comfort before endorsing the patient to the next nurse.

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    18 views1 page

    Nurses' Notes (Psychiatric Exposure) - 1

    Uploaded by

    Altheo Artillo
    The document summarizes the nurses' notes for a 53-year old male patient named James Emmanuel Gellecanao admitted for schizophrenia. Over the course of a morning shift, the nurses observed the patient awake but aimlessly walking, with ungroomed hair and nails but clean clothes. He was noted to be vocal and responsive but exhibited only one-word responses. Delusions and polydipsia were observed. Throughout the shift, the nurses provided care, took vitals, and ensured safety and comfort before endorsing the patient to the next nurse.

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    of 1

    Gellecanao James Emmanuel N/A 53 M Single N/A Dr.

    Romeo A Orcajada
    Jr.
    Surname First Name M.I. Age Sex Civil Status Admission
    No. Attending Physician
    Schizophrenia BCMHCC
    Diagnosis Room/Ward

    NURSES NOTES
    Date Time Nurse’s Notes
    06/28/22 7:00 AM Received patient awake and alert; standing and walking aimlessly inside
    his cellar.--------AALA
    Displayed an appearance with ungroomed hair, uncut nails, but clean
    clothes Dried rheum was found on the corners of the eyes. --------AALA
    Appears to be vocal and responds to greetings of SN.--------AALA
    7:20 AM Visited and checked by Dr. Orcajada with new orders. --------AALA
    8:00 AM Established rapport with SN during NPI session. Due to a fungal infection
    between the upper legs, patient was unable to participate in the morning
    circle and hataw.--------AALA
    Exhibited a one word vocal communication towards SN. Patient does not
    initiate a topic or verbal communication towards SN but responds to
    inquiries with a low audible voice.--------AALA
    Delusions were noted; talking alone. --------AALA
    Polydipsia was observed.--------AALA
    9:00 AM The communication was flat. Responds in one to two words at all times.
    Maintaining eye contact while engaging in a manipulative act and
    coercion; requesting clothes.--------AALA
    Therapeutic communication done.--------AALA
    Safety and comfort done.--------AALA
    10:00AM Snacks were given. --------AALA
    11:30 AM Vital signs was taken by the staff.
    No complaints made throughout the shift. --------AALA
    Endorsed to the next SN on duty. --------AALA

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