00:01
So this question says that a patient has complained of shortness of breath after receiving physical therapy.
00:06
We're asked for a good assessment of the problem for this client to create a nursing note.
00:10
So in order to assess the situation here in a note format, i'm going to be using a soap note.
00:15
So the s in soap stands for subjective, the o stands for objective, a stands for assessment, and p stands for plan.
00:23
So let's start with the s, the subjective data.
00:26
So the subjective data we're given is what the patient reports.
00:30
And so the patient reports shortness of breath after physical therapy.
00:40
So this is a significant symptom that must be addressed.
00:44
Now the objective data, so an objective measure would be the things that the nurse takes and measures, such as the patient's respiratory rate, oxygen saturation, heart rate, and also blood pressure.
00:59
So any signs of distress such as cyanosis or use of accessory muscles or altered mental status should also be noted.
01:07
Now we have a, which is for assessment...