vSim-Andrew D-1.docx - Patricia Tejada Mental Health Mental...

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Patricia Tejada/ Mental Health 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. The focused assessment of Mr. Davis’ alcohol withdrawal symptoms included his vital signs, BP 160/82; HR 92, SpO299%, temp 99 F, RR 20/min. Mr. Davis c/o loudness in the room, stating, “Why is everyone so loud? I wish they would shut up!” and Mr. Davis c/o the brightness of the lights, stating, “The lights in here are too bright; they are hurting my head.” Mr. Davis denied feeling sick to his stomach, but had no desire to eat. Lastly, Mr. Davisc/o a headache that he stated, “won’t 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. The CIWA-Ar assessment was completed. It was found that Mr. Davis was moderately fidgety and restless. He didnot have any tactile disturbances. He scored mild sensitivity to visual disturbances. He had moderate tremors when his arms

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