Tina Jones Neurological shadow health assessment Education & Empathy

Tina Jones Neurological shadow health assessment Education & Empathy

 

Education & Empathy 

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 Tina Jones Neurological shadow health assessment Education & Empathy
 1 Symptoms
Followed Up

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 Description: Tina describes the symptoms that have been bothering her.

This is your avatar.

What brings you to the clinic today?

Question
10:57 AM PDT

Tina Jones

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.

This is your avatar.

Am sorry to hear that you are having headaches

Empathize
10:59 AM PDT

Tina Jones

Thanks for saying that.

This is your avatar.

Have you had any neck stiffness?

Question
11:00 AM PDT

Tina Jones

Yeah.

This is your avatar.

When did the neck stiffness begin?

Question
11:01 AM PDT

Tina Jones

My neck started hurting about two days after the accident.

This is your avatar.

Am sorry that you got an accident

Empathize
11:02 AM PDT

Tina Jones

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.”

This is your avatar.

What brings you to the clinic today?

Question
10:57 AM PDT

Tina Jones

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.

This is your avatar.

Am sorry to hear that you are having headaches

Empathize
10:59 AM PDT

Tina Jones

Thanks for saying that.

This is your avatar.

When did the neck stiffness begin?

Question
11:01 AM PDT

Tina Jones

My neck started hurting about two days after the accident.

This is your avatar.

Am sorry that you got an accident

Empathize
11:02 AM PDT

Tina Jones

Thanks.

This is your avatar.

And when did the headaches begin? (Clarified to: When did the headache begin?)

Question
11:03 AM PDT

Tina Jones

It was a few days after the car accident — I noticed a headache creeping up throughout the day. (Clarified to: when the headache began)

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Did you lose consciousnesses after car accident? (Clarified to: Did you lose consciousness during the car accident?)

Question
11:04 AM PDT

Tina Jones

No, I don’t think I have ever lost consciousness. (Clarified to: if I lost consciousness during the car accident) Tina Jones Neurological shadow health assessment Education & Empathy

This is your avatar.

How fast was the car going?

Question
11:06 AM PDT

Tina Jones

Oh, it was really slow. We were in a parking lot. Maybe not even fifteen miles an hour.

This is your avatar.

Were you wearing a seat belt?

Question
11:08 AM PDT

Tina Jones

Yes, I always do.

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where in the car were you sitting?

Question
11:10 AM PDT

Tina Jones

I was in the front passenger seat.

This is your avatar.

Was the driver under the influence of alcohol? (Clarified to: Was anyone under the influence of alcohol when the accident occurred?) Tina Jones Neurological shadow health assessment Education & Empathy

Question
11:12 AM PDT

Tina Jones

No, definitely not. Neither of us had anything to drink. [AUDIO COMING SOON] (Clarified to: if anyone was under the influence of alcohol when the accident occurred)

This is your avatar.

Great, its not advisable to drink under the influence of alcohol

Educate
11:13 AM PDT

Tina Jones

Alright, thanks for letting me know.

 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.

This is your avatar.

have you tried home remedies? Tina Jones Neurological shadow health assessment Education & Empathy

Question
11:32 AM PDT

Tina Jones

I’ve been taking Tylenol. And resting helps, too.

This is your avatar.

Does your headache get better with rest?

Question
11:33 AM PDT

 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

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 Description: Tina describes her eyecare and vision.

This is your avatar.

has your vision changed since the accident ?

Question
11:53 AM PDT

Tina Jones

No, my vision hasn’t changed since the accident.

This is your avatar.

have you ever had a blurred vision?

Question
11:53 AM PDT

Tina Jones

No, my vision hasn’t been blurry since the accident. But, sometimes it gets blurry when I read for too long — that’s been going on for awhile.

This is your avatar.

any vision problems in just one eye?

Question
11:54 AM PDT

Tina Jones

Not that I’ve noticed.

This is your avatar.

Are you sensitive to light since the accident?

Question
11:55 AM PDT

Tina Jones

No, I’m not sensitive to light. [AUDIO COMING SOON]

This is your avatar.

have you had any congestion ? Tina Jones Neurological shadow health assessment Education & Empathy

Question
11:55 AM PDT

Tina Jones

No, I haven’t been congested.

This is your avatar.

have you had ringing in your ears?

Question
11:56 AM PDT

Tina Jones

No.

 Model Statement: “Blurry vision can be a sign of eye strain, or changes to the retina caused by conditions like diabetes. I’d like to examine your eyes to determine what might be causing your vision changes.” Tina Jones Neurological shadow health assessment Education & Empathy

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