SH FAM Focused Exam Long Bone Fracture

Patient: Landon Smith Digital Clinical Experience Score 96.6% This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent. Student Performance Index 52.4 out of 60.5 Proficiency Level: Proficient • Beginning • Developing • Proficient lOMoARcPSD| Students rated as “proficient” demonstrate entry-level expertise in nursing competencies and clinical reasoning skills. In comparable nursing programs, the top 25% of students perform at the level of a proficient nurse. Subjective Data Collection 26 out of 26 Objective Data Collection 17.4 out of 18 Education and Empathy 4 out of 8 Care Plan 5 out of 8.5 Time 124 minutes total spent in assignment Interaction with patient 124 minutes Started: Sep 17, 2020 | Total Time: 124 min All Lines (218)Interv iew Questions (139)Statements ( 24)Exam A c t ions ( 55) Hello, I'll be your nurse today. Hi. Greet 09/17/20 9:01 AM CDT lOMoARcPSD| I can hear that you're crying, what happened? (No matching questions found.) Are you in a lot of pain? (No matching questions found.) Are you in pain? (Clarified to What is causing the pain?.) Moving or touching. I told Mommy not to touch it. [AUDIO COMING SOON] (Clarified to what is causing the pain.) I'm sorry it hurts, Landon Thanks. What is your mom's name? (No matching questions found.) Question 09/17/20 9:01 AM CDT Question 09/17/20 9:01 AM CDT Question 09/17/20 9:01 AM CDT Empathiz e 09/17/20 9:02 AM CDT Question 09/17/20 9:02 AM CDT lOMoARcPSD| When did you get hurt? After naptime. Mommy wasn't home yet. What happened? My arm is hurting bad. I'm sorry your arm is hurting. Um, thank you. What happened to your arm? I fell. Question 09/17/20 9:02 AM CDT Question 09/17/20 9:03 AM CDT Empathiz e 09/17/20 9:03 AM CDT Question 09/17/20 9:03 AM CDT lOMoARcPSD| Do you need any ice? (Clarified to Do you need anything?.) No, I went to the bathroom already. [AUDIO COMING SOON] (Clarified to if I need anything.) Do you need some water? (No matching questions found.) Have you taken any pain medication? No, medicine is yucky. [AUDIO COMING SOON] Medicine can help with your pain. OK. I'm sorry medicine tastes yucky. Question 09/17/20 9:03 AM CDT Question 09/17/20 9:03 AM CDT Question 09/17/20 9:03 AM CDT Educate 09/17/20 9:04 AM CDT Empathiz e 09/17/20 9:04 AM CDT lOMoARcPSD| Thats nice. Putting ice on your pain can help too. Yeah. Where is your pain? Umm . . . [Landon reports pain in his upper left arm by pointing] [AUDIO COMING SOON] How did you get hurt? I fell. Did you break your arm? (No matching questions found.) Educate 09/17/20 9:04 AM CDT Question 09/17/20 9:04 AM CDT Question 09/17/20 9:05 AM CDT Question 09/17/20 9:05 AM CDT lOMoARcPSD| How much does it hurt? Really bad. [AUDIO COMING SOON] Do you fall a lot? (Clarified to Can you tell me how you fell?.) I was showing Donnie a basketball trick. I couldn't do it so I fell. It was my fault. (Clarified to how I fell.) Did you fall on your arm? No, on the floor. [AUDIO COMING SOON] how long has your arm been hurting? Since when I fell. [AUDIO COMING SOON] Question 09/17/20 9:05 AM CDT Question 09/17/20 9:06 AM CDT Question 09/17/20 9:06 AM CDT Question 09/17/20 9:06 AM CDT lOMoARcPSD| Is there anything else that makes your pain better? (Clarified to Does anything help the pain?.) Keeping still. (Clarified to if anything helps the pain.) Is this woman your mom? (No matching questions found.) What is your relationship to Landon? Mommy's friend. We were playing when I fell . . . Do you feel dizzy? Yeah . . . [AUDIO COMING SOON] Do you have trouble seeing? (No matching questions found.) Question 09/17/20 9:08 AM CDT Question 09/17/20 9:08 AM CDT Question 09/17/20 9:08 AM CDT Question 09/17/20 9:09 AM CDT Question 09/17/20 9:09 AM CDT lOMoARcPSD| Do you have trouble remembering what happened? (No matching questions found.) Do you have trouble moving? (No matching