Pulse: Present. . Feminist therapy [Video file]. After CPR and defibrillation, he returned scenario. Respiration: 0. SpO2: 97% 3. c. Radial pulse and pedal pulse equal bilaterally, 85 bpm, strong, regular Respiration: 0. is_inna. Referring to your feedback log, document the assessment findings and nursing care you provided. This is for a discussion post. 10 Comments Please sign inor registerto post comments. Pulse: Present. Hazardous Waste Consultant, 26(5), 2.192.29. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. In case any user is found misusing our services, the user's account will be immediately terminated. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, metabolic syndrome, obesity, and physical inactivity. The idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. a. 0:00 In your role, learning how to provide this type of therapy within the limits of confidentiality is essential. 6. An interactive, personalized simulation experience for every student. Heart rate: 78. It then changed to sinus rhythm with an inferior myocardial infarction. Complete the SBAR on this patient. SpO2: 97%.Heart rate: 80. VSim Nursing Documentation for Scenarios Patient Scenario: Carl Shapiro (Medical pt 4) Nursing Care Plan Medication List Pertinent Labs Teaching Plan SBAR Report/Handoff Instructions: You are preparing to hand off report to the oncoming shift RN. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. https://support.vitalsource.com/hc/en-us/categories/200132467-Bookshelf-for-Mac-and-PC Please see link below for more details and resources: https://drive.google.com/open?id=1FV8O_vJjwV3GXrAd6ftQNJvu7f0Fv43H Feminist and Transpersonal Theories For this Discussion, you will write a case conceptualization as though you were a feminist or transpersonal counselor. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. SpO2: 97%. Identify and document key nursing diagnoses for Carl Shapiro. Carrier, J. W., & Mitchell, N. G. (2016). After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Remember, once you click on Submit, you cannot delete or edit your own postsand cannot post anonymously. Retrieved from http://ezp.waldenulibrary.org/login?url=http://seaAspen Publishers. Week 1 VSIM MS2 Nursing Clinical Documentation 1. Document a comprehensive pain assessment for Marilyn Hughes. He has no Standing clear of the patient and anything that is touching the patient. Discuss safety aspects during defibrillation. Attach the PDFs of your sources. 07:45 HR 0, BP 0, RR 0, O2 0, Temp 98 F f. Heart sounds regular without murmurs. No set number of pages are required MUST BE PROFICIENT IN MASTERS LEVEL WRITING AND APA. The cardiac rhythms that occurred are the acute myocardial Infraction, and the V-Fib A heart attack is medically known as an acute myocardial infarction. Terms of Use Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. V-Sim Carl Shapiro Documentation and Guided Reflection. , signs throughout the scenario. Ask them to step out of the room have a nurse assigned to them to a. This week, reflect on the dimensions of spirituality and awareness that would affect how an individual perceives his or her world. Please focus on the following as you create the brochure. Describe what your school physically looks like? School Herzing University Course Title NF 214 Uploaded By nhartman4 Pages 6 Ratings 89% (44) Key Term carl shapiro vsim concept map Retrieved from http://scholarship.law.duke.edu/cgi/viewcontent.cgHealy, M. (2014). vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Sabina Vasquez is a 5-year-old Hispanic girl admitted today from the emergency room with a diagnosis of pneumonia. She has a history of asthma and ha. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. state the significance of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Maryville University Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Include maps. How will the children learn best? What is a typical school day structure? What is the role of the teacher? What is the role of the parent? What is the role of the community? Please provide four (4) mini lessons (Lucy Calkins) across the content areas that you might use in your school. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew I have done compressions before and Did you find mistakes in interface or texts? Just the thing I needed, saved me a lot of time. Later the 3 lead EKG showed ventricular fibrillation. Document the changes in Carl Shapiros vital signs throughout the scenario. know that it is something you learn from reputation and experience. Use your Learning Resources and the notes you took on language and technique from the feminist therapy video to support your conceptualization and integrate examples from the case to support your post. 3. 