Exam (elaborations)
Health eHistory eTips e
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Health eHistory eTips e
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Health eHistory eTips e& eTricks: e- e✔✔Student: eHello! e- e✔✔Diana eShadow: eHi. eI'm ePreceptor eDiana. eI ewill eexplain ethe edetails eof ethis
eassignment eand eyour eobjectives, ejust eas ea epreceptor ewould ein ereal elife. ePay eclose eattention eto
ethis einformation eas eit ewill ehelp eguide eyour eexam. eAt ethe eend eof ethis eprebrief, eyou ewill eanswer
ea eshort equestion eabout ethe eupcoming eassignment. eDuring ethe esimulation, eyou emay ereturn eto
ethese einstructions eat eany etime eby escrolling eto ethe etop eof eyour etranscript.
Student: eWhat eis ethe esituation? e- e✔✔Diana eShadow: eYour epatient eis eTina eJones:, ea e28-year-old
eAfrican eAmerican ewoman ewho ehas ejust ebeen eadmitted eto eShadow eGeneral eHospital efor ea
epainful efoot ewound. eYour erole ein ethis esimulation eis ethat eof ea ehealthcare eprovider ewho ewill etake
eMs. eJones' ehealth ehistory, ea ekey ecomponent eof eher eadmission eprocess.
Student: eWhat eare emy eobjectives ein ethis eassessment? e- e✔✔Diana eShadow: eA ehealth ehistory
erequires eyou eto eask equestions erelated eto eMs. eJones' epast eand epresent ehealth, efrom eher ecurrent
efoot ewound eto eher epre-existing econditions. eYou ewill ealso ewant eto ereview eMs. eJones' esystems,
epsychosocial ehistory, eand efamily emedical ehistory. eThese eassessments etogether ewill egive eyou ea
ecomprehensive epicture eof eMs. eJones' eoverall ehealth. eIf eyou ediscover eany edisease estates, eask
eabout esymptoms eand ethe epatient's eexperiences eof ethem. eYour equestioning eshould ecover ea
ebroad earray eof ethe esymptoms' echaracteristics. eThroughout ethe econversation, eyou eshould eeducate
eand eempathize ewith eMs. eJones ewhen eappropriate eto eincrease eher ehealth eliteracy eand esense eof
ewell-being. eRegardless eof ewhether eyou ehave eassessed eMs. eJones epreviously, eask eall equestions
ethat eare enecessary efor eobtaining ea ecomplete ehealth ehistory. eWhile eyou eshould ecommunicate
ewith epatients eusing eaccessible, eeveryday elanguage, eit eis estandard epractice eto euse eprofessional
emedical eterminology eeverywhere eelse, esuch eas ein edocumenting ephysical efindings eand enursing
enotes. eYou emay ecomplete ethe eexam eactivities ein eany eorder eand emove ebetween ethem eas
eneeded. eAfter eobtaining eMs. eJones' ehealth ehistory, eyou ewill ecomplete ean einformation eprocessing
eactivity. eYou ewill eidentify eand eprioritize ediagnoses, ethen ecreate ea eplan eto eaddress ethe eidentified
ediagnoses.
Student: eWhat eelse ewill ethis eexam einvolve? e- e✔✔Diana eShadow: eYou ewill ecomplete enursing
etasks eto eprotect ethe epatients esafety, eprivacy, eand ehealth. eYou ecan edocument eyour efindings,
eincluding evital esigns, ein ethe eElectronic eHealth eRecord. eThis erecord eprovides enecessary
einformation efor ehealthcare eprofessionals ewho ewill econtinue epatient ecare. eBesides eSubjective eData
eCollection, eand eEducation eand eEmpathy, ethere eare eactivities ewithin ethe esimulation ethat eprovide
evaluable epractice efor etheir ereal-world ecounterparts, ebut ethey eare enot eautomatically egraded eby
ethe esimulation.
