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Dxr Development Group, Inc., 148 East Pleasant Hill Road Carbondale, Illinois 62903-9919, for Software Template and Icons ™ DxR™ DxR nursing For more information or nursing to order patient cases, STUDENT USER MANUAL please call Dx R Development Group INSTRUCTOR MANUAL toll-free at 866 599-1140 www.dxrgroup.com TECHNICAL APPENDIX Contents Program Requirements............................................................................................................................3 Mv1.6.2DXRN00507 Browser Compatibility Requirements ................................................................................................4 Entering the Program...............................................................................................................................5 Step-by-Step Instructions.................................................................................................................6-12 Performing an Assessment...................................................................................................6 Performing a Physical Exam.................................................................................................7 Selecting Nursing Diagnoses................................................................................................8 Creating Care Plans..................................................................................................................8 Conducting the Progress/Evaluation.......................................................................10-11 Quitting the Program............................................................................................................11 Answering Case Questions ................................................................................................12 Quick Reference Guide....................................................................................................................13-18 Navigation Buttons................................................................................................................14 Navigation Tabs......................................................................................................................15 Framework Categories ........................................................................................................16 Exam Tools................................................................................................................................17 Copyright Information ©2007 DxR Development Group, Inc., 148 East Pleasant Hill Road Carbondale, Illinois 62903-9919, for software template and icons. All rights reserved. No part of this software program, including artwork and text, may be utilized, repro- duced, stored, or transmitted in any form by any means, electronic or mechanical, or by any information storage or retrieval system, without permission in writing from the copyright holder. Address inquiries to DxR Development Group, Inc., 148 East Pleasant Hill Road, Carbondale, Illinois 62903-9919. Licensee of the software does have permission to duplicate the printed manuals, and to print and duplicate manuals from the PDF files contained on the CD-ROM. Intel and Pentium are registered trademarks of Intel. Macintosh is a registered mark of Apple, Inc. Microsoft, Internet Explorer, Windows and Windows NT are either registered trade- marks or trademarks of Microsoft, Inc. in the United States and/or other countries. Netscape and Netscape Navigator are registered trademarks of Netscape Communications Corporation in the United States and other countries. Shockwave is a registered mark of Adobe, Inc. Director is a registered mark of Macromedia, Inc. Portable Document Format (PDF) and Acrobat are trademarks of Adobe, Inc. The copyright to the NANDA Nursing Diagnoses: Definitions & Classification is owned by the North American Nursing Diagnosis Association International. This work contains terms from the Nursing Interventions Classification (NIC) and the Nursing Outcomes Classification (NOC). Copyright 2004 Mosby, Inc. These terms are used by permission of Mosby, Inc. DxR Nursing was made with Director®, a product of Adobe, Inc.. Brands and product references noted are the trademarks of their respective compa- nies. 2 [email protected] Program Requirements Windows® ALERT Intel® Pentium II® processor (or higher) For browser compatibility Any of the following operating systems: information, see the insert to this Windows® 98 with a minimum of 64 MB RAM (total) required publication or visit our Web site at Windows® 2000 with a minimum of 128 MB RAM (total) required http://www.dxrnursing.com/browser.html Windows® XP with a minimum of 128 MB RAM (total) required Adobe Shockwave® Player (a browser plug-in) version 10.1.1 or later must be installed for the selected browser. (www.adobe.com/shockwave/download/) sound card headphones Internet connection and compatible browser (see Alert) monitor capable of 800x600 resolution and thousands of colors Macintosh® Macintosh®PowerPC® processor (G3 or higher recommended) OS 9.2, 10.1.5, 10.2.6, 10.3, or 10.4 with 128 MB RAM Adobe Shockwave® Player (a browser plug-in) version 10.1.1 or later must be installed for the selected browser. (www.adobe.com/shockwave/download/) Note: You must have the Shockwave® version 10.1.1 or later, using the FULL installa- tion. If you use a SLIM installation, you may encounter problems within the DxR Nursing software. ALERT headphones monitor capable of 800x600 resolution and thousands of colors If your browser or if any sec- Internet connection and compatible browser (See Alert.) ondary utility for your browser includes pop-up blocking capabil- ity, you must make sure this func- SHOCKWAVE® INSTALLATION INSTRUCTIONS tion is DISABLED while using the DxR Nursing software. How to Install Shockwave® If the latest version of Adobe Shockwave® Player is not installed, a download prompt should appear when you click a case name. Follow the on-screen instructions. If a prompt does not appear, go to: http://www.adobe.com/shockwave/download/ Select the Adobe Shockwave® download link. Follow the on-screen directions to download the latest version of the AdobeShockwave® Player. Tech support: 1-800-453-8040 3 Browser Compatibility Requirements Windows® Tabbed Browsing Microsoft® Internet Explorer® 5.5, 6.0 or 7.0 We recommend that users of the Firefox® 1.5 or later Firefox browser turn OFF tabbed Netscape® version 7.1 or later browsing while using the DxR Nursing The latest version of the Adobe® Shockwave® Player plug-in must be installed for this software. To do this, click Tools in the browser to successfully access the program. Firefox menu bar, select Options, and Note: Netscape® version 6 does not support the Shockwave® plug-in necessary to use the then select New Pages should be software. opened in a new window. Browser cache set to at least 15 MB and ‘Update once per session’ For optimal performance, close all other applications before launching the DxR Nursing program. ALERT Macintosh® Microsoft® Internet Explorer® version 5.1.7 (Classic only) or version 5.2.3 (Mac OSX If your browser or if any sec- only) ondary utility for your browser Firefox® 1.5 or later includes pop-up blocking capabil- The latest version of the Adobe® Shockwave® Player plug-in must be installed for this browser to successfully access the program. ity, you must make sure this func- Browser cache set to at least 15 MB and ‘Update once per session’ tion is DISABLED while using the Browser memory partition set to a minimum of 30,000k DxR Nursing software. Note: Browsers not listed here should not be used with the DxR Nursing soft- ware. DxR Nursing does not support using America Online in conjunction with any browser. Check our Web site at the address below for updated browser compatibility information. 4 [email protected] Introduction to DxR Nursing The DxR Nursing client simulation software package is designed to allow you to prac- tice a clinical encounter with a virtual client and for your instructor to review each of your decisions in working through a client case study. As you work through a DxR Nursing case, your activity will follow the key steps in the nursing process. You will begin by performing a client assessment using a computer- ized client chart (page 6) and organizing pertinent client information by associating the data into framework categories. Next, you may have the opportunity to perform a virtual physical examination by applying an appropriate exam tool to a picture of the part of the client’s body that you want to examine and then reviewing the client’s results (page 7). You will also be asked to use the pertinent client data to select nurs- ing diagnoses from a database containing the latest NANDA nursing diagnoses (page 8). You may then create client-centered care plans for each of the case author’s approved nursing diagnoses (page 9). Finally, you may have the opportunity to con- duct a progress evaluation to gauge the client’s progress toward his or her desired outcomes (pages 10-11). The DxR Nursing program records each of your selections and entries as you work through a client case. Your instructor can review and evaluate your decisions in com- parison to the evaluation standards set by the case author and in relation to the per- formance demonstrated by your peers. Entering the program 1. Set the monitor resolution to 800x600. The current version of the Shockwave® Player plug-in must be installed. (See page 2 for instructions.) 2. Open the browser to the Web site containing your assigned case. Use one of the previously listed Web browsers. The Web site address can be obtained from the system
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