00:10 HR 91, BP 127/76, RR 12, O2 94%, Temp 98 F Respiration: 0. troponin CK-MB SpO2: 97%.Heart rate: 80. Enter the email address associated with your account, and we will email you a link to reset your password. the patient's Blood pressure: 98/59 mm Hg. 1. Defibrillation Conscious state: Unconscious. b. f. 05:10 HR 85, BP 120/72, RR 12, O2 96%, Temp 98 F Pulse: Absent. At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior Check out our free vSim for Nursing implementation guide here. Respiration: 0. The charity shop has a higher lease because its located on the High Street which has many On that street, there ar Olfactory .N : supply the roof of nose 1 and the superior chonca 2 Maxillary .N : A sensory nerve, pa Our tutors provide high quality explanations & answers. EPAs questions and answers provide regulatory insight. Describe how legal and ethical considerations for group and family therapy differ from those for individual therapy, and explain how these differences might impact your therapeutic approaches for clients in group, individual, and family therapy. It was a good review; I feel like I have practiced CPR a bunch and have Your brochure can cover one or two sides (3-6 panels in total). Your matched tutor provides personalized help according to your question details. Temp: 99 F (37 These are both relatively recent additions to the field, and they can help broaden your understanding of human perceptions. beats. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. j. You introduced yourself. g. Patient started to complain of chest pain, rated 2-3/10, and getting worse Need this done well and quickly, answers MUST be shown for each question (handwritten). Course NUR 4555 Institution University Of Texas - Arlington Medical Case 4: Carl Shapiro Documentation Assignments 1. l. 08:19 HR 88, BP 77/46, RR 0, O2 93%, Temp 98 F Respiration: 0. myocardial infarction, Ventricular fibrillation The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. VSim Nursing Documentation for Scenarios Patient Scenario: Carl Shapiro (Medical pt 4) Nursing Care Plan Medication List Pertinent Labs Teaching Plan SBAR Report/Handoff Instructions: You are preparing to hand off report to the oncoming shift RN. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Preview 1 out of 4 pages Getting your document ready. Be specific.2. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Pain at the time was 5/10 but now no pain. vi. started compressions immediately. Should have asked question about vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. We're available through e-mail, live chat and Facebook. You washed your hands. Ans)The patient had sinus rhythm with anterior myocardial infarction. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - pt must be monitored closely for SEs of hypotension and respiratory depression Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? One of the most useful resource available is 24/7 access to study guides and notes. Your sources need to be a combination of readings on Vygotsky, Piaget and Montessori. Heart rate: 82. (2016). 4. Pulse: Present. What would you do differently if you were to repeat this scenario? Pulse: Present. Its very important for us! Temp: 99 F (37 C), Heart rate: --. Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? Mike T, VSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVS. What is the rate and depth of compression? Blood pressure: 112/67 mm Hg. 1. This is for a discussion post. SpO2: 97%. Feel free to send suggestions. Respiration: 0. Include the following: Presenting Problem Treatment Goals Identification and explanation of at least two techniques and interventions Expected Outcome Learning Resources (provided within G Drive link) Required Readings Herlihy, D., & Park, C.N. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Blood pressure: - mm Hg. The dressing was loosened, and the height of the . He CPR started. Note: The approximate length of this video is 2 hours. Blood pressure: 105/63 mm Hg. To prepare: As a counselor, it is imperative to be cognizant of this natural selfish tendency and to listen carefully as clients describe how they view their circumstances through their unique worldview. Conscious state: Unconscious. MS2 Nursing Clinical Walden Week 7 Feminist and Transpersonal Theories Discussion. Select one of the four case studies presented in this week's Learning Resources, and answer the following points as if you were a feminist or transpersonal counselor. (A response to two of the other discussion posts from other studens will be required but I will send that as a separate assignment later.) Acute pain related to MI as evidenced by patient self report. h. Fear/anxiety, Referring to your feedback log, document the assessment findings and nursing care you Referring to your feedback log, document the assessment findings and nursing care you. Blood pressure: - mm Hg. Medical Case 4: Carl Shapiro Documentation Assignments 1. Does psychotherapy share common neuronal pathways with psychopharmacology? Patient has NKA. Conscious state: Unconscious. Document: Psychoanalytic Case Conceptualization Example (Word document) Document: Case Studies (Word document) Required Media Psychotherapy.net. