Christina Le is a 42 year old Asian Female with a history of painful uterine fibroids. She underwent a laproscopic hysterectomy yesterday and reports to you "I have tried using the bathroom several times, however, I cannot seem to urinate and my lower abdomen is so painful!".
Orders received: Foley catheter if unable to void and bladder scan > 400 mL
Access the chart documents by clicking on each one below for this patient:
Document Foley Insertion (click): Your documentation will be sent to your email on completion. Follow your instructions by your instructors on downloading and then uploading to Brightspace, turning in paper copy, or forwarding to their email. A copy of the response will be sent to your email, click print, select printer as PDF. This will download your file into a savable or printable document.
How do you document a pain assessment?
-Acronyms such as OLDCARTS or PQRST may assist you (see below).
>Onset, location, duration, characteristics, aggravating factors, relieving factors, treatment, scale
>Precipitating factors, quality of pain, region or radiating, subjective description, time occurs/timing