Gabriel Martinez Asthma Exacerbation Shadow health Transcript

Gabriel Martinez Asthma Exacerbation Shadow health Transcript

Transcript

	Begin by confirming the patient’s name and date of birth. Which of the following is the most appropriate way to do so?
	Hello. I’ll be taking care of you tonight. Can you tell me your name and when you were born?	Question 01/23/21 6:33 PM PST
	Hey . . . Gabriel . . . I’m 8 . . .”
	His name is Gabriel Martinez. Gabriel is 8. Gabriel Martinez Asthma Exacerbation Shadow health Transcript
	You should also confirm Ms. Martinez’s relationship with Gabriel. Which of the following questions is the most appropriate way to do so?
	Hello. Are you Gabriel’s guardian?	Question 01/23/21 6:34 PM PST Struggling to meet your deadline? Get your assignment on Gabriel Martinez Asthma Exacerbation Shadow health Transcript done by certified MDs and PhDs in the USA. ORDER NOW! Meet my deadline
	Yes. I’m his mother.
	Which of the following actions should you perform first?
	I want to interview the patient and guardian to establish Chief Complaint.	Question 01/23/21 6:37 PM PST
	What brings you in today?	Question 01/23/21 6:38 PM PST
	It’s really hard to breathe . . . I have asthma . . .
	Yes, my son started having difficulty breathing after school today. It’s been about 4 hours or so.
	What should you do next?
	Now that I have established Gabriel’s chief complaint, I need to take his vitals and conduct a pediatric asthma severity (PAS) score to better understand the severity of the patient’s condition.	Question 01/23/21 6:39 PM PST
	Perform all of the following assesments and record the vitals in your EHR. Use the PAS Score tab in the EHR to calculate Gabriel’s total score and choose the appropriate exacerbation severity for Assessed PAS – PreIntervention in the Objective Data tab. Gabriel Martinez Asthma Exacerbation Shadow health Transcript
	Auscultated breath sounds: expiratory and inspiratory wheezing	Exam Action 01/23/21 6:40 PM PST
	Select your next course of action.
	Inpected chest: Mild intercostal retractions visible	Exam Action 01/23/21 6:43 PM PST
	Select your next course of action.
	You observe so far during the assessment that Gabriel is speaking in partial sentences before having to take a breath.	Exam Action 01/23/21 6:44 PM PST
	Select your next course of action.
	Assessed vitals	Exam Action 01/23/21 6:45 PM PST
	Select your next course of action.
	Now choose the corresponding severity description under Assessed PAS-PreIntervention in the Objective Data tab.
	You now know the patient’s chief complaint, and you have collected his vitals and determined a PAS score. What should you do next?
	Now that I have determined Gabriel’s chief complaint, vitals, and PAS score, I have enough information to initiate the Asthma Exacerbation Protocol and finally relieve Gabriel’s respiratory distress.	Question 01/23/21 7:14 PM PST
	Unfortunately, you have not collected enough information about Gabriel’s condition to initiate a protocol at this time.
	You have not selected the most critical and necessary action. The incorrect response you selected has been removed. Try again with the remaining responses.
	You now know the patient’s chief complaint, and you have collected his vitals and determined a PAS score. What should you do next?
	I want to get a spirometer reading to confirm my findings so far. Gabriel Martinez Asthma Exacerbation Shadow health Transcript	Question 01/23/21 7:14 PM PST
	I did one before we came in.
	Your second choice is not the most critical and necessary action, either. The incorrect responses you have selected have been removed. Select the correct response, and you will move on to the next question.
	You now know the patient’s chief complaint, and you have collected his vitals and determined a PAS score. What should you do next?
	I want to ask about allergies to medication.	Question 01/23/21 7:15 PM PST
	No, he doesn’t have medicine allergies.
	You’ve determined the patient’s chief complaint, collected vitals and a PAS score, and inquired about medicine allergies. What should you do next?
	In order to rule out additional respiratory complications, I need to ask a handful of key history of present illness questions.	Question 01/23/21 7:15 PM PST
	At this stage you have collected the necessary and critical information to safely initiate the asthma exacerbation protocol. Any other assessments or tests are unnecessary at this time.
	You have not selected the most critical and necessary action. The incorrect response you selected has been removed. Try again with the remaining responses.
	You’ve determined the patient’s chief complaint, collected vitals and a PAS score, and inquired about medicine allergies. What should you do next?
	I want to inform the patient and his guardian that I have determined that Gabriel is experiencing a moderate asthma exacerbation and am ready to begin treatment. I will ask them if they have any questions or anything else they’d like to tell me before I order the initiation of the Shadowville General Hospital Asthma Exacerbation Protocol. Gabriel Martinez Asthma Exacerbation Shadow health Transcript	Question 01/23/21 7:16 PM PST
	No. No questions, thank you.
	Your assessment of Gabriel has determined he is currently experiencing a moderate asthma exacerbation. Your protocol order is approved and you administer albuterol via nebulizer and prednisone orally.
	Hello Gabriel, I am Nurse xxxx and I will be interviewing you and later perform a physical assessment	Greet 01/23/21 7:23 PM PST
	Hey.
	How are you feeling?	Question 01/23/21 7:24 PM PST
	I feel better now . . . I can definitely breathe better, but my chest is kinda sore.
	Sorry about your chest being sore	Empathize 01/23/21 7:25 PM PST
	Everyone is really nice here. Thank you very very very much!
	How does your chest feel?	Question 01/23/21 7:26 PM PST
	My chest doesn’t feel as tight now. It’s still a little sore though. Gabriel Martinez Asthma Exacerbation Shadow health Transcript
	Do you feel any wheezing?	Question 01/23/21 7:26 PM PST
	My breath was squeaky earlier, but I can’t hear it anymore.
	Okay, got it	Empathize 01/23/21 7:26 PM PST
	Thanks, that makes me feel better.
	When did the breathing problem start?	Question 01/23/21 7:27 PM PST
	My attack started after kickball . . . and it got worse and worse when we got home.
	Sorry about that Gabriel	Empathize 01/23/21 7:27 PM PST
	Oh wow, thanks.
	What worsens the breathing problem?	Question 01/23/21 7:27 PM PST
	Ummmm smokers. Smoke makes my breathing a lot worse.
	Sorry about that	Empathize 01/23/21 7:28 PM PST
	Ok, thanks.
	Are you normally around smoke?	Question 01/23/21 7:28 PM PST
	I try to stay away from it. But these new kids were smoking by the kickball field after school today.
	It is good to stay away from anyone smoking	Educate 01/23/21 7:29 PM PST
	I guess that makes sense.
	What triggers your asthma?	Question 01/23/21 7:29 PM PST
	Smoke bothers me a lot. I try to stay away from it. But today some kids I’ve never seen before were smoking at my afterschool program.
	What action did you take after the asthma attacK	Question 01/23/21 7:30 PM PST
	Well I . . . I guess I’m supposed to take my emergency inhaler, but . . . I threw it away. So we don’t have it anymore.
	Ooh, you should always ensure you have the inhaler at a safe and accessible place	Educate 01/23/21 7:31 PM PST
	Ohhh, yeah. Good . . . to . . . know.
	What is the name of the inhaler you were using?	Question 01/23/21 7:31 PM PST
	I dunno. I think my mom does.
	Why did you throw away the inhaler?	Question 01/23/21 7:32 PM PST
	I hate the way that inhaler makes me all . . . shaky. It makes my heart beat too fast. That’s why, when my mom told me to clean out my backpack, I threw it in the trash.

