75 mcg daily. Patient is taking pregabalin 50mg once daily. Patient is ordered 700 mg of acetaminophen or of hydrocodone for pain PRN. SEXUALITY/ Patient stated Patient’s Found no It was clear that REPRODUCTION that her husband current information speaking about Satisfaction with passed away medications do regarding her husband was present level of several years not have an sexuality from a difficult subject Interaction with sexual ago. effect on chart. for DH partners sexuality or (Breast; Testes; reproduction. Patient stated Abdominal- that she has had no significant others since the death of her husband. DH appears Patient stated Patient was in Hydrocodone obtain a good Patterns of sleep, rest, that she sleeps physical administration amount of rest relaxation, about eight therapy upon may lead to during the day fatigue hours every arrival and was drowsiness and night. (Appearance, night. did not nap that (chart) behavior) day. Patient stated DH seems to that she have a good normally takes a Patient was amount of energy nap around 1400 pleasant and to complete daily for about two engaging in activities. hours. activities with others during shift. DH did not COGNITIVE/ DH was able to A and O x4 Nurse and appear to have a PERCEPTUAL state her name, person place physician notes cognitive
75 mcg daily. Patient is taking pregabalin 50mg once daily. Patient is ordered 700 mg of acetaminophen or of hydrocodone for pain PRN. SEXUALITY/ REPRODUCTION Satisfaction with present level of Interaction with sexual partners (Breast; Testes; Abdominal- Patient stated that her husband passed away several years ago. Patient stated that she has had no significant others since the death of her husband. Patient’s current medications do not have an effect on sexuality or reproduction. Found no information regarding sexuality from chart. It was clear that speaking about her husband was a difficult subject for DH Patterns of sleep, rest, relaxation, fatigue (Appearance, behavior) Patient stated that she sleeps about eight hours every night. Patient stated that she normally takes a nap around 1400 for about two hours. Patient was in physical therapy upon arrival and was did not nap that day. Patient was pleasant and engaging in activities with others during shift. Hydrocodone administration may lead to drowsiness (chart) DH appears obtain a good amount of rest during the day and night. DH seems to have a good amount of energy to complete daily activities. COGNITIVE/ PERCEPTUAL DH was able to state her name, A and O x4 person place Nurse and physician notes DH did not appear to have a cognitive