questions found.) Is it hard to move? (Clarified to Do you have difficulty moving your fingers?.) No, they're OK. [AUDIO COMING SOON] (Clarified to if I have difficulty moving my fingers.) Do your muscles feel weak? (No matching questions found.) Is it hard to move? (Clarified to Does the pain limit your movement?.) I don't wanna move my arm. It really hurts to move. (Clarified to if the pain is limiting my movement.) Question 09/17/20 9:10 AM CDT Question 09/17/20 9:10 AM CDT Question 09/17/20 9:10 AM CDT Question 09/17/20 9:11 AM CDT Question 09/17/20 9:11 AM CDT lOMoARcPSD| I'm sorry it hurts to move your arm. Thank you. Keeping your arm still can help relieve the pain too. Mhm, yeah. Do you have muscle pain? (No matching questions found.) Does it feel warm where you hurt your arm? (No matching questions found.) Do you play a lot? (No matching questions found.) Empathiz e 09/17/20 9:11 AM CDT Educate 09/17/20 9:12 AM CDT Question 09/17/20 9:12 AM CDT Question 09/17/20 9:13 AM CDT Question 09/17/20 9:14 AM CDT lOMoARcPSD| Do you play a lot of basketball? (No matching questions found.) Do you run around a lot? (No matching questions found.) Does it hurt to move? (No matching questions found.) Do you have trouble moving? (No matching questions found.) is there any bone pain? (No matching questions found.) Do you have pain in more than one joint? (No matching questions found.) Do you have pain elsewhere? Question 09/17/20 9:14 AM CDT Question 09/17/20 9:14 AM CDT Question 09/17/20 9:14 AM CDT Question 09/17/20 9:14 AM CDT Question 09/17/20 9:14 AM CDT Question 09/17/20 9:17 AM CDT Question 09/17/20 9:17 AM CDT lOMoARcPSD| It's only my arm. How is this woman related to you? (No matching questions found.) How is she related to you? (No matching questions found.) Is this your mom here? (No matching questions found.) Is she your arm? (No matching questions found.) Who is this adult next to you? (No matching questions found.) who brought you in today? (Clarified to Do you know what brings you in today?.) Question 09/17/20 9:18 AM CDT Question 09/17/20 9:18 AM CDT Question 09/17/20 9:18 AM CDT Question 09/17/20 9:18 AM CDT Question 09/17/20 9:18 AM CDT Question 09/17/20 9:18 AM CDT lOMoARcPSD| . . . my arm. (Clarified to if I know why I came in.) Who brought you in? (No matching questions found.) Is this woman your mom? (No matching questions found.) Who is with you? Mommy's friend. We were playing when I fell . . . Did you mom bring you here? (No matching questions found.) Your hurt your arm? (Clarified to Did Donnie hurt your arm?.) Um, no. [AUDIO COMING SOON] (Clarified to if Donnie hurt my arm.) Question 09/17/20 9:18 AM CDT Question 09/17/20 9:19 AM CDT Question 09/17/20 9:19 AM CDT Question 09/17/20 9:19 AM CDT Question 09/17/20 9:19 AM CDT lOMoARcPSD| who brought you here? (Clarified to Who are you?.) I'm Landon. (Clarified to who am I.) and who is the other person? (No matching questions found.) who is the other person? (No matching questions found.) Do you have any allergies? Um... [AUDIO COMING SOON] It's good to come to the hospital right away after getting hurt. Umm, ok. Question 09/17/20 9:20 AM CDT Question 09/17/20 9:20 AM CDT Question 09/17/20 9:20 AM CDT Question 09/17/20 9:21 AM CDT Educate 09/17/20 9:21 AM CDT lOMoARcPSD| How long has it been since you hurt your arm? (Clarified to How long have you been in pain?.) Since when I fell. [AUDIO COMING SOON] (Clarified to how long I have been in pain.) When did you fall? After naptime. Mommy wasn't home yet. When was nap time? (No matching questions found.) Did you come here right away? My arm is hurting bad. Guardian, what is your relationship? (No matching questions found.) Question 09/17/20 9:21 AM CDT Question 09/17/20 9:21 AM CDT Question 09/17/20 9:22 AM CDT Question 09/17/20 9:22 AM CDT Question 09/17/20 9:22 AM CDT lOMoARcPSD| What is your relationship