Date post: | 22-Dec-2015 |
Category: |
Documents |
View: | 213 times |
Download: | 0 times |
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
1
Symptom Management
STARTSTART
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
Introduction
2NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
You should have:
• a copy of a patient’s Vital Signs / Intake Output record and
• a copy of a a patient’s Medication Administration Guide
3NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
Oral medications
4NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q1
5
In order to decrease the spread of infection, what would you do before giving medications?
A) Wash your hands
B) Go into the bathroom to give the medications
C) Spray the room with an aerosol disinfectant
D) Put on gloves
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q1A
A. Wash your hands
Correct
6NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q1B
B. Go into the bathroom to give the medications
Hand washing is the most effective way of decreasing the risk of spreading infections
7NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q1C
C. Spray the room with an aerosol disinfectant
Hand washing is the most effective way of decreasing the risk of spreading infections
8NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q1D
D. Put on gloves
Hand washing is the most effective way of decreasing the risk of spreading infections.
9NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
Suppose it is 10:08 a.m. (1008) and you realize that one of the patient’s 6 a.m. (0600) oral antibiotics was not taken. The next dose is due at noon.
10NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
11
What would you do about the dose of antibiotic that was not taken?
A) Just skip it – it’s too late now!
B) Give the dose now, before it gets any later
C) Put it in some apple sauce and have the patient eat small bites over the next few hours
D) Do not give the patient the 6 a.m. (0600) dose at this time, but inform the nurse of the missed dose
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q2A
A. Just skip it – it’s too late now!
Correct – but tell your nurse about the missed dose
12NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q2B
B. Give the dose now, before it gets any later
You should not give the dose now but tell your nurse about the missed dose
13NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q2C
C. Put it in some apple sauce and have the patient eat small bites over the next few hours
You should not give the dose or any part of the dose now - but tell your nurse about the missed dose
14NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q2D
D. Do not give the patient the 6 a.m. (0600) dose at this time but inform the nurse of the missed dose
Correct – do not give the dose now, tell your nurse about the missed dose
15NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
Look at the Medication Administration Guide provided
(insert picture of med administration guide)
16NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
These are the medications you see in the patient’s medication box:- Allopurinol- NEW AZOL- Acyclovir- Sulfamethoxazole / trimethoprim- Ranitidine- Ondasetron- Cefapime
17
(Add pictures of unit doses-update med sheet)
NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
You will be asked which of the medications listed on the Medication Administration Guide would you give to the patient at 9 a.m. (0900)?
18NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q3
A. Allopurinol?
19
YES NO
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q3A
A. Allopurinol – YES
Correct
20NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q3B
A. Allopurinol – NO
Allopurinol is scheduled to be given at 9 a.m. (0900)
21NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q4
B. NEW AZOL?
22
YES NO
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q4A
B. NEW AZOL – YES
Correct
23NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q4B
B. NEW AZOL – NO
NEW AZOL is scheduled to be given at 9 a.m. (0900)
24NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q5
C. Acyclovir?
25
YES NO
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q5A
C. Acyclovir – YES
The order for Acyclovir is not scheduled to start today.
26NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q5B
C. Acyclovir – NO
Correct - the order for Acyclovir is not scheduled to start today
27NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q6
D. Sulfamethoxazole / trimethoprim?
28
YES NO
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q6A
D. Sulfamethoxazole / trimethoprim? – YES
Correct
29NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q6B
D. Sulfamethoxazole / trimethoprim? – NO
You should give the sulfamethoxozole / trimethoprim at 9 a.m. (0900)
30NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q7
E. Ranitidine?
31
YES NO
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q7A
E. Ranitidine – YES
Ranitidine is not scheduled to be given at 9 a.m. (0900)
32NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q7B
E. Ranitidine – NO
Correct
33NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q8
F. Ondasetron?
34
YES NO
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q8A
F. Ondasetron – YES
Ondasetron is not scheduled to be given at 9 a.m. (0900)
35NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q8B
F. Ondasetron – NO
Correct
36NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q9
G. Sargramostim?
37
YES NO
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q9A
G. Sargramostim – YES
Sargramostim will be given by the nurse at 8 a.m. (0800)
38NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q9B
G. Sargramostim – NO
Correct
39NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q10
H. Cefapime?
40
YES NO
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q10A
H. Cefapime – YES
Cefapime is given IV and is scheduled to be given at 7 a.m. (0700) and 7 p.m. (1900)
41NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q10B
H. Cefapime – NO
Correct
42NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q11
43
How will you keep track of what medications have been given?
