Develop ISBAR for the following scinario
Name: Rita Singh
Age: 92
Diagnosis: Hip fracture, s/p Right ORIF (Open Reduction Internal Fixation – surgical repair of hip fracture)
Allergies: Lisinopril
PMH: Diabetes, Hypertension
Medications: Glucophage 500 mg BID; Metoprolol 25 mg q daily; Percocet 5/325 q4h prn.
Description: The patient had surgery 3 days ago and has been progressing well with PT and has been out of bed (OOB). Discharge is anticipated soon.
VS: BP 132/80, P 70, R 16, T 97.9, SpO2 98%
You have 2-3/10 pain in your right leg (a little more when you move). You have no other symptoms other than a little numbness in both legs that you have had for a long time due to your diabetes.
Wait until the nurse asks if you would like anything for pain and say that you don’t feel that you need any pain medication now but would like a little something when you get up and move around.
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