AndrewDavis DA.doc - Mental Health Case Andrew Davis...

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Mental Health Case: Andrew Davis Documentation Assignments 1. Document your findings related to the focused assessment of Mr. Davis’s alcohol withdrawal symptoms. Include his responses to your assessment. - Temperature 99.0°F; heart rate, 94 beats/min; respiratory rate, 20 breaths/min; blood pressure, 160/82 mmHg; and blood oxygen saturation, 99%. Patient stated that “everything is too loud”,” the lights are too bright” and “ they are hurting my head”. Denied feeling sick to his stomach but constantly complain of a headache that wont go away. 2. Document your findings related to the assessment of Mr. Davis using the Clinical Institute Withdrawal Assessment of Alcohol Scale. Include his responses to your assessment. He has auditory disturbance of mld harsness or ability to frighten, and for visual disturbance he has mild sensitivity. He is agitated showing signs of figity and restlessness. 3. Referring to your feedback log, document all nursing care provided and Mr. Davis’s response to this care.

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