Right ankle and foot I was unable to check for range of motion due to diagnosis of fracture of ankle and foot. Left, foot and ankle appears normal. No abnormalities or deformities in upper. Full range of motion in upper extremities. Neurological- He is alert, orientated to person, place and time.
Genital/Rectal- deferred
Labs- no labs drawn today
III. Assessment:
This patient has been diagnosed at Hackensack University Medical Center on 12/12/16 an Emergency room visit. The follow up care and instructions I included the assessment and the plan of care to the patient with the approval of my preceptor. The language barrier was a challenge to convey the information to the patient. He verbalized the understanding of the diagnosis and the
Genital/Rectal- deferred
Labs- no labs drawn today
III. Assessment:
This patient has been diagnosed at Hackensack University Medical Center on 12/12/16 an Emergency room visit. The follow up care and instructions I included the assessment and the plan of care to the patient with the approval of my preceptor. The language barrier was a challenge to convey the information to the patient. He verbalized the understanding of the diagnosis and the