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2 Shadow Health® │ Transcript

Shadow health assignments
Course

Advanced Health Assessment (NUR6001-801)

25 Documents
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Academic year: 2022/2023
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William Paterson University

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Focused Exam: COPD Results | Turned In

Advanced Pharmacology - March 2022, 202210nur

Return to Assignment (/assignments/627820/)

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(survey.alchemer/s3/6451130/8288e32946fc)

Transcript

Started: May 01, 2022 | Total Time: 161 min

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05/01/22 9:51 PM

Ques

05/01/22 9:51 PM

Ques

05/01/22 9:52 PM

Empat

05/01/22 9:54 PM

Ques

05/01/22 9:54 PM

Your Results Lab Pass (/assignment_attempts/12243228/lab_pass.

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Education & Empathy

Documentation

Debrief

Medication Selection

Patient Teaching

Prescription Writing

Student Survey

Interview Questions (93) Statements (8) Exam Actions (0)

Hello Debbie O'Connor, my name is Asana Eberemu. I will be your provider

today

Hello.

Can you verify your name and date of birth

I was born on October 5... [Ms. O'Connor reports the correct birth year.]

What brings you in today

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 to hear you are experiencing anxiety over your current health condition.

Not being able to breath can be scary. With the right therapy if you quit smoking

you will begin to feel better

Thank you.

Are you experiencing any other symptoms

All Lines (101)

0 0 0 0 0 0 0 0 0

I feel exhausted. I'm just so weak now, that even walking up the stairs feels exhausting. I had this awful

coughing fit three days ago. But I've had trouble breathing for several months now. I've also been

coughing up some nasty phlegm.

Did you stop coughing up the phlegm (No matching questions found.)

Did you stop coughing up phlegm (Clarified to How much sputum are you coughing up?.)

I'm coughing up a lot of gunk these days. I cough up sputum just about every time I cough. (Clarified to

how much sputum I am coughing up.)

Did you start coughing up phlegm (No matching questions found.)

What color is the phlegm

This nasty stuff I'm hacking up when I cough... mostly it's clear. Sometimes it's yellow, or gray, or this

dark color. I've never seen any blood in it. It's kind of... thick. It's been that way for about two weeks.

Any aggravating factors

Honestly, smoking makes my breathing worse. I have these terrible coughing fits afterwards. Kind of a

no-brainer, but I can't help myself. I can't handle the withdrawal, so I just try to hold out between

cigarettes as long as I can.

Anything that relieves the symptoms (Clarified to Does anything relieve your symptoms?.)

Nothing seems to make my symptoms feel better -- not even my inhaler. I know for sure that smoking

makes it worse. I try to hold off as long as I can between cigs. But still... I think if I quit I'd feel better.

(Clarified to if anything relieves my symptoms.)

Where are you breathing problems (Clarified to Do you have breathing problems?.)

I have difficulty breathing all day, every day. It's been like that for months. Had a bad bronchospasm a

few days ago too. (Clarified to if I have breathing problems.)

How bad is your breathing

Breathing is so hard, all the time. I guess I'd put it at a 6 out of 10.

How does your health affect your social life

My breathing problems sure aren't helping my social life any. I was never exactly a social butterfly, but

now I'm not up to going out. Even normal things--shopping, picking up my meds.

0 0 0 0 0 0 0 0 0 0

I don't have any allergies, never had an allergic reaction... nothing like that.

Do you use home oxygen

I don't use oxygen... it could probably help me. But I'd blow myself up, smoking near it.

Therapy could help relieve some of your symptoms of breathlessness and fatigue. YOu can not use

oxygen therapy if you smoke, It is dangerous and can cause a fire outbreak. WHen you quit smoking,

you can seek oxygen therapy.

That's good to know.

Have you had any vaccines

I've had vaccines before, but... it's been a long time.

Your age and with your health condition it is important to get an annual flu vaccine and that you also

receive the pneumococcal vaccine every 5-10 years. Both infections would have terrible effect on your

health because your restaurant system is already compromised.

Oh! That makes sense.