,Student: eHow ewill eI ebe eevaluated? e- e✔✔Diana eShadow: eIn ethis eassignment, eyou ewill ebe
eevaluated eon eyour eSubjective eData eCollection, eas ewell eas eyour eEducation eand eEmpathy. eYour
esuccess ein eEducation eand eEmpathy eis ebased eon ewhether eyou epromptly erespond eafter eidentifying
ea emoment eworthy eof etherapeutic ecommunication. eThe eevaluation eof eyour einterview eis
edependent eon ehow eyou eword eyour equestions etherapeutically eand eprecisely eand eexplore eall
erelevant etopics ewith ecomprehensive ebreadth eand edepth. eYou ewill ealso ebe eevaluated eon eyour
eability eto ecollect edata eand eform enursing ediagnoses ein ethe einformation eprocessing eactivity. eThis
eassignment etakes eon eaverage ebetween e90 eand e110 eminutes. eThis eexam emay etake elonger ethan
ein ereal elife, ebecause ein ethis esafe esimulation, estudents eof eall eexperience elevels ecan etake etime eto
ehone eand ereview etheir eskills. eYou ecan epause eand eresume ethe eassignment eat eany etime; eyour
ework eis ealways esaved eautomatically.
Student: eHow edoes ethis eassignment eprepare eme efor ethe ereal eworld? e- e✔✔Diana eShadow: eIn
ethis eassessment, eyou ewill ebecome efamiliarized ewith ethe estructure eand econtent eof ea ehealth
ehistory eexam eso ethat ewith ereal-life epatients, eyou ecan: eº eask eeffective eand ecomprehensive
equestions eº eobtain ea ethorough ehealth ehistory eº eevaluate ethe epatient's erisk eof edisease, einfection,
einjury, eand ecomplications eº eeducate eand eempathize eº ereflect eon eyour eexperience eand eidentify
eareas eto eimprove eº eidentify eand eprioritize enursing ediagnoses eº eand edevelop ea eplan eto eaddress
enursing ediagnoses.
Diana eShadow: eIn e1 eor e2 esentences, eanswer ethis equestion eto ehelp eprepare efor ethe eupcoming
eexam: eWhy eis eit eimportant eto eobtain ea epatient's ecomplete ehealth ehistory? e- e✔✔Student: eSo
ethat eyou eunderstand eif ethere eare eany eproblems erelated eto etheir echief ecomplaint. eAlso, eto ehelp
etreat etheir ecurrent econdition.
Diana eShadow: eTime eto ebegin. e- e✔✔
Patient eExam e- eVital eSigns: e- e✔✔Height: e170 ecm, eWeight: e90 ekg, eBMI: e31, eRandom eblood
eglucose: e238, eTemperature: e102.4° eF, eBlood epressure: e138/90 emmHg, eHeart erate: e90, eRespiratory
erate: e18, eO2 esat: e98%
Patient eExam e- eInterview: e- e✔✔
Student: eHello, emy ename eis eCatlain, eI eam eyour enurse etoday. e- e✔✔Tina eJones: eHey.
Student: eCan eyou econfirm eyour ename? e- e✔✔Tina eJones: eTina eJones:.
,Student: eWhy edid eyou ecome ein etoday? e- e✔✔Tina eJones: eI egot ethis escrape eon emy efoot ea ewhile
eago, eand eit egot ereally einfected. eIt's ekilling eme.
Student: eWhat eadditional esymptoms ehave eyou eexperienced? e- e✔✔Tina eJones: eI emean, eit's eall
ered eand eswollen, eand ethere's epus, eit efeels ehot, eit ehurts elike ehell... eIt's egot eall ethat egoing eon.
Student: eCan eyou erate eyour ecurrent epain elevel eon ea escale eof e0 eto e10? e- e✔✔Tina eJones: e...Like
ea e7. eIt ehurts ea elot, ebut ewhatever epain emed ethe eER egave eme eis ehelping ea elittle ebit.
