Shadow Health Assignments
Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
Hey there! How’s everything going? I see that you have a medical appointment scheduled today. Let’s chat about it.
Jackie Monroe: Hi, yes, Samantha has her sports physical today.
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Your Avatar: Got it. How are you feeling about it?
Question: How are you feeling about your upcoming appointment?
Samantha Monroe: I’m kind of nervous. I don’t really like doctors.
Jackie Monroe: It’s okay, Samantha. It’s just a routine checkup.
Your Avatar: Don’t worry, it’s a normal feeling. Doctors are here to help.
Educate: It’s natural to feel nervous about appointments.
Samantha Monroe: Yeah, I guess so.
Your Avatar: Tell me about your physical activity.
Question: Can you tell me about your physical activities?
Samantha Monroe: I play soccer, and I like being active. It’s fun.
Your Avatar: That’s great, staying active is important. How’s your menstrual cycle?
Question: How’s your period been?
Samantha Monroe: Well, I haven’t gotten it yet. All my friends have, and they talk about it.
Your Avatar: It’s completely normal for your age. You’ll have your time.
Educate: It’s okay not to have your period yet.
Samantha Monroe: Yeah, but sometimes I feel like I need to pretend I’ve had it to fit in.
Jackie Monroe: She asked me when I got mine. I told her around 12.
Your Avatar: I understand, but it’s best to be yourself.
Educate: It’s important to be true to yourself.
Samantha Monroe: Okay, got it.
Your Avatar: Let’s talk about your family medical history.
Question: Can you tell me about your family’s medical history?
Samantha Monroe: Do you mean the whole family history or something specific?
Your Avatar: Any genetic conditions in your family?
Question: Does anyone in your family have a genetic heart condition?
Samantha Monroe: I don’t know. Mom?
Jackie Monroe: No, no one in the family has any genetic heart conditions.
Your Avatar: Any heart problems in your family?
Question: Does anyone have heart problems in your family?
Samantha Monroe: I don’t think so, but I’m not sure.
Jackie Monroe: I can’t think of anyone in the family with heart problems.
Your Avatar: Any history of unexpected deaths in your family?
Question: Has there been any unexpected deaths before the age of 35 in your family?
Your Avatar: Any family history of unexpected deaths before age 35?
Question: Is there any family history of unexpected deaths before age 35?
Your Avatar: Has anyone had a pacemaker before age 35 in your family?
Question: Has anyone had a pacemaker before the age of 35 in your family?
Samantha Monroe: I’m not sure about the pacemaker thing.
Jackie Monroe: To my knowledge, no one in the family has had a pacemaker.
Your Avatar: How do you feel about your weight?
Question: How do you feel about your weight?
Samantha Monroe: Well, I wish I could lose some weight. My friends wear smaller sizes.
Jackie Monroe: Middle school is tough, especially with social media. It gets better.
Your Avatar: You shouldn’t compare yourself to others. You’re unique.
Educate: Don’t compare yourself to others, be yourself.
Samantha Monroe: I understand.
Your Avatar: Do you want to lose weight?
Question: Do you want to lose weight?
Samantha Monroe: Yeah, to look more athletic and fit in.
Your Avatar: You should focus on being healthy, not fitting in.
Educate: Prioritize your health over fitting in.
Samantha Monroe: Okay, I get it.
Your Avatar: Tell me about your diet.
Question: Can you talk about your diet?
Samantha Monroe: I follow the Mediterranean diet, avoid unhealthy foods, no candy, white carbs, or processed stuff.
Your Avatar: Do you skip meals?
Question: Do you skip meals?
Samantha Monroe: Yeah, I skip lunch sometimes.
Your Avatar: Skipping meals isn’t advisable at your age, you’re still growing.
Educate: Skipping meals isn’t recommended during your growth stage.
Samantha Monroe: Right, got it.
Your Avatar: How long have you been skipping lunch?
Question: How long have you been skipping lunch?
Samantha Monroe: About a month or so.
Your Avatar: Let’s continue the examination:
– Exam Action: Inspected weight
– Exam Action: Inspected Skin
Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
Transcript
Started: Mar 05, 2022 | Total Time: 306 min
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Hello. I am xxxx, I will interview you and later conduct a physical exam.\
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Greet |
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Hello.
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What is your relationship with the patient?
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Oh, this is my mom.
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Hey, I’m Jackie Monroe. This is my daughter, Samantha.
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Why are you here today?
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I’m here for a sports physical. I’m gonna play on my school soccer team. We’re called the Nightingales, which is pretty cool.
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Any medical issue?
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Uh, nope. No health issues. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Any history of surgery?
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I had my tonsils removed when I was like 9, but that’s it.
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Yeah, that was Samantha’s only surgery.
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Any missing organ? (No matching questions found.)
