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SBAR70S.M.docxSBAR 70 S.M
Scenario S.M. is a 68-year-old man who is being seen at your clinic for routine health maintenance and health promotion. He reports that he has been feeling well and has no specific complaints, except for some trouble “emptying my bladder.” Vital signs at this visit are 148/88, 82, 16, 96.9° F (36.1° C). He had a complete blood count and complete metabolic panel completed 1 week before his visit, and the results are listed in the chart. Chart View Laboratory Test Results
Sodium 140 mEq/L (140 mmol/L)
Potassium 4.2 mEq/L (4.2 mmol/L)
Chloride 100 mEq/L (100 mmol/L)
Bicarbonate 26 mEq/L (26 mmol/L)
BUN 19 mg/dL (6.8 mmol/L)
Creatinine 0.8 mg/dL (72 mcmol/L)
Glucose 94 mg/dL (5.2 mmol/L)
RBC 5.2 million/mm3 (5.2 x 1012/L)
WBC 7400/mm3 (7.4 x 109/L)
Hgb 15.2 g/dL (152 g/L)
Hct 46%
Platelets 348,000/mm3 (348 x 109/L)
Prostate-specific antigen (PSA) 4.23 ng/mL (4.23 mcg/L)
Urinalysis Within normal limits
CASE STUDY PROGRESS While obtaining your nursing history, you record no family history of cancer or other genitourinary problems. S.M. reports frequency, urgency, and nocturia × 4; he has a weak stream and has to sit to void. These symptoms have been progressive over the past 6 months. He reports he was diagnosed with a “large prostate” a number of years ago. Last month, he began taking saw palmetto capsules but had to stop taking them because “they made me sick.”
CASE STUDY PROGRESS The primary care provider (PCP) performs a digital rectal examination (DRE) and asks for a post-void residual (PVR) urine test
CASE STUDY PROGRESSS.M. returns in 6 months to report that his symptoms are worse than ever. He has tried several different medications, but medication management failed, and he is told that surgical intervention is necessary
CASE STUDY OUTCOMES.M. chose an outpatient procedure. He did well postoperatively and was discharged to home.
SBAR 70
S.M
Scenario
S.M. is a 68
-
year
-
old man who is being seen at your clinic for routine health
maintenance and health promotion. He reports that he has been feeling well and has no specific
complaints, except for some trouble “emptying my bladder.” Vital signs at this visi
t are 148/88,
82, 16, 96.9° F (36.1° C). He had a complete blood count and complete metabolic panel
completed 1 week before his visit, and the results are listed in the chart.
Chart View
Laboratory
Test Results
Sodium
140 mEq/L (140 mmol/L)
Potassium
4.2 mEq/L (4.2 mmol/L)
Chloride
100 mEq/L (100 mmol/L)
Bicarbonate
26 mEq/L (26 mmol/L)
BUN
19 mg/dL (6.8 mmol/L)
Creatinine
0.8 mg/dL (72 mcmol/L)
Glucose
94 mg/dL (5.2 mmol/L)
RBC
5.2 million/mm3 (5.2 x 1012/L)
WBC
7400/mm3 (7.4 x 109/L)
Hgb
15
.2 g/dL (152 g/L)
Hct
46%
Platelets
348,000/mm3 (348 x 109/L)
Prostate
-
specific antigen (PSA)
4.23 ng/mL (4.23 mcg/L)
Urinalysis
Within normal limits
CASE STUDY PROGRESS
While obtaining your nursing history, you record no family history
of cancer or other ge
nitourinary problems. S.M. reports frequency, urgency, and nocturia × 4; he
has a weak stream and has to sit to void. These symptoms have been progressive over the past 6
SBAR 70 S.M
Scenario S.M. is a 68-year-old man who is being seen at your clinic for routine health
maintenance and health promotion. He reports that he has been feeling well and has no specific
complaints, except for some trouble “emptying my bladder.” Vital signs at this visit are 148/88,
82, 16, 96.9° F (36.1° C). He had a complete blood count and complete metabolic panel
completed 1 week before his visit, and the results are listed in the chart. Chart View Laboratory
Test Results
Sodium 140 mEq/L (140 mmol/L)
Potassium 4.2 mEq/L (4.2 mmol/L)
Chloride 100 mEq/L (100 mmol/L)
Bicarbonate 26 mEq/L (26 mmol/L)
BUN 19 mg/dL (6.8 mmol/L)
Creatinine 0.8 mg/dL (72 mcmol/L)
Glucose 94 mg/dL (5.2 mmol/L)
RBC 5.2 million/mm3 (5.2 x 1012/L)
WBC 7400/mm3 (7.4 x 109/L)
Hgb 15.2 g/dL (152 g/L)
Hct 46%
Platelets 348,000/mm3 (348 x 109/L)
Prostate-specific antigen (PSA) 4.23 ng/mL (4.23 mcg/L)
Urinalysis Within normal limits
CASE STUDY PROGRESS While obtaining your nursing history, you record no family history
of cancer or other genitourinary problems. S.M. reports frequency, urgency, and nocturia × 4; he
has a weak stream and has to sit to void. These symptoms have been progressive over the past 6
