| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://nightingale.shadowhealth.com/assignment_attempts/18765
Focused Exam: Type 1 Diabetes Results | Turned In
BSN 346 - Concepts of Nursing III - January 2025, 20251bsn34606
Return to Assignment (/assignments/1125576/)
Your Results Lab Pass (/assignment_attempts/18765862/lab_pass.pdf)
Overview
Transcript
Transcript
Started: Mar 19, 2025 | Total Time: 28 min
Subjective Data Collection
All Lines (89) Interview Questions (46) Statements (25) Exam Actions (18)
Objective Data Collection
Greet
Education & Empathy hello
03/19/25 2:03 PM MDT
Education Activity
Hi.
Documentation
Care Plan Question
who are you here with
03/19/25 2:04 PM MDT
This is my dad. Mom is stuck at the airport.
Question
hello are you her father
03/19/25 2:04 PM MDT
I'm Chelsea's father.
Question
how are you feeling
03/19/25 2:04 PM MDT
I feel way better now. I am super ready to go home.
Question
tell me about your comfort
03/19/25 2:04 PM MDT
I feel comfortable right now, thanks.
Question
what brought you to this hospital
03/19/25 2:05 PM MDT
Duh. Diabetes.
Empathize
i'm sorry to heat that
03/19/25 2:05 PM MDT
Thank you.
1 of 9 3/19/2025, 1:33
,| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://nightingale.shadowhealth.com/assignment_attempts/18765
Question
what do you know about diabetes
03/19/25 2:05 PM MDT
To be honest, I don't know a lot. I'd really like to know more, though. I'm good at
learning. There's just so much that I don't know!
I understand that type 1 diabetes can seem overwhelming because you have a Empathize
lot to learn about maintenance. Everyone is here to support you 03/19/25 2:06 PM MDT
Thanks, I appreciate it.
Question
how are you managing your diabetes
03/19/25 2:07 PM MDT
I dunno. I know you use needles and stuff and I have to like, prick my finger? I
haven't done it myself yet. I don't know much about it.
Educate
pricking your finger is to measure your blood glucose levels
03/19/25 2:08 PM MDT
Oh, ok. I think I get it.
can you tell me your symptoms of dka (Clarified to Describe the symptoms you Question
felt during diabetic ketoacidosis?.) 03/19/25 2:08 PM MDT
Well, the DKA made me puke ALL OVER my Dad's car after my riding lesson.
Other than that I don't really remember it too well . . . it was like, such a blur.
(Clarified to to describe the diabetic ketoacidosis.)
Question
did you have any other symptoms before DKA
03/19/25 2:08 PM MDT
Before the DKA I remember being really, really tired at my mom's house for like
10 days I think. I also was never really hungry at all but I was so thirsty. Right
before we got to the hospital I was really confused and I threw up in the car.
Question
did you have an appetite
03/19/25 2:09 PM MDT
My appetite is fine now. I didn't want to each much before the DKA, but I didn't
know that's what was wrong with me.
Question
did you pee a lot
03/19/25 2:09 PM MDT
I'm not peeing a lot anymore. Before I got sick with the DKA, I was peeing, like,
so much. It was really weird.
Empathize
i'm sorry to hear that, i'm sure it was weird and new for you
03/19/25 2:10 PM MDT
Ummmm thanks.
Educate
it is important for you to take insulin
03/19/25 2:10 PM MDT
This is a lot to take in, but I think I get it.
Educate
it is also important fo ryou to diet and exercise
03/19/25 2:10 PM MDT
2 of 9 3/19/2025, 1:33
,| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://nightingale.shadowhealth.com/assignment_attempts/18765
There's so much to learn. I feel like my brain is full! But thanks for telling me.
Question
tell me about your diet
03/19/25 2:10 PM MDT
My mom, Nora, is like, a total health nut. Breakfast is yogurt and fruit, lunch on
the weekends is salad and chicken, and then she always does some kind of
healthy grilled meat and veggies. Dad . . . well, he's a little more chill about it. I
mean, he's a lot busier so he can't cook as much.
Question
what are you feeding chelsea
03/19/25 2:11 PM MDT
I think she eats pretty healthy. When she's staying with me -- well, I'm not as
health-conscious as her mom is, but I think Chelsea and I still eat pretty well. She
doesn't eat a ton of junk food or sugary stuff.
carbs are a basic food group, and they can affect a diabetic person's blood sugar.
Educate
even healthy foods can be high in carbs. its important for you and her mother to
03/19/25 2:12 PM MDT
monitor chelseas intake
Okay.
Question
what is her life like at home
03/19/25 2:12 PM MDT
I think our home life is good. She splits her time evenly with her mom and me.
She lives with me every two weeks . . . We try to keep her on a normal schedule.
She rides horses a few times a week, and has social events with her friends.
Sleepovers and Sunday School and all that.