Do you leave home alone (No matching questions found.)

Do live at home alone

I live with my daughter, Ava. I moved in when my health started getting worse. She takes care of me.

You drink alcohol (Clarified to Do you drink alcohol?.)

I don't touch the stuff. My daddy was a drinker, and I saw what it did to him. (Clarified to if I drink

alcohol.)

Substance abuse (Clarified to Do you abuse any substances?.)

No, that never appealed to me. (Clarified to if I abuse substances.)

How long have you been smoking

I started smoking when I was 15. I've smoked for a long time. Had a little success quitting. I stopped

for ten years when my daughter was born. But, I picked up the habit again. I've tried quitting since my

husband died, but... it's hard.

I'm sorry that you lost your husband that sounds like it's really must have been a difficult time for you

0 0 0 0 0 0 0 0 0

You're too sweet.

How many cigarettes do you smoke a day

Typically I smoke between three and five cigarettes a day. It's been that way for the last four months.

Ever since I relapsed. Smoking makes my breathing worse, so... I try to hold off as long as I can

between cigarettes.

Really important that you quit smoking as soon as possible so you can get some relief from COPD.

Smoking is putting your life in danger and making your symptoms worse I can point you to what's

community health or smoking cessation programs that can help support you while you are quitting.

Yeah, youre probably right.

Do you exercise

I can't exercise. I can't even move around the house without feeling fatigued and out of breath.

Exerting myself in any way makes me feel worse.

Tell me about your diet

Well, I'm too weak to cook. I eat microwavable meals if I'm alone. Pasta, pizza, rice, all that. My

daughter cooks nice food... quinoa, salads, salmon.

When you're no more having COPD symptoms, it is important to eat well and get some light exercise.

Not exercising can exacerbate your symptoms and exercise will help make you feel better.

You certainly know your stuff.

Brief history of illness

I have COPD -- chronic bronchitis. I was diagnosed with Group B years ago.

Family history of illness

My parents died from smoking their whole lives. It was a different time... my father had a heart attack

at 42. My mother edged him out, but she eventually got pneumonia.

I'm sorry to hear you're both parents a disease

That's very kind.

Weights changed recently

I've gained 30 pounds these past two years.

0 0 0 0 0 0 0 0 0 0

My daughter helps me set up my appointments.

Eye doctor appointment

My daughter helps me set up my appointments.

Have you experienced any wheezing

I wheeze when I cough, I wheeze when I breathe. I wheeze.

Sound like

It's mostly this deep wheezing in my chest. It's like a crackling.

Do you have coughing fits

I've had coughing fits in the past, but three days ago I had one that was really severe. I think it was a

bronchospasm. I was afraid of suffocating, and I can't get it out of my mind.

How long do you wait between cigarettes

It's not a set time, but I hold off as long as I can. Maybe two or three hours.

Have you had any ER visit

I went to the hospital two years ago. Bad breathing episode.

Have you had any hospitalization

I was in the hospital for a "respiratory distress episode." They diagnosed me with Group B COPD after

that. I felt like I couldn't breathe... I thought it was the end for me. I was coughing and hacking

something awful. The inhaler they gave me sort of helps, but I feel like it just isn't working.

On any vitamins

I don't take any vitamins or supplements or any of that stuff.

What triggers your smoking

If I start worrying too much about my health... a cigarette usually calms me down. Vicious cycle, I

know. In the last four months I've been smoking three, sometimes as many as five, cigarettes a day.

What can you use to stop smoking (No matching questions found.)

0 0 0 0 0 0 0 0 0 0

Have you tried using anything to stop smoking

I've tried quitting a bunch of times -- used gum, patches, lozenges, and nothing stuck. Longest I quit for

was 10 years, when I had my daughter. Started up again when I was 31. Takes so much in you to stay

quit.

Why didn't nicotine replacement therapy work

I've tried those over-the-counter smoking cessation aids before -- gum, lozenges. Even the patch. I

suppose I could try them again, but it was hard to keep up with the schedule. I could never seem to

wean myself off, and eventually I'd just want a cigarette again.