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Does your daughter have any missing organ? (No matching questions found.)
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Have you had any of your organs removed?
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Uh . . . no. All my organs are 100% present.
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Any allergies?
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No, I’ve never had any allergies before.
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Are your vaccinations current? Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Yeah, I’ve had all my vaccines.
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I always made sure she was up to date on her vaccinations.
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Are you using any medications?
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No, I don’t take anything.
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Are you using any vitamins or supplements?
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I take a multivitamin. Plus, I drink apple cider vinegar, which is kinda like a supplement.
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Do you pass out during exercise? (Clarified to Have you passed out during exercise?.)
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No way. I’ve never passed out while I was exercising. (Clarified to if I have passed out during exercise.)
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Any dizziness?
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Oh, no. I feel totally fine right now.
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Have you ever been dizzy? (Clarified to Have you felt dizzy in the past?.)
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I’ve only been dizzy like once or twice. And that was because I skipped lunch and then had to go to gym class. (Clarified to if I have felt dizzy in the past.)
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Am sorry about that Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Educate |
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Thanks for the heads-up.
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Any heart problems after exercising? (Clarified to Have you had heart problems after exercise?.)
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No heart problems after exercise. (Clarified to if I have had heart problems after exercise.)
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Have you had heart problems during exercise?
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Nope. No problems during exercise.
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Have you been diagnosed with a heart problem?
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No, I’ve never been diagnosed with any heart problems that I know of.
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No, no heart problems.
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How is your breathing during and after exercise?
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My breathing is fine during and after exercise.
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Any history of seizures?
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Pretty sure I’ve never ever had a seizure.
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That is correct. No seizures or anything like that.
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Any injuries?
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Um, well I did sprain my ankle when I was like 10. That’s really it, though. I’m always good to play.
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Any rashes?
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No rashes. Ew.
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Any history of head injuries? Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Nope. My head’s fine.
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Have you had a concussion?
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I’ve never had a concussion, but I did see my friend wipeout at the skatepark once. It was crazy. He was skating, then boom. I was filming, so it was, you know, pretty scarring.
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Any numbness or tingling?
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No numbness or tingling. That sounds weird.
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Any weakness in your limbs?
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Nope, no weakness.
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Do you exercise in the heat?
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Sure. We do gym outside sometimes. When soccer season starts, practice and games are outside.
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Any eye problems?
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My eyes are fine.
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Have you started your periods?
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No, I haven’t started my period yet. It’s kind of weird because all my friends have? Whenever they talk about it, like the cramps or whatever, I just pretend like I’ve had mine, too. Just to fit in.
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She asked how old I was when I got my first period. I told her I was about 12.
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I understand your concerns, but it’s normal for a person of your age to not have started their periods yet.
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Educate |
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Cool. Good to know.
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Tell me about your family medical history.
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Wait, like the entire family medical history or do you mean something more specific?
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Any genetic conditions in your family? (Clarified to Does anyone in your family have a genetic heart condition?.)
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I don’t know. Mom? (Clarified to if anyone in my family has a genetic heart condition.)
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No, no one in the family has any genetic heart conditions.
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Any heart problems in your family?
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I don’t think anyone has heart problems, but I’m not totally sure.
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You know, I can’t think of anybody in the family who’s had heart problems.
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Any history of unexpected deaths in your family? (No matching questions found.)
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Any family history of unexpected deaths before the age of 35? (No matching questions found.)
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Has any of your family members had a pacemaker before age 35? (Clarified to Has anyone in your family had a pacemaker before 35?.) Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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I’m not sure about the pacemaker thing. (Clarified to if anyone in my family had a pacemaker before thirty five.)
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To my knowledge, there isn’t anyone in the family who’s ever had a pacemaker.
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Do you feel your weight is okay? (Clarified to How do you feel about your weight?.)
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Um, I mean, I wish I could lose this baby fat. All my friends wear one size smaller than me, so it’s super awkward when they’re swapping clothes . . . and talking about their periods . . . just hard not to compare. (Clarified to how I feel about my weight.)
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I told her . . . middle school is tough, especially with all the social media they’re dealing with now. But luckily time goes by faster the older you get and one day you’re my age and it’s all in the rearview.
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I understand your concerns but you should not try to fit in or compare yourself to others.
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Educate |
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Gotcha.
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Do you want to lose weight? (Clarified to Why do you think you need to lose weight?.)
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Just . . . to look more athletic, you know. Like I fit in with everybody. (Clarified to why I think I need to lose weight.)
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You should not try to fit in. Everyone is unique.
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Educate |
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Um, that makes sense.
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Tell me about your diet.
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I do the Mediterranean diet. It’s healthy. I try not to eat bad stuff. No candy, white carbs, processed food.
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Do you skip any meals?