Question
are you and the mom divorced
03/19/25 2:12 PM MDT
I'm divorced. Chelsea's mom is my ex-wife.
communication between divorced or separated parents can often be difficult. its Empathize
great that you and chelsea's mother have a good relationship. 03/19/25 2:13 PM MDT
Mmmhmmm.
you and your ex will have to coordinate diabetic supplies, diet, and routine blood Educate
glucose monitoring so that there are no gaps in chelsea's care 03/19/25 2:13 PM MDT
I see.
Question
how do you feel about the diabetes
03/19/25 2:14 PM MDT
Uh, I dunno how I feel about it, really. It just kinda happened. There's so much
about diabetes that I don't know . . . I'd like to learn more, but I don't really know
where to start.
i understand that this diagnosis can make it seem like your life has been turned
Empathize
upside down. thats a normal feeling to have. you should know type 1 diabetes is
03/19/25 2:15 PM MDT
a lifelong and serious illness, its also manageable.
Thanks, I appreciate it.
3 of 9 3/19/2025, 1:33
,| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://nightingale.shadowhealth.com/assignment_attempts/18765
Question
what needs do you have (Clarified to What are your current needs?.)
03/19/25 2:15 PM MDT
I guess, uh . . . I guess I need to know more about this diabetes stuff. I find it all
kinda confusing, but I want to know more. (Clarified to what I need right now.)
Empathize
its great that you're willing to learn more
03/19/25 2:15 PM MDT
Thank you.
Question
what do you do for fun
03/19/25 2:16 PM MDT
I ride my horse Sparkle! We ride a few times a week after school. She is the
absolute best, my best friend, in fact.
Question
what medicine do you take
03/19/25 2:16 PM MDT
Uhhh, insulin, I guess.
Question
do you take any other substances
03/19/25 2:16 PM MDT
Ummmm insulin I guess? I dunno.
Question
do you use any substances
03/19/25 2:16 PM MDT
No way! I would NEVER.
Question
have you been feeling nauseous
03/19/25 2:17 PM MDT
I felt really nauseous two days ago, during my horseback riding lesson, but it's
better now.
Question
do you feel feverish
03/19/25 2:17 PM MDT
No, I don't think I have a fever.
Question
do you have a headache
03/19/25 2:17 PM MDT
Headaches? I don't really get those.
Question
what were you diagnosed with
03/19/25 2:17 PM MDT
It's the diabetes.
Question
when were you admitted to the hospital
03/19/25 2:17 PM MDT
I got here two nights ago.
Question
what was her diagnosis
03/19/25 2:18 PM MDT
4 of 9 3/19/2025, 1:33
Focused Exam: Type 1 Diabetes Results | Turned In
BSN 346 - Concepts of Nursing III - January 2025, 20251bsn34606
Return to Assignment (/assignments/1125576/)
Your Results Lab Pass (/assignment_attempts/18765862/lab_pass.pdf)
Overview
Transcript
Transcript
Started: Mar 19, 2025 | Total Time: 28 min
Subjective Data Collection
All Lines (89) Interview Questions (46) Statements (25) Exam Actions (18)
Objective Data Collection
Greet
Education & Empathy hello
03/19/25 2:03 PM MDT
Education Activity
Hi.
Documentation
Care Plan Question
who are you here with
03/19/25 2:04 PM MDT
This is my dad. Mom is stuck at the airport.
Question
hello are you her father
03/19/25 2:04 PM MDT
I'm Chelsea's father.
Question
how are you feeling
03/19/25 2:04 PM MDT
I feel way better now. I am super ready to go home.
Question
tell me about your comfort
03/19/25 2:04 PM MDT
I feel comfortable right now, thanks.
Question
what brought you to this hospital
03/19/25 2:05 PM MDT
Duh. Diabetes.
Empathize
i'm sorry to heat that
03/19/25 2:05 PM MDT
Thank you.
1 of 9 3/19/2025, 1:33
,| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://nightingale.shadowhealth.com/assignment_attempts/18765
Question
what do you know about diabetes
03/19/25 2:05 PM MDT
To be honest, I don't know a lot. I'd really like to know more, though. I'm good at
learning. There's just so much that I don't know!
I understand that type 1 diabetes can seem overwhelming because you have a Empathize
lot to learn about maintenance. Everyone is here to support you 03/19/25 2:06 PM MDT
Thanks, I appreciate it.
Question
how are you managing your diabetes
03/19/25 2:07 PM MDT
I dunno. I know you use needles and stuff and I have to like, prick my finger? I
haven't done it myself yet. I don't know much about it.
Educate
pricking your finger is to measure your blood glucose levels
03/19/25 2:08 PM MDT
Oh, ok. I think I get it.
can you tell me your symptoms of dka (Clarified to Describe the symptoms you Question
felt during diabetic ketoacidosis?.) 03/19/25 2:08 PM MDT
Well, the DKA made me puke ALL OVER my Dad's car after my riding lesson.
Other than that I don't really remember it too well . . . it was like, such a blur.
(Clarified to to describe the diabetic ketoacidosis.)
