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Focused Exam Schizophrenia Completed Shadow Health Eric Ford Transcript
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lOMoAR cPSD| 18634763Focused Exam: Schizophrenia | Completed | Shadow Health
lOMoAR cPSD| 186347
Focused Exam Schizophrenia Completed Shadow Health Eric Ford Transcript
Focused Exam: Schizophrenia Results | Completed
ICHS - Capstone Spring 2021 - June 2021, nur2811ug
Return to Assignment (/assignments/507952/)
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Overview
Transcript
Transcript
Started: Jul 21, 2021 | Total Time: 792 min
Subjective Data Collection
All Lines (229) Interview Questions (177) Statements (17) Exam Actions (35)
Objective Data Collection
Education & Empathy Gre
Hello, I'm Precious and I'll be taking care of you today
07/21/21 8:23 PM E
QSEN Competencies
Documentation Hey there.
Care Plan
Great job! This question is open-ended enough to allow the patient to respond flexibly about
Reflections the symptoms bothering them and their reason for being in the hospital.
Questi
What brings you to the hospital today?
07/21/21 8:27 PM E
Look. I'm not crazy, OK. I've got some problems, I know, but I'm not crazy. It's these voices I
get. They're everywhere and everyone and they just kept getting louder. They kept getting
harsher... just awful.
Great job! This question seeks further clarification about what the patient has said without
outright rejecting or validating what they are experiencing.
Questi
Can I ask who is telling you that your life is almost over?
07/21/21 8:29 PM E
I mean these voices I keep hearing, they keep telling me my life is almost over and I can't get
them to stop. Do you hear them?
Great job! This empathetic response acknowledges the potentially frightening nature of
auditory hallucinations and presents reality in way that does not diminish the patient's
experience.
Support
1/22
, lOMoAR cPSD| 18634763
Focused Exam: Schizophrenia | Completed | Shadow Health
I don't hear anything. That sounds frightening, but please know you are safe here in the Questi
hospital. 07/21/21 8:31 PM E
Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so
real.
Great job! This educational response casts doubt on the patient's delusion, and gives
reassurance about the safety, and information about the therapeutic effects of his medication.
I don't see any evidence of that. Taking your medication may lower the frequency of voices you Questi
hear. 07/21/21 8:33 PM E
I guess that's true. Not everything these voices tell me is true and maybe the medication would
help get rid of them.
Questi
What brings you in today?
07/21/21 9:02 PM E
Look. I'm not crazy, OK. I've got some problems, I know, but I'm not crazy. It's these voices I
get. They're everywhere and everyone and they just kept getting louder. They kept getting
harsher... just awful.
Questi
Do you ever hear things that others do not hear?
07/21/21 9:03 PM E
Yeah, it's bad. I hear voices, people I don't know talking to me from inside my head. I can hear
them now too. I've been hearing them constantly.
I'm sorry to hear about your trouble sleeping and stress. I'm glad you came in, let me learn Empathi
more about what you're experiencing, and I will try to help. 07/21/21 9:08 PM E
I appreciate your sympathy.
Questi
Do you ever think people are trying to harm you?
07/21/21 9:09 PM E
They're looking for me, I know it. I don't see them, I don't know why, but I do know they're
following me.
Questi
When did your symptoms start?
07/21/21 9:11 PM E
This week they've been loud, and harsh. They kept telling me to do things I didn't want to. I just
wanted to make them stop so badly, it's scary when it's your own head, you know? I just
wanted to make them stop... I got help before and the voices quieted down. But they got worse
over this past week.
Questi
Did the hallucinations start gradually?
07/21/21 9:12 PM E
The voices got worse and worse over the last week, but they've been there for years.
Questi
Are your hallucinations constant?
07/21/21 9:12 PM E
Yes, constantly. I hear them constantly. It was getting worse this week, I couldn't even hear my
own thoughts through it all. I told my mom it was bad again last night, and she brought me in.
Questi
Can you describe your hallucinations?
07/21/21 9:13 PM E
2/22
, lOMoAR cPSD| 18634763
Focused Exam: Schizophrenia | Completed | Shadow Health
They're different every time. Male voices, female voices... Sometimes just one but it could be a
choir. They know how to get a rise from me, or how to get surprise from me. They get under my
skin, you know? They tell me to do things. Sometimes on a whim or sometimes they shout it at
me all night.
Questi
Can you tell me about your psychiatric history?
07/21/21 9:16 PM E
I've been in and out of psych wards about three times. First time was when I was 23, back
when I started hearing the voices. They were pretty bad back then, man. Since then it's been
ups and downs, you know? Came back in at 25 and 26 when the voices got too loud, even
through the medication.
Questi
Is there anything that makes your symptoms worse?
07/21/21 9:18 PM E
Solitude. Being alone in my brain train.
Questi
How do you cope with the illness?
07/21/21 9:32 PM E
Music. Music makes me happy.
Questi
What are the characteristics of your symptoms?
07/21/21 9:33 PM E
I hear voices, like people talking to me and whispering at me. They were under control for a
while, really, but they got louder and louder so my mom brought me in here to get some help,
that's all I really want.
Empathi
We are here to help you
07/21/21 9:34 PM E
Hey, thanks. Thats nice of you to say.
Questi
What do the voices say?
07/21/21 9:35 PM E
Anything and everything usually. Random bits of information, jokes, warnings or abuse.
Sometimes they try to get me to do things.
Questi
What kind of things do they try to get you to do?
07/21/21 9:36 PM E
Sometimes it's small. Lately though, they mostly are about dying. They tell me to take whole
bottles of pills. I know about them, and I know they're not real... but they wear on me.
Empathi
That sounds scary, but it's good that you remind yourself that they are not real
07/21/21 9:38 PM E
Thank you. I appreciate your compassion.
I'm sorry to hear you've been struggling with these voices. I understand they can be scary but
I'm glad to hear that you don't want to do what they're telling you. Just the fact that you decided
Empathi
to tell your mother is encouraging to me because it signals that you're aware of your situation. I
07/21/21 9:45 PM E
can assure you that you're safe here with us and that we're going to do everything we can to
decrease these hallucinations and get you feeling right again
Thank you. I actually feel pretty safe here.
3/22
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