A) Tape the empty packages to the Medication Administration Guide
B) Leave the empty packages in the medication box
C) Cross through the time on the Medication Administration Guide
D) Write down the names of all the drugs given on a separate sheet of paper and give it to the nurse
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q11A
A. Tape the empty packages to the Medication Administration Guide
You can just cross through the time on the Medication Administration Guide
44NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q11B
B. Leave the empty packages in the medication box
You can just cross through the time on the Medication Administration Guide
45NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q11C
C. Cross through the time on the Medication Administration Guide
Correct
46NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q11D
D. Write down the names of all of the drugs given on a separate sheet of paper and give it to the nurse
You can just cross through the time on the Medication Administration Guide
47NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
NAUSEA
48NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q12
49
What would you do if the patient vomited after taking scheduled medications?
A) Call 911, this may be serious!
B) Call your nurse on the phone
C) Don’t call, the nurses expect problems like this
D) Call the pharmacist to obtain more 9 a.m. (0900) medications and try again
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q12A
A. Call 911, this may be serious!
Call your nurse on the phone
50NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q12B
B. Call your nurse on the phone
Correct
51NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q12C
C. Don’t call, the nurses expect problems like this
Call your nurse on the phone
52NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q12D
D. Call the pharmacist to obtain more 9 a.m. (0900) medications and try again
Call your nurse on the phone
53NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
Look at the PRN medication list on the Medication Administration Guide
54NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q13
55
Of these medications listed on the Medication Administration Guide, what medication is indicated for nausea and/or vomiting?
A) Codeine
B) Propoxyphene Napsyl
C) Allopurinol
D) Lorazepam (Ativan)
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q13A
A. Codeine
Lorazepam (Ativan) is the medication ordered to treat nausea and/or vomiting
56NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q13B
B. Propoxyphene napsyl
Lorazepam (Ativan) is the medication ordered to treat nausea and/or vomiting
57NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q13C
C. Allopurinol
Lorazepam (Ativan) is the medication ordered to treat nausea and/or vomiting
58NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q13D
D. Lorazepam
Correct
59NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q14
60
How would you keep track of what you gave the patient to treat nausea and/or vomiting
A) Just cross through the name of the medication on the Medication Administration Guide
B) Write the time you gave the medication next to the name of the medication on the Medication Administration Guide
C) Write the time on the empty package and keep it in the medication box
D) Post-it notes work if you keep them where you can see them, like on the bathroom mirror
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q14A
A. Just cross through the name of the medication on the Medication Administration Guide
You would need to write the time you gave the medication next to the name of the medication
61NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q14B
B. Write the time you gave the medication next to the name of the medication on the Medication Administration Guide
Correct
62NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q14C
C. Write the time on the empty package and keep it in the medication box
You would want to write the time you gave the medication on the Medication Administration Guide
63NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q14D
D. Post-it notes work if you keep them where you can see them, like the bathroom mirror
Write the time you gave the medication next to the name of the medication on the Medication Administration Guide
64NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q15
Let’s again look at the PRN medication list on the Medication Administration Guide. Can you identify another medication that could be given if the patient has nausea and/or vomiting
A) Metoclopramide
B) Diphenhydramine
C) Morphine
D) NEW AZOL
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q15A
A. Metoclopramide
Correct
66NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q15B
B. Diphenhydramine
Metoclopramide or Reglan is another medication ordered to treat nausea and/or vomiting
67NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q15C
C. Morphine
Metoclopramide or Reglan is another medication ordered to treat nausea and/or vomiting
68NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q15D
D. NEW AZOL
Metoclopramide or Reglan is another medication ordered to treat nausea and/or vomiting
69NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q16
70
What would you do if the medication given orally did not work?
A) Try repeating both oral medications at the same time
B) Try sips of soda instead
C) Just wait until more drugs can be given
D) Call the nurse and request medications be given IV for nausea
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q16A
A. Try repeating both oral medications at the same time.
You would need to call the nurse
71NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q16B
B. Try sips of soda
You would need to call the nurse
72NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q16C
C. Just wait until more drugs can be given
You would need to call the nurse
73NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q16D
D. Call the nurse and request medications to be given IV for nausea
Correct
74NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
BOWEL PROBLEMS
75NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
Good rectal care is important after each bowel movement. Here are some rectal care products
• Preparation H ® cream
• Fleet’s ® suppositories
• Soft toilet paper
• Softsorb towelettes ®
• Washcloth and bar of soap
76NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q17
77
Two products on this list should NOT be used for rectal care without the doctor’s approval. Can you identify ONE of these products?
A) Preparation H® cream
B) Fleet’s ® suppositories
C) Soft toilet paper
D) Softsorb towelettes ®
E) Washcloth and bar of soap
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q17A&B
A. Preparation H® cream
or
B. Fleet’s® suppositories
Correct
78NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q17C&D&E
C. Soft toilet paper
Soft toilet paper is okay
D. Softsorb towelettes®
Softsorb towelettes® are okay
E. Washcloth and bar of soap
A simple bar of soap and a soft clean washcloth are okay
79NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
Look at the copy of the Vital Signs / Intake Output record of a patient experiencing diarrhea
80NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q18
81
When should this patient’s diarrhea be reported to the nurse?