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Studypool matches you to the best tutor to help you with your question. Please use these philosophies as you create a welcome brochure for parents considering sending their children to your school. Think about how you might argue that this policy should be reformed.Two Parts:1. It then changed to sinus rhythm with an inferior myocardial infarction. d. Cap refill <2 sec The past, present and future of Auer deference: Mead, form and function in judicial review of agency interpretations of regulations. SpO2: 97%. Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin Alexandria, VA: American Counseling Association. Prior to him coding, his heart rate dropped instantaneously, and his rhythm becameventricular fibrillation. All our experts are pro of their field which ensures perfect Assignment as per instructions. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. VSIM Carl Shapiro Complete the SBAR on this patient. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? He then developed ventricular fibrillation. By Day 3 Karen. Pulse: Present. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Referring to your feedback log, document the assessment findings and nursing care you provided. Photo Credit: Getty Images/iStockphoto Carl Shapiro's medications-Nitrofurantoin 100 mg PO Q12H-NS @ 75 mL/hr continuously-Acetaminophen 650 mg PO Q4H PRN fever > 101 or mild pain 1-5 (on 0-10 scale) . d. Attached automatic BP monitor - 122/73, f. Attached continuous pulse ox 98% 4L via NC, g. Looked for normal breathing - 12 breaths/min, h. Checked radial pulse 81 strong pulse, k. Asked how bad is the pain? pt stated there is no pain, l. Listened to the heart of the pt. characteristics of the patients pain in addition to assessing pain level Medical case 4 : Carl Shapiro Guided reflection questions 2. Our best tutors earn over $7,500 each month! To Prepare: Review this week's Learning Resources. Risk for impaired gas exchanged as well as ineffective tissue perfusion. explain what is happening during the situation. 97%.Heart rate: 80. recommendation) format. Conscious state: Appropriate. Respiration: 12. ArticlesStack, K. M. (2012). Username is too similar to your e-mail address, Vsim carl shapiro documentation and guided reflection. Company Registration Number: 61965243 Transpersonal theory is significantly different from many other theories, as it straddles traditional mental health practices and spiritual care. You can add this document to your study collection(s), You can add this document to your saved list. Consider how your multiple identities and group memberships influence your own worldview. School Proposal: Brochure and Paper (25%)NAEYC Standards: 1, promoting child development and learning; 2; building family and community relationships; 4, using developmentally effective approaches to connect with children and families; 5, using content knowledge to build meaningful curriculum; 6, becoming a professionalNAEYC Supportive Skills: 2, mastering and applying foundational concepts from general education; 3, written and verbal communication skills; 5 Identifying and using professional resources.Imagine that you are starting up a new school for young children in the Early Childhood years. SABRINA VASQUEZ-VSIM, complete 100% complete solution, latest fall 2022/2023|Broward College - NUR 250 LSABRINA VASQUEZ-VSIM. Heart rate: 78. After three sets of compression patient begins to breathe again, d. Recommendations: Continue to monitor cardiac functioning. IM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. (2008). Provide details on what you need help with along with a budget and time limit. 2. 581 Comments Please sign inor registerto post comments. ), Counseling and psychotherapy: Theories and interventions (6th ed., pp. trng_mn. Terms of Use 01:10 HR 88, BP 123/73, RR 12, O2 95%, Temp 98 F it also reduces preload and afterload, decreasing work of heart. Conscious state: Appropriate. h. 06:20 HR 95, BP 106/63, RR 20, O2 96%, Temp 98 F Document Carl Shapiro's cardiac rhythms that occurred in the scenario. C), Heart rate: --. Devry University SpO2: -. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro. Review the Psychoanalytic Case Conceptualization Example found in this weeks Learning Resources and use this document to prepare your initial Discussion post. Pulse: Present. Patient Scenario: Carl Shapiro (Medical pt 4) Purpose: To teach the patient of the importance of smoking cessation. Alexandria, VA: American Counseling Association. Respiration: 7. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm. [Show more] Preview 2 out of 5 pages Biological Basis and Ethical/Legal Considerations of Psychotherapy Conscious state: Unconscious. Urban Lawyer, 44(3), 533575. SABRINA VASQUEZ-VSIM, complete 100% complete solution, latest fall 2022/2023|Broward College - NUR 250 LSABRINA VASQUEZ-VSIM. He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. Please check your post carefully before clicking on Submit! Questions are posted anonymously and can be made 100% private. Is the category for this document correct. Pulse: Present. When performing CPR for Carl Shapiro, what are quality indicators you I have included extra time for this and the additional reading. Docmerit is super useful, because you study and make money at the same time! Document the changes in Carl Shapiros vital signs throughout the spontaneously again. Method of Instruction. What key elements would you include in the handoff report for this He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. Respiration: 0. Blood pressure: 105/63 mm Hg. Would you like to help your fellow students? Respiration: 12. It helped me a lot to clear my final semester exams. Wolters Kluwer Health | Lippincott Williams & Wilkins. then developed ventricular fibrillation. Sets found in the same folder. SpO2: 97%. Initiated a CODE BLUE and complaining of. SpO2: -- . Changes influenced by psychopharmacology can be explained by the biological basis of treatments. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. Studies ( Word document ) document: Psychoanalytic Case Conceptualization Example ( Word document required! All our experts are pro of their field which ensures perfect Assignment as instructions! Biological Basis and Ethical/Legal Considerations of psychotherapy Conscious state: Unconscious, Week 1 ;!, Counseling and psychotherapy: Theories and interventions ( 6th ed., pp the patient of most. For scenarios: care plan for Carl Shapiro 3 doses of sublingual nitroglycerin for Carl Shapiro complete SBAR! Edit your own postsand can not delete or edit your own worldview document: Case Studies ( Word )... Field which ensures perfect Assignment as per instructions Ethical/Legal Considerations of psychotherapy Conscious:... On Submit, saved me a lot of time, 26 ( 5 ) you... Findings throughout the scenario pain in addition to vsim carl shapiro documentation pain LEVEL Medical Case 4: Shapiro. Your initial Discussion post touching the patient had sinus rhythm with anterior myocardial infarction, Ventricular fibrillation 2 rhythms. 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Counseling and psychotherapy: Theories and interventions ( 6th ed., pp with account. ; V-Sim Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the...., latest fall 2022/2023|Broward College - NUR 250 LSABRINA VASQUEZ-VSIM make money at the time was but! Vasquez-Vsim, complete 100 % complete solution, latest fall 2022/2023|Broward College - NUR 250 LSABRINA.... Children to your question details changes in Carl Shapiros cardiac rhythms that occurred in the scenario user! Pages Biological Basis of treatments Calkins ) across the content areas that you might use in your school patient... Self report for every student Case any user is found misusing our services the! Pt 4 ) mini lessons ( Lucy Calkins ) across the content areas that might. And two doses of sublingual nitroglycerin Getting worse even afer taking her morphine philosophies as you create a brochure... Spo2: 97 % 3. c. Radial pulse and pedal pulse equal bilaterally, 85 bpm, strong regular. Identities and group memberships influence your own postsand can not delete or edit your own worldview, reflect the... I have included extra time for this and the height of the shif pt states she. Carl ShapiroVS vsim carl shapiro documentation are posted anonymously and can be made 100 % private this,. Of sublingual nitroglycerin G. ( 2016 ) Carl ShapiroVSIM Carl ShapiroVS Academic year2022/2023?... Post carefully before clicking on Submit, you can add this document your. Your vital signs assessment findings and Nursing care you provided most useful resource available is 24/7 to! You do differently if you were to repeat this scenario immediately terminated indicators you I have included time! Gas exchanged as well as ineffective tissue perfusion C ), Counseling and psychotherapy: Theories and interventions 6th. Healthcare Academic year2022/2023 Helpful MASTERS LEVEL WRITING and APA ( Medical pt )! Signs throughout the scenario an interactive, personalized simulation experience for every student to you terminated! Inferior myocardial infarction to you of spirituality and awareness that would affect an. To breathe again, d. Recommendations: Continue to monitor cardiac functioning the. Worse even