Type 1 Diabetes Chelsea Warren Shadow health Transcript

Hello, I am nurse xxx. What is your name? Type 1 Diabetes Chelsea Warren Shadow health Transcript

Table of Contents

Started: Jan 27, 2021 | Total Time: 118 min

	Checked ID band	Exam Action 01/27/21 5:21 PM PST Struggling to meet your deadline? Get your assignment on Type 1 Diabetes Chelsea Warren Shadow health Transcript done by certified MDs and PhDs in the USA. ORDER NOW! Meet my deadline
	Assessed vitals	Exam Action 01/27/21 5:21 PM PST
	Checked ID band	Exam Action 01/27/21 5:21 PM PST
	Hello, I am nurse xxx. What is your name? Type 1 Diabetes Chelsea Warren Shadow health Transcript	Question 01/27/21 5:32 PM PST
	Hiiiii.
	What is your name?	Question 01/27/21 5:32 PM PST
	Chelsea Warren.
	Nice. Welcome to the clinic Chelsea	Empathize 01/27/21 5:32 PM PST
	Thank you.
	What brought you to the clinic today?	Question 01/27/21 5:33 PM PST
	Duh. Diabetes.
	Sorry about that	Empathize 01/27/21 5:33 PM PST
	Thanks, I appreciate it.
	How do you feel?	Question 01/27/21 5:34 PM PST
	I feel way better now. I am super ready to go home.
	Good to hear	Empathize 01/27/21 5:34 PM PST
	Ummmm thanks.
	Are you having pain right now?	Question 01/27/21 5:35 PM PST
	No. No pain.
	That is great Chelsea	Empathize 01/27/21 5:36 PM PST
	Thank you.
	Do you feel comfortable?	Question 01/27/21 5:38 PM PST
	Yeah, I feel comfortable. I just wanna go home. I’m way better now.
	Why were you admitted?	Question 01/27/21 5:38 PM PST
	Like . . . two days ago I was at a riding lesson and I felt really bad all of a sudden. Me and Ms. Saint George thought I got too hot, but then I puked — er, threw up. I don’t remember the rest very well, but my dad brought me here, and then the doctors said I had DKA or whatever.
	Sorry about that incident	Empathize 01/27/21 5:39 PM PST
	Ummmm thanks.
	What was the duration of the symptoms? (No matching questions found.)	Question 01/27/21 5:40 PM PST
	how long did the symptoms last?	Question 01/27/21 5:40 PM PST
	I guess I felt bad for like, 10 days before the DKA.
	Have you been urinating more often?	Question 01/27/21 5:41 PM PST
	I was going a lot before the DKA thing. But it seems back to normal now.
	Were you almost more thirsty?	Question 01/27/21 5:42 PM PST
	I’m not super thirsty very often, but for like 10 days before the diabetic key-do . . . the DKA thing, before that I was soooo thirsty. I could not drink enough water. I literally could not.
	Have you been feeling more thirsty?	Question 01/27/21 5:42 PM PST
	Well, before the DKA, I was super duper thirsty for like . . . 10 days. I didn’t know what was wrong, I just started drinking so much water. It felt like my mouth was always dry.
	Excessive thirst is a symptom of DKA	Educate 01/27/21 5:43 PM PST
	Oh, ok. I think I get it.
	Are you fatigued?	Question 01/27/21 5:43 PM PST
	I feel way better now, but before the DKA I was really tired. I didn’t wanna do anything. I felt like a slug. That happened for like . . . I dunno. Like 10 days before the DKA. It was super weird.
	Are you always feeling fatigued?	Question 01/27/21 5:44 PM PST
	I mean I’m not normally tired. I was super tired before the DKA, but I didn’t know that’s what was wrong with me.
	Any appetite changes?	Question 01/27/21 5:44 PM PST
	My appetite is fine now, but before the diabetic key . . . the DKA thing . . . I didn’t want to eat, like, anything. My mom thought maybe I was getting sick or hitting a growth spurt or something.
	Am glad your appetite is back Chelsea.	Empathize 01/27/21 5:45 PM PST
	Thanks, I appreciate it.
	When did you start feeling sick?	Question 01/27/21 5:45 PM PST
	I’ve been feeling pretty bad for a while. Since like ten days ago. I started feeling really bad right before dad took me to the hospital. That was two days ago.
	What type of diabetes do you have?	Question 01/27/21 5:46 PM PST
	Type 1. The kid kind.
	That is correct.	Educate 01/27/21 5:46 PM PST
	There’s so much to learn. I feel like my brain is full! But thanks for telling me.
	What is your favorite diet? (No matching questions found.)	Question 01/27/21 5:47 PM PST
	What is your typical diet?	Question 01/27/21 5:47 PM PST
	My mom, Nora, is like, a total health nut. Breakfast is yogurt and fruit, lunch on the weekends is salad and chicken, and then she always does some kind of healthy grilled meat and veggies. Dad . . . well, he’s a little more chill about it. I mean, he’s a lot busier so he can’t cook as much.
	Well, it is good to have high intake of fruits and vegetables	Educate 01/27/21 5:48 PM PST
	This is a lot to take in, but I think I get it.
	What is your usual breakfast?	Question 01/27/21 5:48 PM PST
	When I’m staying with my mom, normally we eat yogurt and fruit for breakfast. When I stay with Dad, he likes to make pancakes or waffles sometimes.
	What do you usually eat for lunch?	Question 01/27/21 5:49 PM PST
