Tina Jones Week 4 Shadow Health Transcript_2020 | NURS 6512N Week 4 Shadow Health Tina Jones Transcript_Graded A

NURS 6512N Week 4 Shadow Health Tina Jones Transcript Week 4 Shadow Health Tina Jones Height: 170 cm Exam Action 03/17/20 8:44 AM MDT Weight: 90 kg Exam Action 03/17/20 8:44 AM MDT - BMI: 31 Exam Action 03/17/20 8:44 AM MDT - Random blood glucose: 238 Exam Action 03/17/20 8:44 AM MDT - Temperature: 101.1 F Exam Action 03/17/20 8:44 AM MDT - Blood pressure: 142/82 Exam Action 03/17/20 8:44 AM MDT - Respiratory rate: 19 Exam Action 03/17/20 8:44 AM MDT - O2 sat: 99% Exam Action 03/17/20 8:44 AM MDT - Heart rate: 86 Exam Action 03/17/20 8:44 AM MDT - Hello, my name is [ ] I'm a nurse practitioner student and I'm going to be taking care of you today. Greet 03/17/20 8:45 AM MDT Tina Jones Hey. - Can you verify your name and birthday for me? Question 03/17/20 8:45 AM MDT Tina Jones My name's Tina Jones, and my birthday's February 17th. - Ok great. What brings you in today? (Clarified to What brings you in today?.) Question 03/17/20 8:46 AM MDT Tina Jones I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it's looking pretty nasty. And the pain is killing me! (Clarified to why I came in.) - Oh I'm sorry to hear that. Empathize 03/17/20 8:46 AM MDT Tina Jones I appreciate you telling me that. - Where exactly is the pain at on your foot? Question 03/17/20 8:46 AM MDT Tina Jones It feels like the pain is just centered around the scrape, like around the ball of my foot. That's where it hurts the most, but my whole foot feels some pain. - Which foot did you injure? Question 03/17/20 8:47 AM MDT Tina Jones My right foot. - Can you rate the pain for me on a scale of 1 to 10? (Clarified to Can you rate your current pain level on a scale of 0 to 10?.) Question 03/17/20 8:47 AM MDT Tina Jones I'd say a 7. It hurts a lot, and the pain pills haven't kicked in yet. (Clarified to how I would rate my pain on a scale.) - What are you taking for the pain? Question 03/17/20 8:47 AM MDT Tina Jones It's called tramadol. - How did you get this medication? Do you normally take it? (No matching questions found.) Question 03/17/20 8:48 AM MDT - How did you get this medication? Question 03/17/20 8:48 AM MDT Tina Jones I was going down the back steps, and I tripped. . . I caught the railing, but I guess I kind of turned my ankle a little bit. And I scraped up my foot on the edge of the step. - where did you get the medication? Question 03/17/20 8:48 AM MDT Tina Jones The ER doctor prescribed them for me when I was in there a week ago. - So you fell one week ago? Question 03/17/20 8:49 AM MDT Tina Jones I was going down the back steps, and I tripped. . . I caught the railing, but I guess I kind of turned my ankle a little bit. And I scraped up my foot on the edge of the step. - Has your wound been draining any pus? Question 03/17/20 8:49 AM MDT Tina Jones Yeah, there's definitely pus. - Has your wound had pus in it all week? (Clarified to How long has the wound had pus in it?.) Question 03/17/20 8:50 AM MDT Tina Jones For two days. (Clarified to how long my wound has had pus.) - Can you describe your pain? Question 03/17/20 8:50 AM MDT Tina Jones It's throbbing and like, sharp if I try to put weight on it. - Is there anything that makes the pain worse? Question 03/17/20 8:51 AM MDT Tina Jones I'd say the pain is at its worst when I have to put any weight on my foot. . . otherwise, it's when the pain pills wear off. - What is the pain like when you stand on your foot? Question 03/17/20 8:51 AM MDT Tina Jones Yes! I mean, I literally can't put weight on my foot, the pain is so sharp. - When did the pain start? Question 03/17/20 8:51 AM MDT Tina Jones Well, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days. - So the pain has changed over time? Question 03/17/20 8:52 AM MDT Tina Jones Yeah, it got a lot worse two days ago. It was noticeably more painful. - Does the pain radiate anywhere? Question 03/17/20 8:52 AM MDT Tina Jones The pain's worse in my foot, but I feel it moving up into my ankle, too. - So can't bear any weight on your foot? Question 03/17/20 8:52 AM MDT Tina Jones No, I can't. I can't put any weight on it without like, shooting pain. - That has to be frustrating. I'm sorry to hear that. Empathize 03/17/20 8:53 AM MDT Tina Jones Thanks. - So did you hurt anything else besides your foot? Question 03/17/20 8:53 AM MDT Tina Jones Well, at first I thought my ankle was sprained because it hurt a lot right after I fell. But, I mean, I guess I was over-estimating it, because the ankle felt pretty okay the next day and it wasn't a problem all