Question
did you have any other symptoms before DKA
03/19/25 2:08 PM MDT
Before the DKA I remember being really, really tired at my mom's house for like
10 days I think. I also was never really hungry at all but I was so thirsty. Right
before we got to the hospital I was really confused and I threw up in the car.
Question
did you have an appetite
03/19/25 2:09 PM MDT
My appetite is fine now. I didn't want to each much before the DKA, but I didn't
know that's what was wrong with me.
Question
did you pee a lot
03/19/25 2:09 PM MDT
I'm not peeing a lot anymore. Before I got sick with the DKA, I was peeing, like,
so much. It was really weird.
Empathize
i'm sorry to hear that, i'm sure it was weird and new for you
03/19/25 2:10 PM MDT
Ummmm thanks.
Educate
it is important for you to take insulin
03/19/25 2:10 PM MDT
This is a lot to take in, but I think I get it.
Educate
it is also important fo ryou to diet and exercise
03/19/25 2:10 PM MDT
2 of 9 3/19/2025, 1:33
,| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://nightingale.shadowhealth.com/assignment_attempts/18765
There's so much to learn. I feel like my brain is full! But thanks for telling me.
Question
tell me about your diet
03/19/25 2:10 PM MDT
My mom, Nora, is like, a total health nut. Breakfast is yogurt and fruit, lunch on
the weekends is salad and chicken, and then she always does some kind of
healthy grilled meat and veggies. Dad . . . well, he's a little more chill about it. I
mean, he's a lot busier so he can't cook as much.
Question
what are you feeding chelsea
03/19/25 2:11 PM MDT
I think she eats pretty healthy. When she's staying with me -- well, I'm not as
health-conscious as her mom is, but I think Chelsea and I still eat pretty well. She
doesn't eat a ton of junk food or sugary stuff.
carbs are a basic food group, and they can affect a diabetic person's blood sugar.
Educate
even healthy foods can be high in carbs. its important for you and her mother to
03/19/25 2:12 PM MDT
monitor chelseas intake
Okay.
Question
what is her life like at home
03/19/25 2:12 PM MDT
I think our home life is good. She splits her time evenly with her mom and me.
She lives with me every two weeks . . . We try to keep her on a normal schedule.
She rides horses a few times a week, and has social events with her friends.
Sleepovers and Sunday School and all that.
Question
are you and the mom divorced
03/19/25 2:12 PM MDT
I'm divorced. Chelsea's mom is my ex-wife.
communication between divorced or separated parents can often be difficult. its Empathize
great that you and chelsea's mother have a good relationship. 03/19/25 2:13 PM MDT
Mmmhmmm.
you and your ex will have to coordinate diabetic supplies, diet, and routine blood Educate
glucose monitoring so that there are no gaps in chelsea's care 03/19/25 2:13 PM MDT
I see.
Question
how do you feel about the diabetes
03/19/25 2:14 PM MDT
Uh, I dunno how I feel about it, really. It just kinda happened. There's so much
about diabetes that I don't know . . . I'd like to learn more, but I don't really know
where to start.
i understand that this diagnosis can make it seem like your life has been turned
Empathize
upside down. thats a normal feeling to have. you should know type 1 diabetes is
03/19/25 2:15 PM MDT
a lifelong and serious illness, its also manageable.
Thanks, I appreciate it.
3 of 9 3/19/2025, 1:33
,| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://nightingale.shadowhealth.com/assignment_attempts/18765
Question
what needs do you have (Clarified to What are your current needs?.)
03/19/25 2:15 PM MDT
I guess, uh . . . I guess I need to know more about this diabetes stuff. I find it all
kinda confusing, but I want to know more. (Clarified to what I need right now.)
Empathize
its great that you're willing to learn more
03/19/25 2:15 PM MDT
Thank you.
Question
what do you do for fun
03/19/25 2:16 PM MDT
I ride my horse Sparkle! We ride a few times a week after school. She is the
absolute best, my best friend, in fact.
Question
what medicine do you take
03/19/25 2:16 PM MDT
Uhhh, insulin, I guess.
Question
do you take any other substances
03/19/25 2:16 PM MDT
Ummmm insulin I guess? I dunno.
Question
do you use any substances
03/19/25 2:16 PM MDT
No way! I would NEVER.
Question
have you been feeling nauseous
03/19/25 2:17 PM MDT
I felt really nauseous two days ago, during my horseback riding lesson, but it's
better now.
Question
do you feel feverish
03/19/25 2:17 PM MDT
No, I don't think I have a fever.
Question
do you have a headache
03/19/25 2:17 PM MDT
Headaches? I don't really get those.
Question
what were you diagnosed with
03/19/25 2:17 PM MDT
It's the diabetes.
Question
when were you admitted to the hospital
03/19/25 2:17 PM MDT
I got here two nights ago.
Question
what was her diagnosis
03/19/25 2:18 PM MDT
4 of 9 3/19/2025, 1:33