	Well, I eat lunch at school. Shadow Academy has pretty good food, actually. When I’m staying with mom, on the weekends she’ll make a big salad with chicken. For lunch with my dad, we usually go out for a sandwich.
	It is good to follow the recommended diet for people with diabetes	Educate 01/27/21 5:50 PM PST
	Ok. Ok. I got it.
	Do you exercise?	Question 01/27/21 5:50 PM PST
	Yeah. I ride horses a few times a week, and there’s also gym class at school. Sometimes on the weekends Dad wants me to go running with him, but I hate it.
	That is nice. Exercise is very important for your health	Educate 01/27/21 5:50 PM PST
	There’s so much to learn. I feel like my brain is full! But thanks for telling me.
	Don’t worry about that	Empathize 01/27/21 5:51 PM PST
	Thank you.
	D o you smoke tobacco?	Question 01/27/21 5:51 PM PST
	No way! What would Sparkle think of me?
	Yeah, smoking is bad for your health	Educate 01/27/21 5:52 PM PST
	Ok. Ok. I got it.
	Have you ever vaped or used an ecigarette?	Question 01/27/21 5:52 PM PST
	Puff on a USB stick that turns your lungs into popcorn? I’ll pass.
	Do you drink alcohol?	Question 01/27/21 5:53 PM PST
	OMG I dunno. I’m 11! I’ve never tried it.
	Yeah, alcohol is bad for your health	Educate 01/27/21 5:53 PM PST
	This is a lot to take in, but I think I get it.
	Do you have a headache?	Question 01/27/21 5:54 PM PST
	Headaches? I don’t really get those.
	Did your nausea improve?	Question 01/27/21 5:54 PM PST
	Yup — I don’t feel nauseated anymore.
	That is nice.	Empathize 01/27/21 5:56 PM PST
	Ummmm thanks.
	Are you feeling sick?	Question 01/27/21 5:56 PM PST
	I feel way better now. I felt really bad two days ago, but I’m back to normal now.
	Are you going to be sick?	Question 01/27/21 5:56 PM PST
	I don’t feel like that anymore. I haven’t thrown up in two days.
	Are you feeling constipated?	Question 01/27/21 5:57 PM PST
	Nope. That’s normal, thanks.
	How long have you been urinating more frequently?	Question 01/27/21 5:58 PM PST
	I was peeing a lot more like . . . 10 days before I had the diabetic key . . . the DKA thing.
	Do you feel dizzy?	Question 01/27/21 5:58 PM PST
	Nuh uh.
	Do you feel tingling anywhere?	Question 01/27/21 5:58 PM PST
	No, nothing like that.
	Do you have a wound?	Question 01/27/21 5:58 PM PST
	Uh, I don’t think so. I don’t really get hurt that often, though.
	What is your relationship to the patient?	Question 01/27/21 5:59 PM PST
	Chelsea is my daughter.
	What is your daughter’s diagnosis?	Question 01/27/21 6:00 PM PST
	She’s been diagnosed with type 1 diabetes.
	WHEN WAS YOUR DAUGHTER DIAGNOSED WITH DIABETES?	Question 01/27/21 6:00 PM PST
	Well, when I took Chelsea to the emergency room the doctors ran some tests and asked me about her symptoms. She was confused and disoriented. Honestly, I didn’t know what was going on with her until the doctors told us she has type 1 diabetes. Type 1 Diabetes Chelsea Warren Shadow health Transcript
	Oooh, sorry about that	Empathize 01/27/21 6:00 PM PST
	Uh, thanks.
	When was your daughter hospitalized?	Question 01/27/21 6:01 PM PST
	We came to the hospital two days ago. She had diabetic ketoacidosis when we came in, but I think she’s feeling a lot better now.
	Did your daughter have complications with her diabetes?	Question 01/27/21 6:01 PM PST
	We came to the hospital two days ago. She had diabetic ketoacidosis when we came in, but I think she’s feeling a lot better now.
	How was your daughter feeling?	Question 01/27/21 6:02 PM PST
	Chelsea was feeling pretty bad when we first got here. I thought maybe she had a stomach bug, because she was throwing up. She was also kind of confused — just not herself. She was pretty out of it. Type 1 Diabetes Chelsea Warren Shadow health Transcript
	Sorry about that. Its hard seeing your child unwell	Empathize 01/27/21 6:02 PM PST
	Thank you.
	Has your daughter’s weight changed lately?	Question 01/27/21 6:03 PM PST
	Well, her horseback riding lesson two days ago was the first time I’d seen her in two weeks. She was staying with her Mom. When I saw her at her riding lesson, I thought she looked a little thinner than normal.
	How much weight has your daughter lost?	Question 01/27/21 6:04 PM PST
	I think she lost around five pounds. It happened in the last two weeks, when she was staying with her mom. She’s not normally this thin.
	Do you know anything about type 1 diabetes?	Question 01/27/21 6:05 PM PST
	Just what I’ve learned here in the hospital. We’ve had a lot of different people come in and talk to us . . . and I’ve been reading a lot of articles on my phone. I’ve been reading about insulin, and uh, carb counting, but I don’t think it’s all sunk in.
	It is good to have good knowledge about the disease so that you can manage your daughter’s condition effectively	Educate 01/27/21 6:05 PM PST
	I see.
	What is your daughter’s typical diet? (Clarified to What is your daughter’s diet like?.)	Question 01/27/21 6:06 PM PST