week. - What kind of shoes did you have on when you fell? Question 03/17/20 8:54 AM MDT Tina Jones I wasn't wearing shoes. - Ok, we should always wear shoes when we're outside. There are numerous things you could hurt your feet on. Educate 03/17/20 8:55 AM MDT - - - - - - -- - - - - - - - - - - -03/17/20 10:43 AM MDT Tina Jones As a kid, I got strep sometimes, maybe like once a year. I haven't had a strep throat since...probably since I graduated high school. - Do you ever have any chest pain Question 03/17/20 10:43 AM MDT Tina Jones No, my chest feels tight when I have breathing problems, but it doesn't hurt. - Does your heartbeat every feel irregular Question 03/17/20 10:43 AM MDT Tina Jones I think my heart's fine. I don't really notice how it beats. - Do you bruise easily Question 03/17/20 10:43 AM MDT Tina Jones I don't think so, no... I don't hurt myself very often. - Do you get any swelling in your legs Question 03/17/20 10:44 AM MDT Tina Jones Only the bottom of my foot is swollen. - Do you have any circulation problems Question 03/17/20 10:44 AM MDT Tina Jones I don't think I have any circulation problems. - Do you have any gastrointestinal problems Question 03/17/20 10:44 AM MDT Tina Jones No. I've never really had stomach or bowel problems. - How often do you have bowel movements Question 03/17/20 10:45 AM MDT Tina Jones Um, probably every day or every other day. - Have you noticed a change in your bowel movements Question 03/17/20 10:45 AM MDT Tina Jones Um. . . everything's been normal. - Do you have constipation or diarrhea Question 03/17/20 10:45 AM MDT Tina Jones No, everything's been normal. - Do you ever get heartburn Question 03/17/20 10:45 AM MDT Tina Jones No, not at all. - Any pain with urination Question 03/17/20 10:46 AM MDT Tina Jones It doesn't hurt or feel different when I pee. - Any blood in your pee Question 03/17/20 10:46 AM MDT Tina Jones I don't think so . . . My pee hasn't been red or anything. - Do you have trouble holding your pee Question 03/17/20 10:46 AM MDT Tina Jones Um, are you asking if I pee myself? Definitely not. - I understand some of these questions can be embarrassing or odd. I ask everyone these questions Empathize 03/17/20 10:47 AM MDT Tina Jones Thanks. - Have you ever had a urinary tract infection Question 03/17/20 10:50 AM MDT Tina Jones Nope. - Do you have any vaginal problems Question 03/17/20 10:50 AM MDT Tina Jones No, I haven't had any problems in that area. - Do you ever have muscle or joint pain Question 03/17/20 10:50 AM MDT Tina Jones No. - do your muscles ever feel weak Question 03/17/20 10:52 AM MDT Tina Jones No, I wouldn't say I feel weak. - do you get dizzy Question 03/17/20 10:52 AM MDT Tina Jones No, I can't remember the last time I got dizzy. - any tingling Question 03/17/20 10:52 AM MDT Tina Jones No, I haven't noticed any tingling. - have you noticed being clumsy lately (Clarified to Have you been feeling clumsy?.) Question 03/17/20 10:52 AM MDT Tina Jones No, I don't think anything's changed. I've always been kind of clumsy. (Clarified to if I have been feeling clumsy.) - have you ever had seizures Question 03/17/20 10:53 AM MDT Tina Jones No. I've seen somebody have one, though. It's scary. - do you lose your balance Question 03/17/20 10:53 AM MDT Tina Jones I think my balance is ok, it's just hard to walk because I try not to walk on the scrape. - did you have acne Question 03/17/20 10:53 AM MDT Tina Jones Yeah, I've had acne off and on since I was a teenager. - do you have any facial hair (Clarified to Do you have facial hair?.) Question 03/17/20 10:53 AM MDT Tina Jones Yeah, I've noticed some hairs on my chin that I have to pluck, and I'm...I guess you can see that I'm kind of getting a mustache, which I hate. I'm embarrassed about it. I think I need to start waxing it... I have some belly hair, too. (Clarified to if I have hair on my face.) - have you ever seen an endocrinologist Question 03/17/20 10:54 AM MDT Tina Jones No. . . I don't go to the doctor much. - Do you have any problems with your skin Question 03/17/20 10:54 AM MDT Tina Jones Well...I guess I was noticing the other day that the skin around my neck is looking weird. Like the skin is getting darker. And my skin's breaking out, but that's how it is. - Is your skin dry Question 03/17/20 10:55 AM MDT Tina Jones Yeah, the skin on my arms and legs gets dry. - You can try some moisturizer and take showers that are not hot Educate 03/17/20 10:55 AM MDT Tina Jones OK, I understand. - Thank you for being so patient with me today. I understand I have asked a lot of questions. Empathize 03/17/20 10:56 AM MDT