A) After the first liquid stool
B) After the second liquid stool
C) When the patient has more than 5 stools in 24 hours
D) It does not need to be reported as diarrhea is an expected problem
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q18A
A. After the first liquid stool
If the patient has 5 or more liquid stools in a 24 hour period, you should notify the nurse
82NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q18B
B. After the second liquid stool
If the patient has 5 or more liquid stools in a 24 hour period, you should notify the nurse
83NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q18C
C. When the patient has more than 5 stools in 24 hours
Correct
84NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q18D
D. It does not need to be reported as diarrhea is an expected problem
If the patient has 5 or more liquid stools in a 24 hour period, you should notify the nurse
85NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
RECTAL PAIN OR BLEEDING
86NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q19
87
What should you do if the patient experiences rectal pain or bleeding?
A) Call your nurse
B) See what the patient can take for pain
C) Watch and see if the bleeding stops within the next 24 hours
D) Have the patient apply petroleum jelly to control bleeding and reduce pain
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q19A
A. Call your nurse
Correct
88NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q19B
B. See what the patient can take for pain
The nurse needs to be informed promptly
89NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q19C
C. Watch and see if the bleeding stops within the next 24 hours.
The nurse needs to be informed promptly
90NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q19D
D. Have the patient apply petroleum jelly to control bleeding and reduce pain
The nurse needs to be informed promptly
91NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
92
PAIN
NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
Think about the following 2 examples of the patient experiencing headache pain
93NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
Example #1:
The patient is taking a medication for nausea. A headache occurs every time after the nausea medication is taken.
Example #2
The patient complains of a sudden severe headache with blurred vision.
94NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q20
In which of the situations presented in the two examples would you need to notify the nurse IMMEDIATELY?
Example #1 – headache after taking nausea medication
Example #2 – sudden severe headache with blurred vision
95
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q20A
Example #1 – headache after taking nausea medication
A sudden sever headache with blurred vision needs to be reported to the nurse immediately
96NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q20B
Example #2 – sudden severe headache with blurred vision
Correct
97NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
Your patient is experiencing a headache. You call the nurse to report the headache and after describing the headache, the nurse tells you it is okay to give the patient pain medication.
98NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q21
You brought the patient’s pain medication from home. It has always worked well for the patient with similar pain.
Is it okay to give the patient one of his/her pain pills from home to treat this headache?
99
YES NO
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q21A
YES
The hospital will provide the patient with all medications
100NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q21B
NO
Correct
101NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q22
Look at the Medication Administration Guide provided. What medications could you give the patient for his/her headache?
- Lorazepam / Ativan- Metoclopramide / Reglan- Diphenhydramine / Benadryl- Codeine- One-Two-Three Oral suspension- Morphine- Propoxyphene Napsyl / Darvon
102
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q22?
- Codeine
- Morphine
- Propoxyphene Napsyl / Darvon
Correct
103
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q22?
- Lorazepam / Ativan
- Metoclopramide / Reglan
- Diphenhydramine / Benadryl
- One-Two-Three oral suspension
Codeine, Morphine, and Darvon are the medications that could be given to treat the patient’s headache pain
104
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
BREATHING
105NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
Suppose:
• Both you and the patient were awakened several times last night because the patient was coughing
• At 5 a.m. (0500), the patient wakes you because he/she is suddenly having difficulty breathing and cannot catch his/her breath
• The patient also tells you that he/she notices blood in what he/she is coughing up
106NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q23
107
What should you do in response to this situation?
A) Call your nurse immediately
B) Encourage the patient to rest and tell the nurse in the Treatment Center when you go down at 8 a.m.
C) Wait and see if the coughing and blood continues to be a problem over the next 30 minutes
D) This is a normal occurrence during cancer treatment and does not need to be reported
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q23A
A. Call the nurse immediately
Correct
108NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q23B
B. You can wait until the patient goes down to the Treatment Center at 8 a.m.
This warrants an immediate call to the nurse
109NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q23C
C. Wait and see if the coughing and blood continue to be a problem over the next 30 minutes
This warrants an immediate call to the nurse
110NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q23D
D. This is a normal occurrence during cancer treatment and does not need to be reported
This warrants an immediate call to the nurse
111NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
Symptom Management
You and the patient are walking back to your Cooperative Care room from x-ray. When you get to the room, the patient is breathing heavily and states he/she feels like they ran the whole way.
112NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q24
Is it important to report this type of shortness of breath?
113
YES NO
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q24A
YES
Some shortness of breath after exercise is not uncommon. But if you are unsure…
114NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
SM:Q24B
NO
Correct
115NEXTNEXT
Symptom ManagementCare Partner Health Education & The Nebraska Medical Center
End
End
116