Shadow Health Assignments
NURS 6512n Week 3 – Digital Clinical Experience Orientation – Patient: Tina Jones
Open Text QuestionActivity Time: 3 min
Please describe what you look forward to most in your upcoming activities within the DCE.
Student Response: I look forward to completing a head-to-toe assessment and communicating with the patient. Model Note: There are many opportunities to learn and practice your clinical skills within the DCE, and we hope you are looking forward to all of them!
Comprehensive Assessment, Tina Jones shadow health Transcript
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Transcript
Started: May 22, 2022 | Total Time: 104 min
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Hello my name is xx . I’m here to interview and examine you
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Greet |
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Hey.
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how are you today?
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Not so great… My foot really hurts right now.
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Tell me what’s going on ?
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I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it’s looking pretty nasty. And the pain is killing me!
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on a scale of 0 to 10 how can you rate your pain? (Clarified to On a scale of 0-10 how would you rate the pain in your right foot?.)
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I’d say a 7. It hurts a lot, and the pain pills haven’t kicked in yet. (Clarified to how I would rate my foot pain on a scale.)
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how long has this being going on?
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Well, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days.
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How does this happen?
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I was going down the back steps, and I tripped. . . I caught the railing, but I guess I kind of turned my ankle a little bit. And I scraped up my foot on the edge of the step.
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What have you been using on the your foot (Clarified to What have you been doing for the scrape?.)
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I made sure to clean it and just keep it bandaged. And I put Neosporin on it. (Clarified to what I have been doing for the scrape.)
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Are you taking anything for the pain ?
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Yeah, I had to start taking pain medication.
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what pain medication are you taking?
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It’s called tramadol.
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besides the medication what else do you do to manage your pain?
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I just watch what I eat and try to stay away from sweets.
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Tell me more about you medical history?
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I’ve had asthma since I was little, and I have sugar diabetes, too.
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How long have you been diabetic
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I was diagnosed when I was 24.
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what medications are you taking for your diabetes
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I don’t take medicine for it anymore.
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I’m sorry you have to go through this pain but will see how i can help you feel better
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Empathize |
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Thanks.
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you welcome (No matching questions found.)
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you are welcome (No matching questions found.)
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are you able to move you foot
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Um, my ankle’s starting to hurt when I move it.
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have you had any x-ray of you ankle
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Yeah, they did.
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what was the result (Clarified to Do you know what the X-ray of your injured foot showed?.)
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The x-ray was normal. Nothing broken. (Clarified to what the foot xray showed.)
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great (No matching questions found.)
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are you have fever
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I don’t feel feverish right now, but last night I had a high temperature.
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what was your temperature last night
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Last night it got up to 102.
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did you take any medication for your fever
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I really didn’t do much for it at home.
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have you noticed any discharge on your wound (Clarified to Does your scrape have pus?.)
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Yeah, there’s definitely pus. (Clarified to if my scrape has pus.)
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how often do you change your wound dress a day (Clarified to How often do you change your bandage?.)
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Every morning and night. I was keeping an eye on it. (Clarified to how often I change my bandage.)
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whats the color of the drainage
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It’s… white or maybe off-white.
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ok (No matching questions found.)
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have you taken any antibiotic for your wound
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No, the ER only prescribed the pain meds.
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are you experiencing pain anywhere else besides your ankle (Clarified to Do you have pain elsewhere than your foot?.)
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The pain’s worse in my foot, but I feel it moving up into my ankle, too. (Clarified to if I have pain elsewhere than my foot.)
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are you able to wiggle your toes?
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I guess I can wiggle my toes a little, but it really hurts a lot to move my foot any.
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is you foot warm or cool to touch
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Yeah, it feels pretty warm.
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describe your pain
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It’s throbbing and like, sharp if I try to put weight on it.
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what other conditions have you been diagnosed with (Clarified to What is your past medical history?.)
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I’ve had asthma since I was little, and I have sugar diabetes, too. (Clarified to what health problems I have had.)