Title: Gabriel Martinez Asthma Exacerbation Shadow Health Transcript

Transcript
Date: January 23, 2021 | Total Time: 185 minutes

Interaction:
Diana Shadow:
Starts by confirming the patient’s name and date of birth. Asks the appropriate way to do so.

Gabriel Martinez:
Responds, saying his name is Gabriel and he’s 8 years old.

Yvonne Martinez:
Confirms that Gabriel’s name is Gabriel Martinez and he is 8 years old.

Diana Shadow:
Instructs to confirm Ms. Martinez’s relationship with Gabriel and asks the right question.

Yvonne Martinez:
Confirms that she is Gabriel’s mother.

Diana Shadow:
Instructs what action should be performed first.

Diana Shadow:
Asks Gabriel about the reason for his visit.

Gabriel Martinez:
Mentions that he’s having difficulty breathing due to his asthma.

Yvonne Martinez:
Confirms that Gabriel started having breathing problems after school and it’s been about 4 hours.

Diana Shadow:
Instructs what to do next.

Diana Shadow:
Guides through a series of assessments, including observing breath sounds and chest retractions, and prompts to choose the next action.

Gabriel Martinez:
Mentions having expiratory and inspiratory wheezing.

Diana Shadow:
Continues guiding the assessment and prompts for the next action.

Diana Shadow:
Notes Gabriel speaking in partial sentences before taking a breath.

Diana Shadow:
Continues guiding the assessment and prompts for the next action.

Diana Shadow:
Records assessed vitals and prompts for the next action.

Diana Shadow:
Guides to choose the appropriate severity description based on the assessed PAS score.

