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Transcript - Lecture notes 1-4

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Transcript - Lecture notes 1-4

Institution
Medical Surgery 2
Course
Medical Surgery 2

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10/16/24, 11:56 Transcript - Lecture notes
AM 1-4
Shadow Health will be performing planned maintenance this Monday 26th, 2021, from 7:00, am until 7:30 am (/site_notice_dismissals?
Eastern. During this time assignment attempts will be disabled. Thank you for helping us to improve your from_flash=true&site_notice_id=48
Shadow Health experience!



Focused Exam: Cough Results | Turned In
Health Assessment - Remediation/Refresher - January 2021, CCE 705 and 701
Return to Assignment (/assignments/432174/)




Your Results Lab Pass (/assignment_attempts/9710832/lab_pass.pdf)




Overview
Transcri
Transcript pt
Started: Apr 21, 2021 | Total Time: 125 min
Subjective Data
All Lines Interview Questions (42) Statements (9) Exam
Collection Objective (152) Actions (101)

Data Collection Question
04/21/21 5:52 AM
Education & Empathy Hello! EDT

Documentation
Care Plan Hi. I'm Preceptor Diana. I will explain the details of this assignment and your
objectives,
Program Competency just as a preceptor would in real life. Pay close attention to this information
Progress as it will help guide your exam. At the end of this prebrief, you will answer a
short question about the upcoming assignment. During the simulation, you
may return to these instructions at any time by scrolling to the top of your
transcript.
Question
04/21/21 5:53 AM EDT
What is the situation?



Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with a
cough in the Shadowville Elementary nurse's office. Your role in this simulation
is that of a healthcare provider who will perform a focused history and
physical examination in order to collect data, assess Danny's condition, and
transfer care. In this simulation, you will be able to perform procedures not
always typical to a school setting so you can gather as much data as possible.
Question
04/21/21 5:53 AM EDT
What are my objectives in this assessment?



Danny is very health literate and a good historian of his own health history; he
can answer questions that not every child may be able to. In your interview
with Danny, you will ask about the history of his presenting illness and the
functioning of relevant systems in order to obtain subjective data related to
his cough. If you discover any disease states, ask about symptoms and the
patient's experiences of them. Your questioning should cover a broad array of
the symptoms' characteristics. You will also inquire into the health
history of Danny's family so you can determine his genetic predisposition to
any diseases. In addition to collecting subjective data, you will perform a
physical exam on Danny to gather objective data about his health and
physiology. Throughout the conversation, you should educate and empathize
with Danny when appropriate to increase his health literacy and sense of well-
being. While you should communicate with patients using accessible, everyday
language, it is standard practice to use professional medical terminology
everywhere else, such as in documenting physical findings and nursing notes.
You may complete the exam activities in any order and move between them Question
as needed. 04/21/21 5:54 AM EDT



What else will this exam involve?




about:bl 1/

, 10/16/24, 11:56 Transcript - Lecture notes
AM 1-4
Because Danny is a pediatric patient, you will also be required to make a
phone call to his guardian's home to gather additional information. You can
document your findings, including vital signs, in the Electronic Health Record.
This record provides necessary information for healthcare professionals who will
continue patient care. You will then move onto the Care Plan activity, in which
you will synthesize your subjective and objective data to complete the nursing
process. You will develop a nursing diagnosis for Mr. Rivera's condition,
identify a treatment goal, plan your interventions and evaluations, and finally
assess if your goal was achieved. You may also need to call Danny's guardian
again to involve them in his treatments. The Care Plan is just as important as
your assessment, and the patient's well-being will be greatly affected by your
diagnosis and interventions.


Question
How will I be evaluated?
04/21/21 5:54 AM EDT


The activities evaluated by the simulation are Subjective and Objective Data
Collection, Education and Empathy, and the Care Plan activity. Nursing tasks
and Documentation, while they provide valuable practice for their real-world
counterparts, are not automatically evaluated by the simulation. The
evaluation of your interview is dependent on how you word your questions
therapeutically and precisely and explore all relevant topics with
comprehensive breadth and depth. The evaluation of your physical exam is
based on how successfully you report on your physical findings by selecting
among clinical terms in the Electronic Health Record. Your success in
Education and Empathy is based on whether you promptly respond after
identifying a moment worthy of therapeutic communication. Your success in
the Care Plan activity is based on whether you accurately identify Mr.
Rivera's nursing diagnosis, select a goal most immediately beneficial to
him, select and prioritize the most effective treatments, and accurately
evaluate your results. The Care Plan will make up a signficant part of your
grade, so be sure to carefully choose your answers based on evidence. This
assignment takes on average between 80 and 100 minutes. You can pause
and resume the assignment at any time; your work is always saved
Question
automatically.
04/21/21 5:54 AM EDT


How does this assignment prepare me for the real world?



In this assessment, you will familiarize yourself with the structure and content
of a cough focused exam so that with real-life patients, you can: º ask
effective and comprehensive questions º obtain and assess objective data º
educate and empathize with the patient º develop a nursing diagnosis º
create an effective and expedient care plan º and evaluate your results to
determine your goal's achievement.

Statement
In 1 or 2 sentences, answer this question to help prepare for the upcoming
04/21/21 5:59 AM EDT
exam: What strategies can you use to develop rapport with a pediatric
patient?


Build relationships with the patient, get on their level, do your homework,
create a comfortable environment Greet
04/21/21 5:59 AM EDT

Time to begin.



Hello, my name is emily and i'll be your nurse today.
Question
04/21/21 6:00 AM EDT

Hi.



Can you tell me your name and date of birth?
Question
04/21/21 6:00 AM EDT
My name is Danny, and I was born on March 4th in, um . . . [Danny reports
correct birth year.]



Perfect. What brings you in today danny?
Empathize
04/21/21 6:01 AM EDT
My music teacher Mr. Hillman sent me here because he said I look sick. I have
been coughing a lot. . . and I feel kinda tired.



Oh no, i'm sorry to hear this.




about:bl 2/

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