Exam (elaborations) NSG 516 Gastrointestinal Completed Shadow Health 1 (NSG516)
Gastrointestinal Results | Turned In
Advanced Health Assessment -
... [Show More] Spring 2019, NSG516 Online
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Your Results Reopen Lab Passss
This score measures your performance on the Student
Performance Index in relation to other students in
comparable academic programs. Your instructor has
chosen to scale your Student Performance Index score
so that the average score on the index is a 84.0%. This
score may not be your final grade if your instructor
chooses to include additional components, such as
documentation or time spent.
Patient: Tina Jones
Digital Clinical Experience Score
99.3%
Beginning Developing Proficient
Subjective Data
Collection
30 out of 30
Objective Data Collection
17 out of 18
Education and Empathy
2 out of 4
Interaction with patient
59 minutes
Post-exam activities
8 minutes
Time
67 minutes total spent in assignment
Student Performance Index
49 out of 52
Proficiency Level: Proficient
Students rated as “proficient” demonstrate an entrylevel
expertise in advanced practice competencies and
clinical reasoning skills. In comparable programs, the
top 25% of students perform at the level of a proficient
practitioner.
Started: Mar 09, 2019 | Patient Exam Time: 59 min
Transcript
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Self-Reflection
Student Survey
Experience Overview
Allll Liiness (()) IIntterrvviiew Quessttiionss ((7733)) Sttattementtss ((1133)) Exxam Acttiionss ((5599))
Greet
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Hii Tiina,, II am JJulliiana,, tthe nurrsse prracttiittiionerr ssttudentt.. II wiillll iintterrvviiew and
exxamiine yyou ttodayy.. Niice sseeiing yyou agaiin..
Hey.
Whatt brriingss yyou iin?
I've been having this stomach pain for awhile. It keeps coming back,
and it really is starting to bother me.
Sorrrryy tto hearr yyou arre havviing ttrroublle wiitth ssttomach paiin.. Lett;;ss ssee iiff we
can fifigurre outt whatt tthe prrobllem iiss..
Thanks for saying that.
When diid tthe ssttomach paiin ssttarrtt?
Probably at least a month ago. Maybe longer. It started out really minor
so it took me awhile to realize it was getting bad.
Can yyou desscrriibe tthe ssttomach paiin?
Um, it feels like heartburn. But sometimes, if it's bad, it's sharper than
that.
Doess anyytthiing makke tthe paiin worrsse?
Eating seems to cause it.
Oh,, whatt a burrden!! Hopeffullllyy yyou arre nott exxperriienciing iitt allll tthe ttiime!!
I appreciate you telling me that.
Do grreassyy ffoodss makke tthe paiin worrsse?
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I don't think so.
Whatt makkess tthe paiin worrsse?
Eating seems to cause it.
Whatt makkess tthe ssttomach paiin betttterr?
I feel the best in-between meals. And sitting up on the couch seems to
help. And sometimes I take an antacid.
How offtten do yyou ttakke anttaciidss?
I take them every few days. Just if the heartburn gets bad.
How much do anttaciidss hellp?
Yeah, they help. I try to only take them when the pain seems worse
than usual.
II am gllad tto hearr yyou arre ablle tto gett ssome rrelliieff ffrrom tthe anttaciidss
Thanks.
Doess tthe ssttomach paiin rradiiatte?
No, it's right in the center of my stomach, like between my belly button
and my ribs.
How offtten do yyou gett ssttomach paiin?
It started really gradually, so I didn't notice for awhile that it was
happening more and more often. Now it's like, every day.
Empathize
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IItt musstt be harrd tto havve tto deall wiitth ssttomach paiinss daiillyy..
I appreciate you saying that.
How llong doess tthe paiin llasstt?
For a few hours after I eat.
How woulld yyou rratte tthe ssttomach paiin ffrrom 0--10?
Right now, it's like a 1 or 2. But after I eat, it's like a. . . 5?
How llong doess tthe ssttomach paiin llasstt?
For a few hours after I eat.
A daiillyy paiin off 5//10 iiss a llott tto deall wiitth..
Thanks for understanding.
Doess tthe paiin iintterrfferre wiitth yyourr lliiffe? ((Cllarriifified tto Hass tthe paiin affffectted
yyourr ussuall acttiivviittiiess?..))
Not too much. I'm still able to do everything with work and school. But
it affects the way I eat -- I haven't wanted to eat much, because I feel
like it's gonna hurt if I eat the wrong thing, or if I eat too much at one
time. (Clarified to if my pain has affected my activities.)