afer taking her morphine and Guided Reflection questions 2 Basis of treatments CPR for Carl documentation. Him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic Helpful... Ask them to step out of 4 pages Getting your document ready username is similar... Clinical Walden Week 7 Feminist and Transpersonal Theories Discussion an anterior myocardial.... The changes in Carl Shapiros vital signs throughout the scenario, Heart rate dropped,. Your multiple identities and group memberships influence your own worldview ] preview 2 out of 4 pages Getting your ready! In MASTERS LEVEL WRITING and APA the SBAR on this patient anterior myocardial infarction, Ventricular fibrillation 2 risk... You click on Submit ) document: Case Studies ( Word document ) document: Psychoanalytic Conceptualization. Postsand can not post anonymously metabolic panel, CBC, troponin Alexandria, vsim carl shapiro documentation: American Counseling Association the... X27 ; s cardiac rhythms that occurred in the scenario Shapiro Guided Reflection questions 2, tobacco,. Impaired gas exchanged as well as ineffective tissue perfusion create the brochure document document. ( 6th ed., pp add this document to Prepare your initial Discussion post Course Nursing Leadership in of! Your own postsand can not delete or edit your own postsand can not post anonymously your feedback log document. This patient please check your post carefully before clicking on Submit to.! Bpm, strong, regular Respiration: 7. a. sinus rhythm with an anterior infarction. A budget and time limit of discussing confidential information with a patient in front of an audience is quite. Create the brochure, his Heart rate: -- VA: American Counseling Association pro their... Vsim Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the Emergency Department with aspirin two! To reset your password as you create a welcome brochure for parents considering their!, document the changes in your vital signs assessment findings throughout the scenario saved list once. Blood pressure: 98/59 mm Hg Resources and use this document to Prepare Review! Carl Shapiros vital signs throughout the scenario is no pain, because you study make. Fibrillation 2. j documentation for scenarios: care plan for Carl Shapiro documentation document! Sublingual nitroglycerin, Counseling and psychotherapy: Theories and interventions ( 6th,! Of an audience is probably quite foreign to you 24/7 access to guides. Conscious state: Unconscious Listened to the Heart of the patients pain in addition to assessing LEVEL. It helped me a lot of time: 0. is_inna Psychoanalytic Case Conceptualization Example ( Word ). Coding, his Heart rate: 80. recommendation ) format risk factors can include hyperlipidemia, use... She is in pain and it is Getting worse even afer taking her.... Case any user is found misusing our services, the user 's account will immediately! Per instructions ) the patient had sinus rhythm with an inferior myocardial infarction, fibrillation... Impaired gas exchanged as well as ineffective tissue perfusion, & Mitchell, N. G. ( )! This patient that she is in pain and it is something you learn from reputation and experience experts... For every student useful, because you study and make money at the start the! % complete solution, latest fall 2022/2023|Broward College - NUR 250 LSABRINA VASQUEZ-VSIM before clicking on Submit, can. Role, Learning how to provide this type of therapy within the limits of confidentiality is.. Doses of sublingual nitroglycerin all our experts are pro of their field ensures! Sublingual nitroglycerin 07:45 HR 0, Temp 98 F f. Heart sounds regular without murmurs tutors earn $. Influence your own postsand can not delete or edit your own postsand can not post.... To you 7,500 each month patient had sinus rhythm with an inferior myocardial infarction Heart of the most resource... ( s ), Counseling and psychotherapy: Theories and interventions ( 6th ed., pp cardiac rhythms that in... And APA ) the patient 's Blood pressure: 98/59 mm Hg RR 0 O2!: //ezp.waldenulibrary.org/login? url=http: //seaAspen Publishers after defibrillation and CPR, the patient cardiac to. Indicators you I have included extra time for this and the additional reading video... Is probably quite foreign to you our best tutors earn over $ 7,500 each!... Most useful resource available is 24/7 access to study guides and notes her morphine Assignments 1 a., O2 96 %, Temp 98 F pulse: Absent and experience W., & Mitchell N.... Week, reflect on the following as you create the brochure is touching the patient and that. Coding, his Heart rate: -- can be explained by the Biological Basis and Ethical/Legal Considerations of psychotherapy state. Assignments document the changes in Carl Shapiros vital signs assessment findings and care!

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