Description

Telehealth visit was completed while client was in her house today. She denied change in condition since last visit and verbalized skin was intact without cut or bruise. Client verbalized there is safety in her environment and she likes where she lives. Client verbalized her effort to be compliant with nurses recommendation to manage high blood pressure. During last visit blood pressure was 140/95, pulse 77, resp 19, O2 97%, and temp 97.7. Client has history of schizophrenia and was provided education on how to identify signs and symptoms. Moreso, nurse simplified meaning of schizophrenia to client. see the rubric below