Shadow Health Assignments
Eric Ford Schizophrenia Shadow health
Transcript
Hello. My name is xxx. I will interview and examine you
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Greet |
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Hey there.
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While this question is open-ended, it lacks empathy and may be perceived as confrontational. Try again. Eric Ford Schizophrenia Shadow health
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Great job! This question is open-ended enough to allow the patient to respond flexibly about the symptoms bothering them and their reason for being in the hospital.
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What brings you to the hospital today?
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Look. I’m not crazy, OK. I’ve got some problems, I know, but I’m not crazy. It’s these voices I get. They’re everywhere and everyone and they just kept getting louder. They kept getting harsher… just awful.
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Great job! This question seeks further clarification about what the patient has said without outright rejecting or validating what they are experiencing.
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Can I ask who is telling you that your life is almost over?
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I mean these voices I keep hearing, they keep telling me my life is almost over and I can’t get them to stop. Do you hear them?
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Great job! This empathetic response acknowledges the potentially frightening nature of auditory hallucinations and presents reality in way that does not diminish the patient’s experience.
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I don’t hear anything. That sounds frightening, but please know you are safe here in the hospital.
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Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so real.
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Great job! This educational response casts doubt on the patient’s delusion, and gives reassurance about the safety, and information about the therapeutic effects of his medication.
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I don’t see any evidence of that. Taking your medication may lower the frequency of voices you hear.
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I guess that’s true. Not everything these voices tell me is true and maybe the medication would help get rid of them.
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.
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Educate |
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That’s an interesting way of putting it, but yeah, I agree.
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.
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Educate |
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OK, I’m following.
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.
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Educate |
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Yeah. I think that should be good.
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.
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Educate |
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Let’s do it.
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hello
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Greet |
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Hey there.
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Great job! This question is open-ended enough to allow the patient to respond flexibly about the symptoms bothering them and their reason for being in the hospital.
|
||
What brings you to the hospital today?
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Question |
|
Look. I’m not crazy, OK. I’ve got some problems, I know, but I’m not crazy. It’s these voices I get. They’re everywhere and everyone and they just kept getting louder. They kept getting harsher… just awful.
|
||
Great job! This question seeks further clarification about what the patient has said without outright rejecting or validating what they are experiencing.
|
||
Can I ask who is telling you that your life is almost over?
|
Question |
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I mean these voices I keep hearing, they keep telling me my life is almost over and I can’t get them to stop. Do you hear them?
|
||
Great job! This empathetic response acknowledges the potentially frightening nature of auditory hallucinations and presents reality in way that does not diminish the patient’s experience.
|
||
I don’t hear anything. That sounds frightening, but please know you are safe here in the hospital.
|
Question |
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Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so real.
|
||
Great job! This educational response casts doubt on the patient’s delusion, and gives reassurance about the safety, and information about the therapeutic effects of his medication.
|
||
I don’t see any evidence of that. Taking your medication may lower the frequency of voices you hear.
|
Question |
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I guess that’s true. Not everything these voices tell me is true and maybe the medication would help get rid of them.
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When did your symptoms begin?
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This week they’ve been loud, and harsh. They kept telling me to do things I didn’t want to. I just wanted to make them stop so badly, it’s scary when it’s your own head, you know? I just wanted to make them stop… I got help before and the voices quieted down. But they got worse over this past week.
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Can you describe your symptoms??
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I hear voices, like people talking to me and whispering at me. They were under control for a while, really, but they got louder and louder so my mom brought me in here to get some help, that’s all I really want.
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What makes your symptoms worse?
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Solitude. Being alone in my brain train.
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What are your coping strategies?
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How often do you drink?
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Not regularly, and only if I’m with my friends.
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Assessed vitals
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Auscultated breath sounds
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Auscultated heart sounds Eric Ford Schizophrenia Shadow health
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Inspected interior of arms and wrists: no visible abnormalities
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Inspected facial and oral movements: normal
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Inspected upper extremities for involuntary movement: normal
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Inspected lower extremities for involuntary movement: normal
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Inspected torso for involuntary movement: normal
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Assessed general appearance: clothing is disheveled, signs indicating lack of grooming or self-care
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Assessed attitude: suspicious, guarded, or evasive
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Assessed speech: expected rate of speech, appropriate volume, and no issues with articulation
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Assessed mood and affect: stable mood, but affect is blunted or flat
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Assessed thought process: “word salad” or clanging associations present
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Assessed thought content: presence of suicidal ideation and auditory hallucinations
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Confirmed orientation
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What is your name and date of birth?
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Question |
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My name is Eric Ford and my date of birth is . . . [Mr. Ford reports his correct date of birth.]
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What building are you in now? Eric Ford Schizophrenia Shadow health
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We’re in the hospital.
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What is the date and year?
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It’s . . . [Mr. Ford reports the correct date and year.]
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Assessed cognition
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Count backwards from 100 by 7 until you get to the 60s.
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100, 93, 86, uh… 79… (Mr. Ford finishes the sequence)
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Assessed cognition
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Exam Action |
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How are apples and oranges alike?
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Uh, they both grow on trees. Eric Ford Schizophrenia Shadow health
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How are a lake and an ocean alike?
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You can swim in both of them.
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How are a trumpet and a flute alike?
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You have to blow into both of them.
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Assessed cognition
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Repeat and remember burger, tulip, nose, and tea.
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Burger, tulip, nose and tea.
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How did you celebrate your last birthday?
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I went to a concert with some friends.
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Repeat the four words from before.
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Burger, tulip, nose, and tea.
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Copy the shapes exactly as you see them.
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OK . . .
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Assessed insight: demonstrates awareness of illness and willingness to seek treatment
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Assessed judgment: demonstrates good judgment
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What would you do if you found a stamped envelope on your sidewalk?
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I would put it in the mail box.
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It is evident that you have trouble coping with schizophrenia
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Educate |
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That’s an interesting way of putting it, but yeah, I agree.
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We will discuss the resources you can use to better your mental health
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Educate |
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OK, I’m following. Eric Ford Schizophrenia Shadow health
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Eric Ford’s Schizophrenia Interview Summary
Interview Date: June 4, 2022 | Total Time: 294 minutes
Introduction and Greeting
Eric Ford introduces himself and discusses his problems. He mentions hearing voices that are pervasive and getting louder and harsher. He explains that these voices tell him that his life is almost over.
Symptoms and Voices
Eric Ford describes the distressing auditory hallucinations he experiences. He wonders if the interviewer hears them too, but the interviewer reassures him that they don’t hear anything and that he is safe in the hospital.
Past Issues and Medication
Eric Ford acknowledges his history with hallucinations and acknowledges that not everything the voices tell him is true. The interviewer suggests that taking medication could help reduce the frequency of these voices.
Collaborative Conversation
Eric Ford and the interviewer engage in an informative conversation. They discuss the potential benefits of medication and how it might help him with the voices.
Assessment and Examination
The interviewer assesses Eric Ford’s general appearance, attitude, speech, mood, thought process, thought content, orientation, and cognition. They ask him to count backwards from 100 by 7 and answer questions about similarities between objects.
Insight and Judgment
Eric Ford demonstrates awareness of his illness and a willingness to seek treatment. His judgment appears to be sound in various scenarios.
Conclusion and Education
The interviewer educates Eric Ford about coping with schizophrenia and suggests resources to improve his mental health.
This is an overview of the interview with Eric Ford regarding his experience with schizophrenia.
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