Diana Shadow:
Instructs on the next steps after collecting chief complaint, vitals, and PAS score.

Diana Shadow:
Provides feedback that there isn’t enough information to initiate a protocol yet.

Diana Shadow:
Guides to ask about allergies to medication.

Yvonne Martinez:
States that Gabriel doesn’t have medicine allergies.

Diana Shadow:
Guides to inquire about Gabriel’s allergies and their impact.

Yvonne Martinez:
Mentions that Gabriel is allergic to pets, dust, and pollen, which worsen his asthma.

Diana Shadow:
Guides through asking about the impact of environmental allergies on Gabriel’s asthma.

Yvonne Martinez:
Explains that Gabriel’s allergies make his asthma worse, especially during pollen season.

Diana Shadow:
Provides education about keeping away from allergy triggers.

Diana Shadow:
Asks about Gabriel’s history of hospitalization.

Yvonne Martinez:
Confirms that Gabriel was hospitalized a year ago due to his asthma.

Diana Shadow:
Offers empathy and understanding about the challenges of having a hospitalized child.

Yvonne Martinez:
Expresses appreciation for the understanding.

Diana Shadow:
Asks about the reason for Gabriel’s previous hospitalization.

Yvonne Martinez:
Explains that he was around smoke and his rescue inhaler didn’t work.

Diana Shadow:
Offers empathy and understanding about the ordeal.

Yvonne Martinez:
Appreciates the understanding and mentions doing her best.

Diana Shadow:
Provides education about managing asthma triggers.

Diana Shadow:
Inquires about Gabriel’s exercise-related asthma triggers.

Yvonne Martinez:
Explains that too much exercise could trigger an asthma attack.

Diana Shadow:
Inquires about tobacco use in the family.

Yvonne Martinez:
States that no one in the family uses tobacco.

Diana Shadow:
Offers education about the risks of smoking for people with respiratory issues.

Diana Shadow:
Inquires about Gabriel’s childcare situation.

Yvonne Martinez:
Explains her work hours and how Gabriel spends time with family members.

Diana Shadow:
Offers empathy and appreciation for Yvonne’s efforts as a single parent.

Diana Shadow:
Asks about any health problems that run in the family.

Yvonne Martinez:
Mentions asthma isn’t in the family, but her father has heart disease and her brother has diabetes.

Diana Shadow:
Offers empathy for her father and brother’s conditions.

Diana Shadow:
Offers empathy and reassurance about Gabriel’s condition getting better.

Diana Shadow:
Records ID band check and vitals assessment.

Diana Shadow:
Auscultates various breath sounds and records findings.

Interaction ends.