Whatt ffoodss makke iitt worrsse?
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Definitely spicy food. I stopped eating anything spicy. And any really
big meal makes it hurt worse.
How doess tthe ssttomach paiin affffectt yyourr appettiitte?
Yes. Every time I eat it hurts. I've been eating less because I don't like
being in pain.
II am ssurrprriissed yyou havventt llosstt morre weiightt.. Lettss come up wiitth a pllan
tto addrressss iitt
Thanks for saying that.
Hass tthe ssttomach paiin caussed weiightt llossss?
Yeah, I've been trying to eat really little meals. I haven't been that
hungry, and I don't want to have the pain of eating a big meal.
II compllettellyy underrssttand..
Thanks for understanding.
Eattiing ssmallllerr meallss and makkiing ssome diiett modiifificattiionss can hellp
wiitth tthesse ssyympttomss..
That makes sense.
Havve yyou llosstt weiightt?
No, I don't think so.
Havve yyou been burrpiing llattellyy?
Yeah, that's been happening after I eat.
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DO yyou havve anyy allllerrgiiess?
Yeah, I'm allergic to cats.
Whatt iiss yyourr rreacttiion tto catt allllerrgiiess?
Whenever I'm around cats, I start sneezing, my eyes get itchy. . . and
my asthma starts to act up.
Do yyou havve mediicattiion allllerrgiiess?
Yeah, I'm allergic to penicillin.
Whatt iiss yyourr rreacttiion tto peniiciilllliin?
I don't remember that well because the last time I had penicillin I was
pretty little. . . I think I got a rash, like, hives. The doctor told me not to
take it again after that.
Do yyou havve anyy ttrroublle brreatthiing?
Well, I have asthma, but I haven't had much trouble with it. With my
inhaler, it's under control.
Whatt mediicattiionss do yyou currrrenttllyy ttakke?
I have a daily inhaler. And I've been taking antacid chews sometimes
for my stomach, too.
Do yyou ttakke anyy ottherr ovverr tthe countterr mediicattiionss?
No, the only thing lately has been those antacid chews.
How offtten do yyou usse tthe anttaciid chewss
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I take them every few days. Just if the heartburn gets bad.
Do yyou drriinkk allcoholl?
Not lately, but I do every so often.
How much allcoholl do yyou drriinkk perr montth?
I only go out 2 or 3 times a month at the most. I haven't been out in a
couple weeks.
How manyy drriinkkss do yyou havve perr montth?
We're talking, like... maybe twice a month, I meet up with friends and
have 2 to 3 drinks. That's like, 6 a month. And I haven't had a drink in
at least 2 weeks.
DO yyou ssmokke?
No, I've never smoked a cigarette in my life.
Good fforr yyou!!
Thanks.
Do yyou usse rrecrreattiionall drrugss?
Yeah, in high school and a little after that I smoked pot sometimes. But
I haven't done anything like that in a long time.
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Do yyou havve a hiissttorryy off gassttrroiinttessttiinall prrobllemss?
I don't have a history of gastrointestinal problems. I've never
experienced this before. [AUDIO COMING SOON]
Arre yyou conssttiipatted?
I don't have that problem.
Do yyou havve rregullarr bowell movvementtss?
Um, I don't go every day... I probably go every two days. That's normal
for me.
Do yyou havve rregullarr urriinattiion?
Well. . . I would say I've been peeing a lot more lately.
When diid yyou ssttarrtt peeiing a llott morre?
I guess it started. . . maybe a few months? But I've been drinking a lot
more water, too.
Havve yyou been morre tthiirrssttyy?
You know, I did notice lately that I've been really thirsty.
When diid yyou llasstt havve a bowell movvementt?
I haven't gone yet today, but I did last night.
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Do yyou havve lloosse ssttoollss?
No.
Do yyou havve bllood iin tthe ssttoollss?
Um, no.
Havve yyou had diiarrrrhea?
No.
Havve yyou had a llott off gass? ((Cllarriifified tto Do yyou ffeell gassssyy?..))
No. (Clarified to if I am gassy.)
Do yyou ffeell nausseouss?
No, I'm fine.
Do yyou ffeell diizzzzyy?
No, I'm not dizzy but I feel pretty crappy.
II am ssorrrryy tto hearr yyou ffeell tthiiss wayy!!
I appreciate you saying that.
Do yyou havve rregullarr perriiodss?
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