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In: Nursing

Mrs. Jacks is a 78-year-old woman who is a resident of a long term care home....

Mrs. Jacks is a 78-year-old woman who is a resident of a long term care home. When you are administering Mrs. Jacks her medication at 0830am she states, “I feel like I need to go to the bathroom constantly and it hurts when I go.” Mrs. Jacks’ urine is cloudy and has a foul odor. Her temperature is 38.1 degrees Celsius. You call the physician and she orders a specimen for C&S and you advise Mrs. Jacks to increase her fluids by 125 mL at each snack and meal plus have a glass of cranberry juice at breakfast and lunch.

Write a SOAPIE note to document your care

Expert Solution

SOAPIE NOTE

S(SUBJECTIVE):- Patient report not feeling well today" i feel like i need to go to bathroom constantly and it hurts when i go".

O(OBJECTIVE):-

Temperature-38.1°c

Urine-urine is cloudy and has a foul odour

A( ASSESMENT)

Pain on urination

Increased frequency of urination

Increased body temprature

P(PLAN)-

order a specimen For C and S

I( INTERVENTION)-

advice to increase the fluid by 125 ml at each snack and meal

Advice to have a glass of cranberry juice at breakfast and lunch

E( Evaluation)

Evaluate the changes after 1 day

Nightingale answered 2 years ago

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Mrs. Jacks is a 78-year-old woman who is a resident of a long term care home....

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