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does the pain wake you up at night
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I feel the pain at night, but I have been able to get to sleep.
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do your pain keep you from participate in activities or things you enjoy
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Well, with my church friends, we do Bible study or we have a meal. With my other friends, I’ll go over to one of their houses to watch our shows or just hang out. And on the weekends, we’ll go out to a bar or go dancing.
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How has the pain making you feel about yourself (Clarified to How do you feel about your appearance?.)
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I am who I am, you know? I don’t like stressing out about what I look like or anything like that. (Clarified to how I feel about my appearance.)
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are you still able to get out and socialize like you usually do (No matching questions found.)
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have your family and friends been helpful (No matching questions found.)
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keep the bandages dry between change
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Educate |
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Thanks for telling me.
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clean wound wound with a soapy washcloth. you may do this in the shower (Clarified to How are you cleaning the wound?.)
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Since it happened, I’ve been washing it with soap and water, and if it seemed irritated, I would put some peroxide on there and then rinse it off. (Clarified to how I am cleaning the wound.)
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wash wound with soapy washcloth (No matching questions found.)
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are you allergic to any medications
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Educate |
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Thanks for telling me.
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Are you allergic to any medication?
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Yeah, I’m allergic to penicillin.
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any food allergies
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Nope, no food allergies that I know of.
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are you allergic to latex
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Nope.
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what pharmacy do you use
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I always fill my inhaler prescription at the pharmacy near Mom’s house.
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do you know the name of the pharmacy (No matching questions found.)
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what pharmacy do you get your medications from?
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I always fill my inhaler prescription at the pharmacy near Mom’s house.
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I want you to wash your wound with soapy water
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Educate |
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Thanks for telling me.
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dry wound gently with clean towel (No matching questions found.)
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dry wound gently with clean towel
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Educate |
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Thanks for telling me.
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apply antibiotic ointment to wound
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Educate |
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Thanks for telling me.
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apply a dry clean bange
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Educate |
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Thanks for telling me.
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do wound care twice a day
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I made sure to clean it and just keep it bandaged. And I put Neosporin on it.
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take your medications , monitor your temperature , eat a balance meal, drink lots of fluids and plenty of rest
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Educate |
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Thanks for telling me.
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lets talk about your diabetes (Clarified to Tell me more about your diabetes..)
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I don’t think there’s a lot to say about it . . . it seems pretty under control, and it’s just type 2 anyway. (Clarified to to tell you about my diabetes.)
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when was the last time you had a asthma attack
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It’s really rare for me to have an attack now. Three days ago I had some breathing problems, but I guess probably my last full attack was in high school.
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what did you take when you had the breathing problem (Clarified to Can you describe your breathing problems?.)
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When my asthma acts up, I feel like my chest is tight, like I can’t really take in air. And I usually wheeze. (Clarified to to describe my breathing problems.)
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what medication are you taking for your Asthma
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It’s just a regular Proventil inhaler.
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how often do you use your inhaler
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Not often. Maybe two or three times a week.
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sorry about you have to go throw this
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Empathize |
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Thanks.
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Treating high cholesterol helps lower your risk of stroke
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Educate |
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Thanks for telling me.
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It sounds like that was a challenging time for you
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Empathize |
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Thanks.
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Examined right eye.
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Exam Action |
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Examined left eye.
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Exam Action |
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Percussed posterior left upper chest wall
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Exam Action |
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Percussed posterior right upper chest wall
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Exam Action |
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Percussed posterior right middle chest wall
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Exam Action |
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Percussed posterior left middle chest wall
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Exam Action |
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Percussed posterior left lower chest wall
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Exam Action |
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Percussed posterior right lower chest wall
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Exam Action |
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Percussed posterior right lower chest wall
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Exam Action |
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Percussed posterior left lower chest wall
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Exam Action |
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Percussed posterior left lower chest wall
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Exam Action |
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Percussed posterior right lower chest wall
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Exam Action |
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Percussed anterior right upper chest wall
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Exam Action |
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Percussed anterior left upper chest wall
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Exam Action |
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Percussed anterior right middle chest wall
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Exam Action |
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Percussed anterior left middle chest wall
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Exam Action |
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Percussed anterior right lower chest wall
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Exam Action |
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Percussed anterior left lower chest wall
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Exam Action |
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CompletedOrientation
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Exam Action |
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hello my name is isatu, i’m here to interview and examine you
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Greet |
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Hey.
