7/25/2020 Focused Exam: COPD | Completed | Shadow Health
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Overview
Education & Empathy : 4 of 6 (66.7%)
Transcript
Subjective Data Collection 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 appropri
Objective Data Collection response to each opportunity.
Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
Education & Empathy
Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were ma
Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient
Documentation
Debrief
Medication Selection
1 Anxiety Over Worsening Symptoms Followed Up
Patient Teaching
Prescription Writing Description: Ms. O'Connor reports anxiety and distress over her worsening health.
Questio
What brings you to the clinic today?
03:41 PM ED
I'm having so much trouble just trying to breathe. And I've had these terrible coughing fits. A few days
ago, a bronchospasm. My health is going downhill fast . . . I know it has to do with my smoking habit. It's
so hard to kick. I was hoping I could get something to help me.
I'm sorry you're going through all this. I will try my best to address your health concerns and smoking Empathiz
habits. 03:42 PM ED
Thank you.
Questio
Are you interested in quitting smoking?
03:44 PM ED
I definitely need to quit. I'm terrified of my health getting even worse than it is now. I've quit before -- once
for ten years -- but this time needs to be it.
Empathiz
It is a difficult step to quit smoking. You have achieved before. I hope I can you achieve it for long term.
03:45 PM ED
You're too sweet.
Support
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, 7/25/2020 Focused Exam: COPD | Completed | Shadow Health
Questio
How do you currently feel?
08:03 PM ED
I could be doing better. I really need to stop smoking altogether. And the formoterol inhaler barely helps . .
. I'm worried. COPD has really ruined my health.
I'm sorry to hear that you are experiencing anxiety over your current health conditions. Not being able to Empathiz
breath is a scary condition. 08:04 PM ED
Thanks.
Questio
Do you want to quit smoking?
09:12 PM ED
I definitely need to quit. I'm terrified of my health getting even worse than it is now. I've quit before -- once
for ten years -- but this time needs to be it.
Empathiz
I'm glad you decided to quit smoking. I will try my best to help you.
09:12 PM ED
Thank you.
Model Statement: "I'm sorry to hear that you are experiencing anxiety over your current health
conditions. Not being able to breathe is a scary condition. With the right therapy, and if you quit smoking,
you'll begin to feel better soon."
2 Life Tragedy Followed Up
Description: Ms. O'Connor reports details of her difficult life, including the loss of her husband.
Questio
Does anyone in your household smoke?
08:58 PM ED
Just me who smokes. My daughter hates it. Total health nut. She's always nagging me to quit, and she's
right, but it's not that easy. But I get why she's so pushy. Her dad died from it, so did her grandparents.
I'm sorry that you lost your husband and your other family members. That sounds like it must have been Empathiz
very difficult for you. 09:00 PM ED
That's very kind.
In regards to oxygen, oxygen could alleviate your symptoms of breathlessness and fatigue. Unfortunately,
Educa
you cannot use it if you smoke because it's too dangerous. Once you quit smoking, you can seek this
09:02 PM ED
treatment
Oh! That makes sense.
Questio
How did you husband died from smoking? (Clarified to: Did you husband die from smoking?)
09:07 PM ED
My husband Derrick was a smoker, too. It killed him. Lung cancer got him about three years back. It took
him quick, at least, but it's not a pretty way to go. (Clarified to: if my husband died from smoking)
Empathiz
I'm sorry about your loss.
09:11 PM ED
I appreciate it, darling.
This study source was downloaded by 100000840946462 from CourseHero.com on 02-16-2022 01:39:10 GMT -06:00
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