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Yeah, I skip lunch once or twice each week.
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It is not advisable to skip any meal at your age because you are still growing
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For sure. OK.
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How long have you been skipping your lunch? (Clarified to How long have you been skipping lunch?.)
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I started skipping lunch maybe a month ago? (Clarified to how long I have been skipping lunch.)
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Inspected weight and height growth chart
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Inspected Skin
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Exam Action |
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Assessed appearance
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Assessed Cervical Spine Range of Motion
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Assessed Spine Range of Motion: Full range of motion performed without discomfort
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Assessed wrist range of motion
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Assessed Elbow Range of Motion
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Assessed range of motion of shoulders – adduction and abduction: Strength equal bilaterally against full resistance
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Assessed Trapezius Strength: Strength equal bilaterally against full resistance
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Assessed deltoid strength and shoulder rotation
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Assessed Hand and Finger Range of Motion and Strength: Right and left hand strength equal bilaterally against resistance
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Assessed Symmetry of Extremities
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Assessed leg symmetry, knee and ankle effusion
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Assessed Calf Symmetry and Leg Strength Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Exam Action |
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Tested Hip, Knee, and Ankle ROM
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Tested Cardinal Fields of Vision
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Tested peripheral vision
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Tested visual acuity
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Tested balance: Expected
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Auscultated lungs
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Auscultated abdomen
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Auscultated heart
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Screened Adam’s Forward Bend
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Mrs. Monroe please step out so I can have a private conversation with your daughter.
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Educate |
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Sure, no problem.
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I will be asking you some personal questions and I need you to know that you are in a safe and a nonjudgmental environment.
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Educate |
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OK. That sounds alright.
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Tell me about your school life, friends and hobbies.
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Everything’s fine. I mean . . . My grades are average. I get a lot of Bs. I feel like my friends used to be really chill but I don’t know what happened this year. It’s like everybody got super skinny and so many more followers on their social accounts. Soccer is gonna be fun, for sure, but . . . everything was easier before I turned 13.
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Am sorry about that. Everything will be fine.
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Empathize |
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Thanks. I’m glad you understand.
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Tell me about your support system.
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Yeah, me and my mom are pretty close, and I have some friends who get it. We talk and stuff.
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Have you ever used tobacco?
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Definitely not. I feel like I’ve heard smoking can help you lose weight, but I’m not ever gonna do it because it’s so bad for your lungs. That would ruin my soccer game.
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Have you used any drugs?
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No. I wouldn’t ever do drugs.
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Have you used alcohol?
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I don’t drink. No way.
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Are you interested in relationships and dating?
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I’m not really interested in that yet.
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Are you sexually active?
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No.
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I would like to know more about your feeling of nervousness or anxiety. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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I mean . . . school’s a lot. Projects and tests and stuff. And I want to do really well in soccer. But I guess it’s mostly the whole “keeping up with appearances” thing. It’s like a full-time job.
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Am sorry about that.
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Empathize |
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Thanks.
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I noticed that you are concerned about your body image, weight, and diet.
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Well, I’ve definitely started paying more attention to health stuff, but I thought that was a good thing. I just want to post a selfie and not have a double-chin, you know?
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Have you ever considered doing anything more extreme to manage your weight?
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No, I wouldn’t do anything dangerous. I promise.
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Do you have any questions for me?
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No, I don’t think so.
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You will now discuss the appropriate non-pharmacological interventions with Samantha and her mother, Ms. Monroe. You will not be automatically scored on your choices or responses in this activity, but your instructor may choose to review your responses.
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Exam Action |
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I am ready to begin the conversation with Samantha.
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In your own words, discuss life-threatening health problems related to disordered eating with Samantha and Ms. Monroe.
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Exam Action |
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Forcing yourself to diet or skip meals can make you very sick because strong bones teeth, and hair require adequate nutrition.
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Oh, um yeah. That makes sense. I don’t want any of that to happen.
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Thank you. This is pretty concerning so we’ll take this very seriously.
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In your own words, discuss limiting media intake with Samantha and Jackie.
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You should limit media exposure and remember that your body deserves to be fed, cared or, regardless of the size.
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Yeah, I mean I don’t want an eating disorder or anything like that. I just thought thinking like that was pretty normal, but I guess not.
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We’re just both going to have to rethink how we see our bodies and talk about nutrition. I don’t want to see my daughter struggle with her self-esteem.
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In your own words, discuss increasing knowledge of coping mechanisms with Samantha and Jackie. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Exam Action |
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You can try journalling, relaxation and stress management techniques, and affirmations
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Yeah, that make sense. It’s not like I want to feel this way, you know?
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I’m just glad we figured out that this was an issue. I had no idea.
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You have provided Samantha and her mother education on all appropriate non-pharmacological interventions. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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