Sometimes I give him an over the counter antihistamine, when his allergies are bad or the pollen count is high.
	What are some of your son’s allergies? (No matching questions found.)	Question 01/23/21 8:09 PM PST
	alleges? (No matching questions found.) Gabriel Martinez Asthma Exacerbation Shadow health Transcript	Question 01/23/21 8:09 PM PST
	Any allergies?	Question 01/23/21 8:09 PM PST
	I don’t, no. Just my son does. [AUDIO COMING SOON]
	What allergies does your son have?	Question 01/23/21 8:10 PM PST
	Pets, dust, pollen. He’s not allergic to any of the other obvious stuff. No food or medicine or latex or anything.
	How does your son’s environmental allergies impact his asthma?	Question 01/23/21 8:11 PM PST
	Gabriel’s allergies always make his asthma worse. I can and do keep dust and dander out of the house, but pollen is a different story. The last time he had trouble with his asthma like this was during pollen season.
	It is always good to keep the allergy triggers away	Educate 01/23/21 8:12 PM PST
	Yeah . . . Yeah, I get it. We’ll work on that.
	Has your son been hospitalized before?	Question 01/23/21 8:13 PM PST
	Yes, he went to the hospital a year ago, because of his asthma.
	Sorry about that. Being hospitalized can really take a toll on any parent Gabriel Martinez Asthma Exacerbation Shadow health Transcript	Empathize 01/23/21 8:14 PM PST
	Thank you for saying that.
	Why was your son last hospitalized?	Question 01/23/21 8:14 PM PST
	He was hospitalized last year because of his asthma. The night before, he was around some smoke — cigarette smoke, and maybe smoke from fireworks . . . We tried his rescue inhaler at home, but it wasn’t working, so I brought him to the ER. Kind of similar to this time, actually.
	Sorry about that ordeal.	Empathize 01/23/21 8:15 PM PST
	Thank you. I’m . . . I’m just doing the best I can.
	Please let him always keep away from triggers such as smoke	Educate 01/23/21 8:16 PM PST
	Alright, I understand.
	How does exercise impact your son’s asthma?	Question 01/23/21 8:16 PM PST
	Too much exercise could trigger an asthma attack. He knows the rules. He can walk, but he isn’t supposed to run.
	Does anyone in your family use tobacco?	Question 01/23/21 8:17 PM PST
	No, none of us do.
	That is great. Smoking is really bad for health, especially in people with respiratory problems such as asthma	Educate 01/23/21 8:18 PM PST
	That makes a lot of sense, thank you.
	What is your childcare situation?	Question 01/23/21 8:18 PM PST
	I work 55 hours a week. Gabriel goes to after-school clubs, so I pick him up around 5:30. He’s really close to my parents, so sometimes on the weekends he spends the night with his Lito and Lita. Gabriel Martinez Asthma Exacerbation Shadow health Transcript
	Raising a child alone is really challenging. I know you are a great parent. Even Gabriel really appreciates you. But I am aware being a single parent can be difficult. You are really doing a great job by taking care of your son alone	Empathize 01/23/21 8:22 PM PST
	Thank you for saying that.
	What is your childcare situation?	Question 01/23/21 8:23 PM PST
	I work 55 hours a week. Gabriel goes to after-school clubs, so I pick him up around 5:30. He’s really close to my parents, so sometimes on the weekends he spends the night with his Lito and Lita.
	What health problems run in your family?	Question 01/23/21 8:23 PM PST
	There’s nothing like asthma in the family. But my father has heart disease and my brother has diabetes.
	Sorry about your father and brother’s conditions.	Empathize 01/23/21 8:24 PM PST
	Thank you. I’m . . . I’m just doing the best I can.
	Also sorry about your son’s asthma. He will get better.	Empathize 01/23/21 8:24 PM PST
	Thanks, I appreciate that.
	Checked ID band   Shadow health respiratory assessment transcript	Exam Action 01/23/21 8:27 PM PST
	Assessed vitals	Exam Action 01/23/21 8:27 PM PST
	Auscultated top right chest breath sounds: normal breathing	Exam Action 01/23/21 11:10 PM PST
	Auscultated top left chest breath sounds: normal breathing	Exam Action 01/23/21 11:10 PM PST
	Auscultated upper right chest breath sounds: normal breathing	Exam Action 01/23/21 11:10 PM PST
	Auscultated upper left chest breath sounds: normal breathing	Exam Action 01/23/21 11:10 PM PST
	Auscultated lower right chest breath sounds: normal breathing	Exam Action 01/23/21 11:10 PM PST
	Auscultated lower left chest breath sounds: normal breathing	Exam Action 01/23/21 11:10 PM PST
	Auscultated top left back breath sounds: normal breathing	Exam Action 01/23/21 11:10 PM PST
	Auscultated top right back breath sounds: normal breathing	Exam Action 01/23/21 11:10 PM PST
	Auscultated upper left back breath sounds: normal breathing	Exam Action 01/23/21 11:11 PM PST
	Auscultated upper right back breath sounds: normal breathing	Exam Action 01/23/21 11:11 PM PST
	Auscultated lower left back breath sounds: normal breathing	Exam Action 01/23/21 11:11 PM PST
	Auscultated lower right back breath sounds: normal breathing Gabriel Martinez Asthma Exacerbation Shadow health Transcript	Exam Action 01/23/21 11:11 PM PST
	Auscultated lower left chest breath sounds: normal breathing	Exam Action 01/23/21 11:11 PM PST
	Auscultated lower right chest breath sounds: normal breathing	Exam Action 01/23/21 11:11 PM PST
	Auscultated upper right chest breath sounds: normal breathing	Exam Action 01/23/21 11:11 PM PST
	Auscultated upper left chest breath sounds: normal breathing	Exam Action 01/23/21 11:11 PM PST
	Auscultated top left chest breath sounds: normal breathing	Exam Action 01/23/21 11:11 PM PST
	Auscultated top right chest breath sounds: normal breathing	Exam Action 01/23/21 11:11 PM PST
	No abnormal findings	Exam Action 01/23/21 11:11 PM PST
	Assessed dyspnea	Exam Action 01/23/21 11:13 PM PST
	PAS Score: determine the PAS Score using the EHR tab	Exam Action 01/23/21 11:19 PM PST
	Assessed growth	Exam Action 01/23/21 11:21 PM PST
	Assessed vitals Gabriel Martinez Asthma Exacerbation Shadow health Transcript	Exam Action 01/23/21 11:23 PM PST Dont wait until the last minute. Provide your requirements and let our native nursing writers deliver your assignments ASAP. Start My Order