Student: ePlease edescribe ethe epain. e- e✔✔Tina eJones: eIt's ethrobbing eand elike, esharp eif eI etry eto
eput eweight eon eit.
Student: eHow edid eyou ehurt eyour efoot? e- e✔✔Tina eJones: eI ewas echanging ea elight ebulb, eand eI
ehad eto euse eour elittle estepstool eto ereach eit. eMy efoot eslid eoff ethe ebottom estep eand eit egot eall
escraped eup. eI edidn't erealize ehow esharp ethe eedge ewas!
Student: eHas eyour efoot ebeen edraining eany eliquids? e- e✔✔Tina eJones: eYeah, ethere's edefinitely epus.
Student: eWhat ecolor ewas ethe epus? e- e✔✔Tina eJones: eIt's... ewhite eor emaybe eoff-white.
Student: eHow ehave eyou etreated ethe ewound? e- e✔✔Tina eJones: eI've ebeen etaking eAdvil efor emy
efoot efor ea efew edays.
Student: eWhat edid eyou edo eto etreat eyour efoot eafter eyour eaccident? e- e✔✔Tina eJones: eI emade
esure eto eclean eit eand ekeep eit ebandaged. eAnd eI eput eNeosporin eon eit.
Student: eHow eeffective ewas ethe eNeosporin? e- e✔✔Tina eJones: eWell, eI'm ehere, eso eI eguess eit
edidn't edo eits ejob.
Student: eCan eyou ewalk ewith eyour efoot ebeing einjured? e- e✔✔Tina eJones: eNo, eI ecan't. eI ecan't eput
eany eweight eon eit ewithout elike, eshooting epain.
, Student: eWhat epreexisting emedical econditions edo eyou ehave? e- e✔✔Tina eJones: eI emean, eI ehave
easthma eand ediabetes, ebut eright eI enow eI ejust ecare eabout emy efoot!
Student: eI eunderstand eyour efoot ehurts, ebut eI eneed eto eknow ethis einformation eto emake esure eI
etake ecare eof ethe eproblem ecorrectly. e- e✔✔Tina eJones: eThanks.
Student: eWhen ewere eyou ediagnosed ewith ediabetes? e- e✔✔Tina eJones: eI ewas ediagnosed ewhen eI
ewas e24.
Student: eWhat edo eyou edo eto emanage eyour easthma? e- e✔✔Tina eJones: eI etry eto eavoid ethings ethat
egive eme ebreathing eproblems, ebut ewhen emy easthma estarts eto eact eup, eI ejust euse emy einhaler.
Student: eWhat emedications edid eyou etake efor eyour ediabetes? e- e✔✔Tina eJones: eIt ewas emetformin.
Student: eDo eyou ecurrently etake emedicine efor eyour ediabetes? e- e✔✔Tina eJones: eNo, eI edon't etake
eanything efor emy ediabetes eanymore.
Student: eWhat emade eyou estop etaking emedication efor eyour ediabetes? e- e✔✔Tina eJones: eI eguess eI
ejust egot esick eof efeeling esick eand egassy eall ethe etime, eand eit ewas eoverwhelming, eremembering eto
etake epills eand echeck emy esugar. eI efeel ea elot ebetter enow ethat eI'm ejust eeating ehealthier ethan eI
edid ewhen eI ewas etaking ethe epills.
Student: eDo eyou emonitor eyour eblood eglucose? e- e✔✔Tina eJones: eI ehave ea emonitor eat ehome, ebut
eto ebe ehonest eI edon't ereally euse eit ethat eoften.
Student: eHow efrequently edo eyou eurinate? e- e✔✔Tina eJones: eI edon't eknow. eEvery ehour eor etwo
ewhen eI'm eawake?
Student: eWhat eis eyour ecurrent ediet? e- e✔✔Tina eJones: eIt's epretty egood, eI ethink. eI'm enot ea ehuge
ehealth enut eor eanything.
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