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what brings you in today?
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Question |
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I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it’s looking pretty nasty. And the pain is killing me!
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treating high cholesterol help lower your risk of stroke
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Educate |
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Thanks for telling me.
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It sounds like that was a challenging time for you
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Empathize |
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Thanks.
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Examined right eye.
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Exam Action |
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Examined left eye.
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Exam Action |
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Percussed posterior left upper chest wall
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Exam Action |
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Percussed posterior right upper chest wall
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Exam Action |
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Percussed posterior left middle chest wall
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Exam Action |
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Percussed posterior right middle chest wall
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Exam Action |
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Percussed posterior left lower chest wall
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Exam Action |
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Percussed posterior right lower chest wall
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Exam Action |
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Percussed posterior left lower chest wall
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Exam Action |
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Percussed posterior right lower chest wall
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Exam Action |
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Percussed posterior left lower chest wall
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Exam Action |
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Percussed posterior right lower chest wall
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Exam Action |
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Percussed posterior right lower chest wall
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Exam Action |
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Percussed posterior left lower chest wall
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Exam Action |
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Percussed posterior right lower chest wall
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Exam Action |
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Percussed posterior left lower chest wall
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Exam Action |
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Percussed anterior right upper chest wall
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Exam Action |
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Percussed anterior left upper chest wall
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Exam Action |
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Percussed anterior right middle chest wall
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Exam Action |
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Percussed anterior left middle chest wall
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Exam Action |
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Percussed anterior right lower chest wall
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Exam Action |
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Percussed anterior left lower chest wall
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Exam Action |
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Percussed anterior left lower chest wall
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Exam Action |
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Percussed anterior right lower chest wall
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Exam Action |
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CompletedOrientation
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Exam Action |
Week 3 – Digital Clinical Experience Orientation – Patient: Tina Jones
Open Text Question Activity Time: 3 min
Please explain what you’re looking forward to the most in your upcoming activities within the DCE.
Student Response: I’m excited about doing a head-to-toe assessment and talking with the patient.
Model Note: There are numerous chances to learn and practice clinical skills in the DCE. We hope you’re excited about all of them!
Transcript
Started: May 22, 2022 | Total Time: 104 min
Your Avatar.
Hello, I’m xx. I’m here to interview and examine you.
Greet
03/12/23 8:13 PM EDT
Tina Jones.
Hey.
Your Avatar.
How are you feeling today?
Question
03/12/23 8:13 PM EDT
Tina Jones.
Not great… My foot hurts a lot right now.
Your Avatar.
Can you tell me what’s going on?
Question
03/12/23 8:14 PM EDT
Tina Jones.
I had a scrape on my foot a while ago. I thought it would heal on its own, but now it looks bad, and the pain is intense.
Your Avatar.
On a scale of 0 to 10, how would you rate your foot pain? (Clarified to: On a scale of 0-10, how severe is the pain in your right foot?)
Question
03/12/23 8:15 PM EDT
Tina Jones.
I’d say it’s a 7. It hurts a lot, and the pain pills haven’t worked yet. (Clarified to: How I would rate the pain in my foot on a scale.)
Your Avatar.
How long has this been happening?
Question
03/12/23 8:16 PM EDT
Tina Jones.
I got the scrape a week ago, but the pain got much worse recently.
Your Avatar.
Can you tell me how this injury occurred?
Question
03/12/23 8:17 PM EDT
Tina Jones.
I was going down some steps, and I tripped. I grabbed the railing, but I twisted my ankle a bit and scraped my foot on the step’s edge.
Your Avatar.
What have you been doing to treat your foot? (Clarified to: What steps have you taken for your scrape?)
