Neurological | Completed | education and empathy.pdf - Neurological | Completed | Shadow Health Neurological Results | Turned In Advanced Health

Neurological | Completed | education and empathy.pdf -...

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Unformatted text preview: 5/14/2018 Neurological | Completed | Shadow Health Neurological Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results Overview Lab Pass Education & Empathy : 4 of 4 (100.0%) Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Student Pre-Survey During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity. Opportunities marked as Not Encountered are opportunities that were not elicited in the interview Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient Lifespan Review Questions 1 Symptoms Followed Up Self-Reflection Description: Tina describes the symptoms that have been bothering her. What brings you here today? Question 01:27 PM CDT Well, I got into a little fender bender a week ago and I've been getting these headaches ever since. And my neck is sore too. I'm sorry you were in an accident and feeling bad today Empathize 01:37 PM CDT I appreciate you telling me that. Describe to me when your symptoms started? Question 01:39 PM CDT 1/5 5/14/2018 Neurological | Completed | Shadow Health Well, I was in the car accident a week ago, but the headaches and neck stuff started a few days after that. How frequent are your headaches? Question 01:40 PM CDT It's been every day for like, the last five days. I'm sorry to hear that you're having headaches. Empathize 01:41 PM CDT Thanks. Model Statement: "I’m sorry to hear that you were in a car accident, and that you’re experiencing pain and headaches. Because car accidents can cause injury to your head and neck, it’s important that I learn about how the injury happened and your symptoms so that we can determine if you need treatment." 2 Cause of Injury Followed Up Description: Tina describes her recent “fender bender.” What brings you here today? Question 01:27 PM CDT Well, I got into a little fender bender a week ago and I've been getting these headaches ever since. And my neck is sore too. I'm sorry you were in an accident and feeling bad today Empathize 01:37 PM CDT I appreciate you telling me that. Were you wearing a seatbelt? Question 01:38 PM CDT Yes, I always do. That's great that you always wear seat belt Empathize 01:38 PM CDT Thanks for understanding. As you know where the seat belt can save your life. 2/5 5/14/2018 Neurological | Completed | Shadow Health Educate 01:38 PM CDT OK, I understand. Model Statement: "I’m sorry. Car accidents can be stressful and scary, even if they are minor. I’m glad you are safe." 3 Medications Followed Up Description: Tina describes her medication regimen, which includes Tylenol for her symptoms. What medications do you take? Question 04:01 PM CDT Just some Tylenol for my headaches and my neck... and I use my daily inhaler, too. What is your inhaler called? Question 04:02 PM CDT I have a Flovent daily inhaler and a Proventil rescue inhaler. Any over-the-counter medications? Question 04:02 PM CDT Usually I'll take Tylenol sometimes for a headache, and I take Advil for cramps. Lately I've been taking the Tylenol more than usual. How much Advil do you take for cramps? Question 04:03 PM CDT I take three at a time. And I'd bet I take it up to three times a day. [Nurse confirmed with Pharmacy: 3-4x ibuprofen 200mg] When was your last dose of Tylenol? Question 04:03 PM CDT This morning. How often do you use flovent? Question 04:04 PM CDT I'm supposed to use it twice a day, and I haven't missed a dose yet. 3/5 5/14/2018 Neurological | Completed | Shadow Health When did you last use your flovent? (Clarified to: when did you last use your inhaler) Question 04:05 PM CDT I used it this morning -- like every day. I'm supposed to take it twice a day. I haven't needed my rescue inhaler in . . . Wow, it's been almost eight months. (Clarified to: when I used my inhaler last) Definitely important to use your flovent as prescribed Educate 04:06 PM CDT Alright, thanks for letting me know. You take any medication for diabetes? (Clarified to: did you take medication for diabetes) Question 04:13 PM CDT Yeah, when I was diagnosed they gave me a medicine to try. (Clarified to: if I have ever taken something for diabetes) What medication for diabetes? (Clarified to: What medication were you prescribed for your diabetes?) Question 04:13 PM CDT It was Metformin. (Clarified to: what medication I took for diabetes) Are you currently taking metformin? Question 04:14 PM CDT I don't take anything for my diabetes anymore. Why don't you take medication for your diabetes? Question 04:14 PM CDT I just got sick of dealing with it! It is important to take your medication for diabetes Educate 04:15 PM CDT Sure, I think I understand what you mean. But I understand that you do not want to take your medication it can be alot to deal with Empathize 04:15 PM CDT I appreciate you saying that. 4/5 5/14/2018 Neurological | Completed | Shadow Health Model Statement: "Thank you for letting me know about the medications you usually take. I will ask you a few questions about how you’re using each medication." 4 Vision Followed Up Description: Tina describes her eyecare and vision. Any changes in your vision since the accident? Question 04:10 PM CDT No, my vision hasn't changed since the accident. What was the last time you saw an eye doctor? Question 04:10 PM CDT I got my eyes checked a couple times growing up, but I haven't recently at all. It is important to make sure you have an eye exam every year. Educate 04:11 PM CDT That makes sense. Model Statement: "Blurry vision can be a sign of eye strain, or changes to the retina caused by conditions like diabetes. I’d like to examine your eyes to determine what might be causing your vision changes." Comments If your instructor provides individual feedback on this assignment, it will appear here. © Shadow Health® 2018 5/5 ...
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  • Fall '15
  • Diabetes, Tram accident, Traffic collision, PM CDT

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