to Landon? Mommy's friend. We were playing when I fell . . . Who was babysitting you? (No matching questions found.) Who babysits you? (No matching questions found.) Where is your mom? (No matching questions found.) How long has your arm been hurting? Since when I fell. [AUDIO COMING SOON] Question 09/17/20 9:23 AM CDT Question 09/17/20 9:23 AM CDT Question 09/17/20 9:23 AM CDT Question 09/17/20 9:23 AM CDT Question 09/17/20 9:24 AM CDT lOMoARcPSD| Is this your parent? (No matching questions found.) Who is this person that is with you? (No matching questions found.) Guardian (No matching questions found.) What is your relationship to Landon? (Clarified to What is your relationship to the patient?.) I'm Landon's mother. [AUDIO COMING SOON] (Clarified to what my relationship is to the patient.) How did Landon get hurt? Well, I was at the office, but my boyfriend was at home watching Landon. He said Landon was off playing in his room when he heard a thud and crying. When he went into Landon's room, Landon was on the floor and cradling his arm. [AUDIO COMING SOON] Question 09/17/20 9:26 AM CDT Question 09/17/20 9:30 AM CDT Question 09/17/20 9:39 AM CDT Question 09/17/20 9:40 AM CDT Question 09/17/20 9:43 AM CDT lOMoARcPSD| Did Landon break his arm? (No matching questions found.) Is his arm broken? (No matching questions found.) Landon hurt his arm? (Clarified to How did your son get hurt?.) Well, I was at the office, but my boyfriend was at home watching Landon. He said Landon was off playing in his room when he heard a thud and crying. When he went into Landon's room, Landon was on the floor and cradling his arm. [AUDIO COMING SOON] (Clarified to how my son injured himself.) What brings Landon in today? Landon fell while I was at work . . . l think his arm broke the fall. He seems pretty hurt. [AUDIO COMING SOON] Question 09/17/20 9:45 AM CDT Question 09/17/20 9:45 AM CDT Question 09/17/20 9:46 AM CDT Question 09/17/20 9:46 AM CDT lOMoARcPSD| It's best to keep the bone still to prevent further injury. OK. Thank you. Educate 09/17/20 9:47 AM CDT Icing his arm will help to relieve Question his pain too. (No matching questions found.) It will help to take some pain medication too. taking some pain medication will help. (No matching questions found.) Gotcha. How long has it been since Landon got hurt? (Clarified to How long has it been since your son hurt himself?.) It's been about two hours since he fell and hurt his arm. [AUDIO COMING SOON] (Clarified to how long it has been since my son hurt 09/17/20 9:48 AM CDT Educate 09/17/20 9:48 AM CDT Question 09/17/20 9:48 AM CDT Question 09/17/20 9:48 AM CDT lOMoARcPSD| himself.) What helps the pain? (No matching questions found.) What are some relieving factors? (No matching questions found.) What makes the pain feel better? (Clarified to What helps your son feel better?.) I wasn't there when he fell, but when I got home I realized right away we needed to come to the hospital. Mothers just know when something is wrong with their baby. [AUDIO COMING SOON] (Clarified to what helps my son feel better.) Does Landon take any other medication? No, we're very lucky he doesn't need any. [AUDIO COMING SOON] What's Landon's medical history? (No matching questions found.) Question 09/17/20 9:49 AM CDT Question 09/17/20 9:49 AM CDT Question 09/17/20 9:49 AM CDT Question 09/17/20 9:51 AM CDT Question 09/17/20 9:52 AM CDT lOMoARcPSD| Has Landon been to the hospital before? (Clarified to Has your son ever been to the hospital before?.) No, no hospitalizations at all. [AUDIO COMING SOON] (Clarified to if my son has been hospitalized before.) Does Landon have any allergies? No, he's allergy free. [AUDIO COMING SOON] Does he take any supplements? (No matching questions found.) Does Landon live with you? (No matching questions found.) Does anybody else live at home? (No matching questions found.)