Tell me about your diet

Well, I'm too weak to cook. I eat microwavable meals if I'm alone. Pasta, pizza, rice, all that. My

daughter cooks nice food... quinoa, salads, salmon.

Your parents alive

My parents have both passed. My father had a heart attack; my mother, pneumonia. They both

smoked, like me, so... it happens.

How old was your father when he passed away

My dad died of a heart attack. Was only 42. The doctors said it was because of the smoking -- right

side of his heart gave out.

Old was your mother when she passed away

She was 44, I think, or 45.

Smoke (No matching questions found.)

Did your husband smoke

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.

Does your daughter smoke

She doesn't smoke probably because her dad died from it. She hates that I smoke. I don't really blame

her.

Do you have any fever

No, haven't had to deal with that lately.

0 0 0 0 0 0 0 0 0 0 0

Do Healthcare professional If you experience changes in Vision or irritation or pain to your eye

Oh, dear. I sure hope that doesn't happen to me.

Your Healthcare professional If you experience difficulty painful or unusually frequent urination

I'll be sure to do that.

Discontinue medication and contact your healthcare provider If you experience a bronchospasm

shortly after administering the dose

Isn't this inhaler supposed to keep that from happening?

Yes you're right that is why it is important to contact us

Alright. I think I understand.

Keep the tiotropium capsules in their packaging until it is time to use them. upon removing them from

the packaging use them immediately

Understood.

Not use this more than recommended by your healthcare provider

Okay.

Those as soon as possible

We certainly don't want that. I'll make sure I take all of my medicine.

Inhaler before first use

I'll be sure to keep that in mind.

Seek medical attention right away if you're not able to get a breathing Attack under control

I sure hope that doesn't happen.

MS-DOS as soon as possible

I'll be sure to do just that.

In smoking cessation counseling

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I won't stop trying to quit, no matter what. I have to make it happen this time.

Side effects include GI symptoms

Kicking the habit will be worth some stomach trouble.

Side effects include dry mouth

I can try to deal with that if it happens.

Continue medication on contact your healthcare provider If you experience signs of allergic reaction

I'll keep an eye out for those side effects.

Healthcare provider if you feel depressed and a haven't thoughts of committing suicide

Ok. See you later.

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2 Shadow Health® │ Transcript

Course: Advanced Health Assessment (NUR6001-801)

25 Documents
Students shared 25 documents in this course

University: William Paterson University

Was this document helpful?
4/27/23, 12:19 AM
| Shadow Health® │ Digital Clinical Experiences™ from Elsevier
https://app.shadowhealth.com/assignment_attempts/12243228
1/11
Focused Exam: COPD Results | Turned In
Advanced Pharmacology - March 2022, 202210nur6011803
Return to Assignment (/assignments/627820/)
Improve Shadow Health for people like you. Get gift cards. Sign-up Here. The Elsevier Product Feedback Program gives you the chance to participate in on
product feedback activities. You choose when you want to participate, and most activities offer gift cards as a thank-you. Click here for more information
(https://survey.alchemer.com/s3/6451130/8288e32946fc)
Transcript
Started: May 01, 2022 | Total Time: 161 min
G
05/01/22 9:51 PM
Ques
05/01/22 9:51 PM
Ques
05/01/22 9:52 PM
Empat
05/01/22 9:54 PM
Ques
05/01/22 9:54 PM
Your Results Lab Pass (/assignment_attempts/12243228/lab_pass.
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Debrief
Medication Selection
Patient Teaching
Prescription Writing
Student Survey
Interview Questions (93) Statements (8) Exam Actions (0)
Hello Debbie O'Connor, my name is Asana Eberemu. I will be your provider
today
Hello.
Can you verify your name and date of birth
I was born on October 5 . . . [Ms. O'Connor reports the correct birth year.]
What brings you in today
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 to hear you are experiencing anxiety over your current health condition.
Not being able to breath can be scary. With the right therapy if you quit smoking
you will begin to feel better
Thank you.
Are you experiencing any other symptoms
All Lines (101)

Students also viewed

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