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I reported for my shift and collected all the files for my patients.  First, I met with the nurse for whom I was taking over patients.  She informed me that there was a particularly difficult patient on our wing today.  I assured her that I’d help him learn how to behave with a little Pamper punishment.  Then I proceeded through my rounds of introducing myself and collecting vitals for the start of my evening.  I entered Patient D’s room, read through his chart, and added a note that he struggles with incontinence.  He smiled when I entered his room and greeted me warmly.  I began to move through my usual checks and questions, asking him how he was feeling.

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