	It’s actually pretty normal, I suppose. Pancakes and fruit for breakfast are my speciality. I’ll either fix a sandwich and chips for lunch or she’ll get lunch at school. Dinner varies between take-out or my world famous chili. (Clarified to what my daughter’s diet is like.) Type 1 Diabetes Chelsea Warren Shadow health Transcript
	It is recommended to avoid high intake of carbs and fatty foods. Please follow the appropriate debates diet.	Educate 01/27/21 6:07 PM PST
	Okay.
	How many carbohydrates does your daughter eat a day?	Question 01/27/21 6:08 PM PST
	I . . . I don’t think she eats many carbs. I haven’t counted yet, but we stick to pretty healthy foods. We don’t eat a lot of sugar.
	What medications does your daughter take for her diabetes? (No matching questions found.)	Question 01/27/21 6:09 PM PST
	What medications does your daughter take? (No matching questions found.)	Question 01/27/21 6:09 PM PST
	Any treatment? (No matching questions found.)	Question 01/27/21 6:10 PM PST
	Are you married?	Question 01/27/21 6:10 PM PST
	Chelsea’s mom, Nora, and I are divorced. We split custody 50/50, so Chelsea stays with me for two weeks at a time, and then stays with her mom for two weeks. We try to set a good example and, you know, do the civil co-parenting thing.
	Okay, I know divorce is hard even for the kids. But it is good to see Chelsea has the love of both her parents even after the divorce	Empathize 01/27/21 6:11 PM PST
	Mmmhmmm.
	How is your daughter’s relationship with her mother? Type 1 Diabetes Chelsea Warren Shadow health Transcript	Question 01/27/21 6:12 PM PST
	Chelsea and Nora are really close.
	That is great	Empathize 01/27/21 6:13 PM PST
	Uh, thanks.
	Has your daughter been hospitalized before?	Question 01/27/21 6:13 PM PST
	This is Chelsea’s first visit to a hospital. No surgeries . . . I mean, she hasn’t even broken a bone before.
	Does any one in your family have diabetes?	Question 01/27/21 6:14 PM PST
	Well, Mother has type 2 diabetes. She was diagnosed a little bit after Chelsea was born. Other than that, nothing else.
	Do you take medications?	Empathize 01/27/21 6:14 PM PST
	Thanks, I appreciate it.
	Do you take medications?	Question 01/27/21 6:15 PM PST
	Um, I mean, I guess I take insulin every day, if that’s what you mean.
	Do you monitor your blood glucose levels? (Clarified to Do you check your blood sugar at home?.)	Question 01/27/21 6:15 PM PST
	Other people have been checking it for me. I haven’t done it myself yet. (Clarified to if I check my blood sugar.)
	Okay. It is good to closely monitor your glucose levels	Educate 01/27/21 6:16 PM PST
	Oh, ok. I think I get it.
	thanks for answering the questions Chelsea. Type 1 Diabetes Chelsea Warren Shadow health Transcript	Empathize 01/27/21 6:16 PM PST
	Thank you.
	Do you have a high heart beat?	Educate 01/27/21 6:17 PM PST
	There’s so much to learn. I feel like my brain is full! But thanks for telling me.
	Do you have a high heart beat? (Clarified to Does your heart race?.)	Question 01/27/21 6:17 PM PST
	Nope, my heart feels fine. (Clarified to if my heart races.)
	Do you have fever?	Question 01/27/21 6:17 PM PST
	No, I don’t think I have a fever.
	I will now perform a physical assessment	Educate 01/27/21 6:18 PM PST
	Oh, ok. I think I get it.
	Checked ID band	Exam Action 01/27/21 6:18 PM PST
	Assessed vitals	Exam Action 01/27/21 6:18 PM PST
	Do you feel any pain?	Question 01/27/21 6:30 PM PST
	No. No pain.
	Assessed growth	Exam Action 01/27/21 6:30 PM PST
	Assessed growth	Exam Action 01/27/21 6:31 PM PST
	Inspected IV site	Exam Action 01/27/21 6:31 PM PST
	Assessed vitals	Exam Action 01/27/21 6:32 PM PST
	Do you have any needs right now? (Clarified to Do you need anything?.)	Question 01/27/21 7:01 PM PST
	I guess, uh . . . I guess I need to know more about this diabetes stuff. I find it all kinda confusing, but I want to know more. (Clarified to if I need anything.)
	Diabetes is a metabolic disease. With the right diet, appropriate exercise and adherence to medication and close monitoring of the blood glucose levels, the condition can be managed very well.	Educate 01/27/21 7:02 PM PST
	Ok. Ok. I got it.
	Inspected IV site	Exam Action 01/27/21 7:02 PM PST
	Educate Chelsea in the most therapeutic manner on what supplies she will need to administer insulin.	Exam Action 01/27/21 7:03 PM PST
	Chelsea, before you administer insulin, you will need a new, packaged syringe, a vial of insulin, alcohol wipes, and access to a special container for storing your used syringe. Do you have any questions? Type 1 Diabetes Chelsea Warren Shadow health Transcript	Question 01/27/21 7:06 PM PST
	Okay, got it.
	Actually, what do you mean by a special container?
	It is called a sharps container. Before you go home, we will make sure that each of your parents gets one, and that you know where to find one at school.	Question 01/27/21 7:07 PM PST
	Okay, thanks.
	Educate in the most therapeutic manner on how to prepare a syringe for injection.	Exam Action 01/27/21 7:07 PM PST
