NSG 516 Neurological Shadow Health 4 Complete Solution
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Neurological Results | Turned In
Advanced Health Assessment -
... [Show More] Spring 2019, NSG516 Online
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Experience Overview
Patient: Tina Jones
Digital Clinical Experience Score
100%
Student Performance Index
59 out of 61
Proficiency Level: Proficient
Beginning Developing 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.
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 87.0%. This
score may not be your final grade if your instructor
Subjective Data
Collection
20 out of 20
Education and Empathy
2 out of 4
Objective Data Collection
37 out of 37
chooses to include additional components, such as
documentation or time spent. Time
67 minutes total spent in assignment
Interaction with patient
56 minutes
Post-exam activities
11 minutes
Education & Empathy : 2 of 4 (50.0%)
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Self-Reflection
During the patient interview, there are a number of opportunities to provide patient education and empathy.
The opportunities listed below are those identified by nursing experts to be of particular importance to this
patient. A Model Statement is provided as an example of an appropriate response to each opportunity.
Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
Opportunities marked as Not Followed Up are missed opportunities that were present in the interview,
but where no statements were made
Opportunities marked as Followed Up were followed up by students, and include the dialogue between
student and patient
1 Symptoms Followed Up
Description: Tina describes the symptoms that have been bothering her.
What brings you in today? Question
09:20 AM EST
Well, I got into a little fender bender a week ago and I've been getting these
headaches ever since. And my neck is sore too.
Oh Tina, I am sorry to hear you got into an accident. Its so scary. I hope it
was not too serious!
Empathize
09:21 AM EST
I appreciate you saying that.
When did the headaches start? Question
09:21 AM EST
Five days ago... The headaches started two days after the accident.
How often do you get the headaches? Question
09:21 AM EST
It's been every day for like, the last five days.
Oh, that must make it tough to get things done! Lets see if we can make
these headaches go away.
Empathize
09:22 AM EST
I appreciate you telling me that.
How long do the headaches last? Question
09:22 AM EST
About an hour or two.
Where do you get the headaches? Question
09:22 AM EST
The headaches are in the crown of my head, and kind of the back of my
head.
How severe is the headache? Question
09:22 AM EST
The headaches I've been getting aren't horrible, I'm just getting them much
more often than I usually do.
How do you rate the headaches from 0 to 10? Question
09:22 AM EST
It's not horrible or anything, but it's no fun. Maybe a 3.
I bet you its no fun! Empathize
09:23 AM EST
Thanks.
Model Statement: "I’m sorry to hear that you were in a car accident, and
that you’re experiencing pain and headaches. Because car accidents can
cause injury to your head and neck, it’s important that I learn about how the
injury happened and your symptoms so that we can determine if you need
treatment."
2 Cause of Injury Followed Up
Description: Tina describes her recent “fender bender.”
What brings you in today? Question
09:20 AM EST
Well, I got into a little fender bender a week ago and I've been getting these
headaches ever since. And my neck is sore too.
Oh Tina, I am sorry to hear you got into an accident. Its so scary. I hope it
was not too serious!
Empathize
09:21 AM EST
I appreciate you saying that.
How did the car accident happen? Question
09:23 AM EST
We were in my friend's car during the accident. It wasn't serious at all--we
were going pretty slowly--but it was still scary.
Were you wearing seat belts? Question
09:23 AM EST
Yes, I always do.
Excellent! Its very important to wear seat belts Empathize
09:24 AM EST
Thanks for saying that.
Model Statement: "I’m sorry. Car accidents can be stressful and scary,
even if they are minor. I’m glad you are safe."
3 Medications Not Followed Up
Description: Tina describes her medication regimen, which includes
Tylenol for her symptoms.
Does anything make the headaches better? Question
09:24 AM EST
Yeah, the Tylenol helps a little.
How often do you take Tylenol? Question
09:25 AM EST
I've been taking it every day since I started getting these headaches.
How many Tylenol have you been taking every day? Question
09:25 AM EST
I take two of the regular strength kind when I feel a headache coming on, but
it's only been once a day.
Are you taking other medications? Question
09:25 AM EST
No -- Tylenol is all I've taken recently.
Do you take prescription medications? Question
09:25 AM EST
I have a Flovent inhaler and a Proventil inhaler.
Do you have any allergies? Question
09:26 AM EST
Yeah, I'm allergic to cats.
How do you react to cats? Question
09:26 AM EST
Whenever I'm around cats, I start sneezing, my eyes get itchy. . . and my
asthma starts to act up.
Model Statement: "Thank you for letting me know about the medications
you usually take. I will ask you a few questions about how you’re using each
medication."
4 Vision Not Followed Up
Description: Tina describes her eyecare and vision.
Do you have vision problems? Question
09:29 AM EST
Well, no, my vision hasn't changed recently -- not since the accident. But
sometimes my vision gets blurry when I do a lot of reading... that's been
going on for awhile.
Since when you have the vision problems? (Clarified to: When did you first
notice blurry vision?)
Question
09:29 AM EST
Hm, I haven't really paid close attention. Maybe over the past few months or
so. (Clarified to: when the blurry vision began)
Since when do you have these vision problems? Question
09:29 AM EST
Well -- first off, my vision's been fine since the car accident. But in general,
my vision isn't that great. Sometimes it gets blurry when I read for a long
time.
How often you have headaches? Question
09:30 AM EST
Model Statement: "Blurry vision can be a sign of eye strain, or changes
retina caused by conditions like diabetes. I’d like to examine your eyes
to determine what might be causing your vision changes."
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
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