VSIM Feedback Log - Mental Health Case - Sharon Cole-Diagnosis: Bipolar disorder
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1:07 You asked if the patient had any known allergies. 1:14 You performed medication reconciliation.
2:01 You measured the blood pressure. 2:25 You measured the temperature.
2:48 You checked the radial pulse. 3:02 You checked the pulse oximetry. 3:50 You assessed the respiration.
4:34 You auscultated the lung sounds. 4:48 You auscultated the heart sounds. 5:12 You checked the patient's skin.
6:13 You observed the motor activity. 6:17 You assessed the attention.
6:21 You observed the appearance. 6:25 You assessed the speech.
6:30 You assessed the thought processes. 6:44 You assessed the cast.
8:54 You asked the patient: What is your full name? The patient said: My name is Sharon Cole.
9:06 You asked the patient: Can you tell me a little bit more about what's going on with you today? It was appropriate to ask the patient what was going on with her to get an understanding of this.
9:27 The patient said: There's too much work to be done. I can't do it here and you can't make me stay here. I'm going to call the police and have you arrested. You are keeping me prisoner. I'm leaving now.\nYou answered: You are in the hospital for treatment. Please stay in the bed. \nYou used the therapeutic technique of giving information.
9:37 You asked the patient: Do you have any pain?
9:53 The patient said: And you, because of you I can't do my work. You keep me downtown all the time in this bed.\nYou answered: Mrs. Cole, I'll be glad to sit with you and talk awhile. \nYou used the therapeutic technique of offering self.
9:57 You asked the patient: Do you have any difficulty with your breathing?
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10:09 The patient said: You don't care; my job is important and you are not able because of green.\nYou answered: I'll sit with you and stay awhile. \nYou used the therapeutic technique of offering self.
10:10 You asked the patient: Do you have chest pain? The patient said: No!
10:22 You asked the patient: Have you had any changes in your appetite over the past month?
10:43 The patient said: That guy who took my blood pressure, now he's a hot one! He got my blood pressure way up. Next time I see him I'm going to show him a thing or two about love.\nYou answered: He is the nursing assistant. You need to behave appropriately with hospital staff. \nYou used the therapeutic technique of giving information.
10:59 You asked the patient: Have you lost or gained weight over the past month? The patient said: I don't know.
11:15 You asked the patient: Tell me about any changes you have had in your sleep over the past few weeks?
11:31 The patient said: I'm the type of person who can get everything done. I don't need sleep; I'll sleep when I'm dead!\nYou answered: Let's talk more about the
importance of sleep. \nYou used the therapeutic technique of focusing.
11:42 You asked the patient: Do you wake up in the early hours of the morning and have trouble returning to sleep? The patient said: No.
11:50 You asked the patient: Do you have nightmares or vivid dreams on a regular basis? The patient said: No.
12:03 You asked the patient: Do you nap during the day? If so, how often and for how long? The patient said: No, I have no time to sleep.
12:17 You asked the patient: Do you have energy to do the normal activities necessary to get through the day?
12:38 The patient said: Let me use the phone and I'll stay in bed as long as you want me to. I promise I'll be good. You are so pretty. I'll take my medicine and everything. I just need to make one little tiny phone call.\nYou answered: Now is not the time to use the telephone. \nYou used the therapeutic technique of giving information.
12:43 You asked the patient: I would like to ask you a series of questions about how you are feeling to help me better understand how together we can start to plan your care. These are questions I ask all of the patients I see. May I ask you these questions?
13:09 The patient said: Who put all these wires on me? I don't like them; they remind me of snakes. Take them off!\nYou answered: This is your IV for your medicine. Please leave it alone. \nYou used the therapeutic technique of giving information.
13:11 You asked the patient: Do you feel alert to answer questions?
This study source was downloa1de3d:b2y81000T00h8e05p03a0t0ie33nftrosmaCido:urTsehHiesrol.ictotlme orne0d6-b23u-t2t0o2n1 0i7s:0a8:3d1irGeMcTt l-i0n5e:00to Washington. If I keep
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pushing it, then someone will come save me. Don't tell anyone; it's a secret.\nYou answered: That is your nurse call button. It calls the nurse's station. \nYou used the therapeutic technique of presenting reality.
13:46 You asked the patient: Can you tell me where we are?
14:00 The patient said: Last night seems like a dream. I don't think I was even there.\nYou answered: What seemed to lead up to you going to the bar? \nYou used the therapeutic technique of placing the event in time.
14:08 You asked the patient: Please tell me what today's date is. The patient said: I don't know. All of the days go together.
14:22 You asked the patient: How would you describe your mood? The patient said: My mood is great.
14:38 You asked the patient: Have you lost interest in activities that you once enjoyed?
The patient said: My only interest is getting to Washington. They are going to waste all the money on the wrong things! I have to get out of here!
14:54 You asked the patient: Can you name the last five American presidents starting with Barack Obama and going back? The patient said: Barack Obama, George
W. Bush. They are in Washington, and I need to get there!
15:18 You asked the patient: Do you have any thoughts or wishes to harm or kill yourself?
15:51 The patient said: Look, I need to get out of here. The whole thing is going to fall apart. I can't get to Washington. Don't you people care about all the soldiers who are going to die without my help? Nobody can see it, but I can! They are going to waste all the money on the wrong things! I have to get out of here. Allen can drive there. This thing on my leg is in the way.\nYou answered: Mrs. Cole, I am your nurse today and I am here to help you. You just had surgery. Please stay in the bed. \nYou used the therapeutic technique of presenting reality.
15:57 You asked the patient: Have you ever tried to harm or kill yourself? The patient said: No.
16:06 You asked the patient: Do you think it would be better if you were not alive? The patient said: Of course not.
16:17 You asked the patient: Do you have any thoughts or wishes to harm anybody else?
16:36 The patient said: There was an assassin who pushed me last night. He pushed me off that building and broke my foot. Take this off me. I have to go find him and kill him before he gets to us.\nYou answered: You are in the hospital. Please stay in the bed. \nYou used the therapeutic technique of encouraging description of presenting reality.
17:08 You asked the patient: Do you ever see or hear things that other people do not?
17:27 The patient said: They are all just jealous because I am rich and smart and the president wants me to work for him! You are too slow! You want to be just like
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me!!\nYou answered: Mrs. Cole, please lower your voice. Let's sit and take some deep breaths. \nYou used the therapeutic technique of giving information and offering self.
17:28 You asked the patient: Are you frightened of anything?
17:46 The patient said: If you come near me again, I'm going to cut myself with this fork.
It's true blue. I'll do it. Stay away!\nYou answered: Mrs. Cole, you will not hurt
yourself. If you cannot control yourself, we will help you. \nYou used the therapeutic technique of giving information.
17:53 You supported the patient about safety.
18:06 You supported the patient about rest and healing. 18:18 You supported the patient about racing thoughts. 18:30 You supported the patient ab [Show Less]