	Ned, take the syringe out of its packaging, and pull the cap off of the needle on the syringe. Pull the plunger of the syringe back until it is level with the correct dose. The numbers are printed on the side of the syringe.	Question 01/27/21 7:08 PM PST
	Understood. This is how I will prep Chelsea’s syringe when I am going to administer Chelsea’s insulin.
	Hey, I thought I was going to be doing that.
	You have not selected the most therapeutic way to deliver this information. The incorrect response you selected has been removed. Try again with the remaining responses.	Exam Action 01/27/21 7:08 PM PST
	Educate in the most therapeutic manner on how to prepare a syringe for injection.	Exam Action 01/27/21 7:08 PM PST
	Chelsea, take the syringe out of its packaging, and pull the cap off of the needle on the syringe. Pull the plunger of the syringe back until it is level with the correct dose. The numbers are printed on the side of the syringe.	Question 01/27/21 7:09 PM PST
	Take the syringe out of the package, get the cap off the needle, pull the plunger back to my correct dose. Roger, dodger.
	Educate Chelsea on the first steps in filling the syringe with insulin.	Exam Action 01/27/21 7:09 PM PST
	Put the bottle of insulin on a flat surface, and hold it steady with one hand. With your other hand, push the needle straight into the insulin bottle and slowly push the plunger down. This will inject the air in the syringe into the bottle. Don’t pull the syringe out yet. Any questions?	Question 01/27/21 7:10 PM PST
	No questions. So far, so good.
	Educate Chelsea on completing the process of filling the syringe with insulin.	Exam Action 01/27/21 7:10 PM PST
	With the needle still in the insulin vial, turn both upside down, so that the bottom of the vial is pointing at the ceiling. Slowly draw the plunger down so that insulin fills the syringe. Keep the tip of the needle in the insulin, and make sure you don’t bend the needle. Do you have any questions? Type 1 Diabetes Chelsea Warren Shadow health Transcript	Question 01/27/21 7:10 PM PST
	I still get it. Chelsea Warren Focused Exam: Type 1 Diabetes Shadow health Documentation
	Educate Chelsea on how to evacuate air bubbles from the syringe.	Exam Action 01/27/21 7:10 PM PST
	The needle is still in the bottle at this point. Tap the side of the syringe with your finger to make any bubbles rise to the top. Then, you can push the plunger just enough to force the air out through the needle.	Question 01/27/21 7:11 PM PST
	Makes sense to me.
	Now that I think about it, what’s wrong with air?
	Injecting yourself with insulin is safe, but if there are bubbles in the syringe, they will take up space, and you won’t inject enough insulin.	Question 01/27/21 7:11 PM PST
	Understood.
	Educate Chelsea on prepping the insulin injection site.	Exam Action 01/27/21 7:11 PM PST
	After removing the needle from the vial, use an alcohol pad to clean the injection site. Let the site dry, otherwise it might sting a little. Pinch approximately 1 inch of skin, not too hard. Insert the needle into the pinched skin at the proper angle and slowly push the plunger in until it is empty. Leave the needle in your skin for five seconds. Any questions?	Question 01/27/21 7:12 PM PST
	Huh, okay.
	Educate Chelsea on how to complete the injection process.	Exam Action 01/27/21 7:12 PM PST
	Once you take the needle out, keep an eye on the area you injected. If you see any bleeding, use a tissue to clean it up. If you see any insulin leak out, check back with your provider to go over the injection process again.	Question 01/27/21 7:12 PM PST
	Watch out for leaks, and clean up the blood. I got it.
	Now it’s time for Chelsea to demonstrate what she’s learned.	Exam Action 01/27/21 7:12 PM PST
	Ok, Chelsea, do you feel ready to practice injecting insulin? We’re going to use sterile saline to practice, since you don’t need a dose of insulin right now.	Question 01/27/21 7:12 PM PST
	Yep! Let’s do this.
	Are you sure you’re ready for this, sweetie?
	I got it, Dad. Don’t worry.
	Chelsea demonstrates the proper technique for how to prep and fill a syringe. Type 1 Diabetes Chelsea Warren Shadow health Transcript	Exam Action 01/27/21 7:13 PM PST
	Next.	Question 01/27/21 7:13 PM PST
	Chelsea demonstrates the proper technique for giving herself an injection.	Exam Action 01/27/21 7:13 PM PST
	Next.	Question 01/27/21 7:13 PM PST
	You complete education with Chelsea on how to effectively manage her diabetes, having successfully covered areas such as glucose monitoring using a glucometer, how to manage risk factors such as hypoglycemia and hyperglycemia, how her diet impacts her diabetes, what to do on sick days, and how to create an action plan at her school. Chelsea and Ned both verbalize that they feel ready to manage Chelseas new chronic illness. Ned says he feels confident that he and his ex-wife will be able to manage Chelsea’s diabetes for the next few days, until their appointment with an endocrinologist. Type 1 Diabetes Chelsea Warren Shadow health Transcript