Question
03/12/23 8:18 PM EDT
Tina Jones.
I made sure to clean it and kept it bandaged. I also applied Neosporin. (Clarified to: What I’ve been doing for the scrape.)
Your Avatar.
Are you taking any pain medication?
Question
03/12/23 8:19 PM EDT
Tina Jones.
Yes, I’ve started taking pain meds.
Your Avatar.
What pain medication are you using?
Question
03/12/23 8:19 PM EDT
Tina Jones.
It’s called tramadol.
Your Avatar.
Apart from medication, how are you managing your pain?
Question
03/12/23 8:21 PM EDT
Tina Jones.
I watch my diet and try to avoid sugary foods.
Your Avatar.
Can you share more about your medical history?
Question
03/12/23 8:21 PM EDT
Tina Jones.
I’ve had asthma since I was little and also have diabetes.
Your Avatar.
How long have you had diabetes?
Question
03/12/23 8:22 PM EDT
Tina Jones.
I was diagnosed when I was 24.
Your Avatar.
What medications do you take for your diabetes?
Question
03/12/23 8:22 PM EDT
Tina Jones.
I don’t take medication for it anymore.
Your Avatar.
I’m sorry you’re experiencing this pain. I’ll see how I can help you feel better.
Empathize
03/12/23 8:24 PM EDT
Tina Jones.
Thanks.
Your Avatar.
You’re welcome.
Question
03/12/23 8:24 PM EDT
Your Avatar.
You’re welcome.
Question
03/12/23 8:24 PM EDT
Your Avatar.
Can you move your foot?
Question
03/12/23 8:25 PM EDT
Tina Jones.
My ankle is starting to hurt when I move it.
Your Avatar.
Have you had an X-ray for your ankle?
Question
03/12/23 8:25 PM EDT
Tina Jones.
Yes, they did.
Your Avatar.
What were the results of the X-ray? (Clarified to: Do you know what the X-ray showed for your injured foot?)
Question
03/12/23 8:26 PM EDT
Tina Jones.
The X-ray was normal. Nothing is broken. (Clarified to: What the foot X-ray revealed.)
Your Avatar.
Great.
Question
03/12/23 8:26 PM EDT
Your Avatar.
Do you have a fever?
Question
03/12/23 8:27 PM EDT
Tina Jones.
I don’t feel feverish now, but I had a high temperature last night.
Your Avatar.
What was your temperature last night?
Question
03/12/23 8:27 PM EDT
Tina Jones.
It reached 102.
Your Avatar.
Did you take any fever medication?
Question
03/12/23 8:28 PM EDT
Tina Jones.
I didn’t do much for it at home.
Your Avatar.
Have you noticed any pus on your wound? (Clarified to: Does your scrape have pus?)
Question
03/12/23 8:28 PM EDT
Tina Jones.
Yes, there’s definitely pus. (Clarified to: If my scrape has pus.)
Your Avatar.
How often do you change your bandage?
Question
03/12/23 8:29 PM EDT
Tina Jones.
Every morning and night. I’m keeping an eye on it. (Clarified to: How often I change my bandage.)
Your Avatar.
What’s the color of the discharge?
Question
03/12/23 8:30 PM EDT
Tina Jones.
It’s white, maybe off-white.
Your Avatar.
OK.
Question
03/12/23 8:30 PM EDT
Your Avatar.
Have you taken any antibiotics for your wound?
Question
03/12/23 8:34 PM EDT
Tina Jones.
No, the ER only gave me pain meds.
Your Avatar.
Are you experiencing pain in places other than your ankle? (Clarified to: Do you have pain elsewhere than your foot?)
Question
03/12/23 8:35 PM EDT
Tina Jones.
The pain is worse in my foot, but I feel it in my ankle too. (Clarified to: If I have pain elsewhere than my foot.)
Your Avatar.
Can you wiggle your toes?
Question
03/12/23 8:36 PM EDT
Tina Jones.
I can wiggle them a bit, but moving my foot hurts a lot.
Your Avatar.
Is your foot warm
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