vSim Health Assessment Case 9: Edith Jacobson

Documentation Assignments
1. Document your findings related to the focused assessment regarding Mrs. Jacobson’s
neurologic status. Include her responses to your assessment.

2. Document your findings related to the Mini-Cog and falls assessments of Mrs. Jacobson.
Include her responses to your assessments.

3. Referring to your feedback log, document all nursing care provided and Mrs. Jacobson’s
response to this care.

4. Document all patient teaching regarding assessments and safety issues provided to Mrs.
Jacobson, and her response to the teaching.

5. Document your handoff report in the SBAR format to communicate Mrs. Jacobson’s future
needs.

From vSim for Nursing | Health Assessment. © Wolters Kluwer.