Type 1 Diabetes Chelsea Warren Shadow Health Transcript

Introduction:
– Date: January 27, 2021
– Duration: 118 minutes

Exam Overview:
– Checked ID band
– Assessed vitals

Introduction and Initial Questions:
– Nurse introduced herself and asked Chelsea’s name.
– Chelsea mentioned having Type 1 Diabetes.
– Nurse empathized with Chelsea’s situation.
– Chelsea shared her symptoms before hospitalization.
– Nurse empathized with Chelsea’s experience.
– Chelsea described feeling better after treatment.

Symptoms and Medical History:
– Chelsea described symptoms like excessive thirst, frequent urination, fatigue, and loss of appetite.
– Nurse explained that these symptoms are related to Diabetes.

Diet and Lifestyle:
– Chelsea shared her diet habits with her parents.
– Nurse educated Chelsea about the importance of a proper diet for diabetes management.
– Chelsea discussed her exercise routine.
– Nurse emphasized the significance of exercise.

Parental Involvement:
– Ned, Chelsea’s father, shared information about Chelsea’s recent weight loss and diagnosis timeline.
– Ned revealed that Chelsea’s mother has Type 2 Diabetes.

Insulin Administration Education:
– Nurse educated Chelsea and Ned about insulin administration.
– Nurse explained how to prepare the syringe, draw insulin, and remove air bubbles.
– Nurse advised on cleaning the injection site and demonstrated the injection process.

Practice Injection:
– Chelsea practiced the insulin injection using sterile saline.

Conclusion and Readiness:
– Nurse concluded the education session.
– Chelsea and Ned felt confident in managing Chelsea’s diabetes.
– Ned expressed confidence in co-parenting and managing Chelsea’s condition.

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Type 1 Diabetes Chelsea Warren Shadow health Transcript